%A Suresh Babu
%A Jeevan K Shetty
%A Prakash Mungli
%J Online Journal of Health and Allied Sciences
%T Total Thiols and MDA Levels in Patients with Acute Myocardial Infarction Before and After Reperfusion Therapy
%X Background: Reactive oxygen species have been implicated in the pathogenesis of ischemic and reperfusion injury. In the current work we have measured malondialdehyde (MDA), total thiols, total CK, CK-MB and AST in ECG proven acute myocardial infarction (AMI) patients immediately after admission and 24 hours after administration of thrombolytic agent streptokinase, and in healthy controls. Methods: Blood samples from 44 AMI patients and 25 age and sex matched healthy controls were obtained and analyzed for MDA, total thiols using spectrophotometric methods and cardiac enzymes CK, CK-MB and AST using automated analyzer. Results: We have found significant increase  in MDA, CPK, CK-MB, AST (p< 0.001) and significant decrease in total thiols (p<0.001) in AMI patients after thrombolytic therapy compared to values at admission, and healthy controls. MDA correlated negatively with total thiols (r = - 0.333, p<0.05) and positively with CK-MB (r = 0.491, p<0.01) in AMI patients after thrombolytic therapy. Conclusions: Reperfusion following thrombolytic therapy increases reactive oxygen species with concomitant decrease in antioxidant total thiols.
%N 3
%K MDA; Total thiols; Myocardial infarction; Reperfusion injury
%E Dr Srinivas Kakkilaya
%V 9
%D 2010
%I Dr. B.S. Kakkilaya
%L cogprints6978

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