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首页> 外文期刊>Aging clinical and experimental research >Imbalance of pro- and anti-inflammatory cytokine responses in elderly patients after coronary artery bypass grafting.
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Imbalance of pro- and anti-inflammatory cytokine responses in elderly patients after coronary artery bypass grafting.

机译:老年患者冠状动脉搭桥术后促炎和抗炎细胞因子反应的失衡。

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BACKGROUND AND AIMS: Increased inflammatory activity has been observed in elderly people. The aim of this study was to determine whether cytokine responses after coronary artery bypass grafting (CABG) in elderly patients are different from those in younger patients. METHODS: Fifty-five male patients admitted for first-time elective coronary artery bypass surgery were divided into two age groups: group I, patients younger than 70 years (N=40); and group II, patients aged 70 years or older (N=15). Perioperative levels of cytokines and CK-MB were measured. Hemodynamic data were recorded. RESULTS: Marginally higher IL-6 (p=0.048) and IL-8 (p=0.041) levels were observed during the intensive care unit (ICU) stay in the elderly as compared with younger patients. Lower IL-10 levels were detected in the elderly 5 minutes after reperfusion to the myocardium (p<0.05). Although the postoperative hemodynamic change was similar in both groups, the elderly needed vasopressor treatment more often during the ICU stay. This was associated with lower IL-10 levels 5 minutes after reperfusion. CONCLUSIONS: The present results show the age-related imbalance of pro- and anti-inflammatory responses after CABG, associated with hemodynamic instability in the elderly.
机译:背景与目的:观察到老年人的炎症活动增加。这项研究的目的是确定老年患者冠状动脉旁路移植术(CABG)后的细胞因子反应是否与年轻患者不同。方法:将55例首次进行选择性冠状动脉搭桥手术的男性患者分为两个年龄组:第一组,年龄小于70岁的患者(N = 40);第二组是70岁或以上的患者(N = 15)。测量围手术期细胞因子和CK-MB的水平。记录血流动力学数据。结果:与年轻患者相比,老年人在重症监护病房(ICU)住院期间,IL-6(p = 0.048)和IL-8(p = 0.041)的水平略高。老年人再灌注心肌5分钟后检测到较低的IL-10水平(p <0.05)。尽管两组的术后血流动力学变化相似,但老年人在ICU停留期间更需要升压药治疗。这与再灌注后5分钟IL-10水平降低有关。结论:目前的结果表明,CABG术后与年龄相关的促炎和抗炎反应失衡,与老年人的血流动力学不稳定有关。

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