ORIGINAL ARTICLE |
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Year : 2022 | Volume
: 35
| Issue : 4 | Page : 1630-1634 |
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Effect of matrix metalloproteinase-9 on angiographic criteria of coronary ectasia
Walaa F Mousa, Wessam E. H. Elshafey, Remon S Adly
Department of Cardiology, Faculty of Medicine, Menoufia University, Menoufia, Egypt
Correspondence Address:
Remon S Adly Faculty of Medicine, Menoufia University, Menoufia 32511 Egypt
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/mmj.mmj_233_22
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Objective
The aim of this study was to evaluate the correlation between serum levels of a specific matrix metalloproteinase, matrix metalloproteinase-9 (MMP-9), and the angiographic criteria of coronary artery ectasia (CAE).
Background
Previously, CAE was thought to be a possible manifestation of atherosclerosis, and the relation between matrix metalloproteinase in particular MMP-9 and presence and severity of CAE was not clearly established by previous investigators.
Patients and methods
A retrospective study of 100 eligible patients with CAE was studied regarding their clinical presentation, angiographic criteria, and relation of the severity of CAE to serum level of MMP-9. We included assessment of major cardiovascular risk factors.
Results
There were high serum levels of MMP-9 (>71 ug/dl) in 45% of patients with CAE, and there was a statistically significant relation (P = 0.035) of serum levels of MMP-9 with the number of ectatic vessels (100% for three-vessel disease vs. 43.38% for single-vessel ectasia). Moreover, we found a significant relation with the type of ectasia (83.33% for type 1 vs. 40% for type 2), with P = 0.015.
Conclusions
There is a considerable relationship between elevated levels of MMP-9 and CAE, as well as the relationship between levels of MMP-9 and severity of the CAE.
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