Increases in myeloperoxidase levels after exercise in myocardial perfusion scintigraphy are not induced by myocardial ischemia

P. M. van der Zee, M. C. Meuwese, H. J. Verberne, M. de Ruijter, J. P. van Straalen, J. C. Fischer, A. Sturk, B. L. F. van Eck-Smit, E. S. G. Stroes, R. J. de Winter

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Abstract

Background: Increased systemic levels of myeloperoxidase (MPO) have been reported in patients with acute myocardial ischemia. We studied the association between exercise-induced myocardial ischemia measured by myocardial perfusion scintigraphy (MPS) and the magnitude and time course of changes in MPO levels in humans. Methods: One hundred and twenty six patients underwent symptom limited exercise MPS. Myocardial ischemia was assessed semi-quantitatively. Plasma samples were taken before the start of exercise (baseline), at maximum exercise and every hour up to 6 h after maximum exercise. Results: Myocardial ischemia was present in 42 (33%) patients. MPO levels rapidly increased during exercise in patients with and without ischemia (to 131% (106-172%) and 145% (121-199%) of baseline, respectively). MPO levels and absolute changes in MPO did not differ between patients with and without ischemia at any time point. None of the patient characteristics, including presence of ischemia. was independently predictive of the absolute increase in MPO levels during exercise. Conclusions: Exercise related immediate increases in MPO levels do not reflect myocardial ischemia. (C) 2008 Elsevier B.V. All rights reserved
Original languageEnglish
Pages (from-to)146-150
JournalClinica chimica acta; international journal of clinical chemistry
Volume395
Issue number1-2
DOIs
Publication statusPublished - 2008

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