Yuan SM, Lin HZ. Predictors of Normalization of Circulating Interleukin-6 after Cardiac Myxoma Resection.
Braz J Cardiovasc Surg 2019;
34:22-27. [PMID:
30810670 PMCID:
PMC6385831 DOI:
10.21470/1678-9741-2018-0161]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2018] [Accepted: 07/27/2018] [Indexed: 12/17/2022] Open
Abstract
Objective
To disclose the relationships between the anatomic features of cardiac
myxomas and plasma interleukin (IL)-6 levels.
Methods
Twelve patients undergoing cardiac myxoma resection at The First Hospital of
Putian, Teaching Hospital, Fujian Medical University were enrolled into this
study. Pre- and postoperative IL-6 levels were determined by an
enzyme-linked immunosorbent assay method, and correlations between cardiac
myxoma dimension or volume and plasma IL-6 levels were analyzed. C-reactive
protein (CRP) levels were also evaluated.
Results
IL-6 and CRP levels were significantly decreased one month after cardiac
myxoma resection in comparison to preoperative values. IL-6 and CRP levels
did not differ between patients with a cardiac myxoma of irregular
appearance and those with a myxoma of regular gross appearance, or between
patients with a pedicled or a sessile myxoma. Decrement of IL-6 of patients
with irregular cardiac myxomas was much higher than that of patients with
regular ones, while no intergroup difference was noted in decrement of CRP.
A close direct correlation was noted between IL-6 levels and maximal
dimension (length) or volume of cardiac myxomas, whereas CRP levels only
correlated with maximal dimension of cardiac myxomas.
Conclusion
Anatomic features of cardiac myxomas (sessile, irregular appearance, maximal
dimension, and volume) could be determinants of the patients' circulating
IL-6 levels. IL-6 was likely to be a more sensitive biomarker than CRP in
predicting the inflammatory status of patients with cardiac myxoma. Sessile
and irregular cardiac myxomas might predict more severe inflammatory
conditions for their more abundant endothelial cells and IL-6
overproduction.
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