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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2018 ; 13
(4
): e0194623
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Protective effect of nicorandil on myocardial injury following percutaneous
coronary intervention in older patients with stable coronary artery disease:
Secondary analysis of a randomized, controlled trial (RINC)
#MMPMID29659585
Kawakita N
; Ejiri K
; Miyoshi T
; Kohno K
; Nakahama M
; Doi M
; Munemasa M
; Murakami M
; Nakamura K
; Ito H
PLoS One
2018[]; 13
(4
): e0194623
PMID29659585
show ga
BACKGROUND: Our previous study examined an effect of remote ischemic
preconditioning (RIPC) or intravenous nicorandil on reduction of periprocedural
myocardial injury (pMI) following percutaneous coronary intervention (PCI) in
patients with stable coronary artery disease (CAD). We further investigated the
effect of RIPC or nicorandil on pMI in older patients. METHODS: Patients with
stable CAD who planned to undergo PCI were assigned to a 1:1:1 ratio to control,
intravenous nicorandil, or upper-limb RIPC groups. This substudy analyzed
patients aged >65 years (n = 282) from the principal cohort. The primary outcome
was the incidence of pMI following PCI. We defined pMI as an elevated level of
high-sensitive cardiac troponin T or creatine kinase myocardial band 12 or 24
hours after PCI. RESULTS: We found that pMI following PCI was significantly
reduced in the nicorandil group compared with the control group (37.2% vs. 53.7%,
multiplicity-adjusted p = 0.046), but not in the RIPC group compared with the
control group (43.0% vs. 53.7%, multiplicity-adjusted p = 0.245). The adjusted
odds ratios (95% confidence interval) for pMI in the RIPC and nicorandil groups
versus the control group were 0.63 (0.34 to 1.16) and 0.51 (0.27 to 0.96),
respectively. CONCLUSION: Intravenous nicorandil significantly reduces pMI
following PCI in a subgroup of older patients with stable CAD. Phase 3 trials are
required to validate our results. TRIAL REGISTRATION: UMIN Clinical Trials
Registry UMIN000005607.