Objectives: Although injury of myocardium after percutaneous coronary
intervention (PCI) has been reported, the mechanism and effect of exogenous
phosphocreatine (PCr) supplementation on the injury are yet to be elucidated.
Biomarkers, such as interleukin-6 (IL-6) and variations in white blood cells for
inflammation, and serum cardiac troponin I (cTnI) for myocardial injury are
examined. Methods: A total of 105 patients undergoing PCI were included
and randomly divided into two groups: control (treated with routine hydration
therapy) and PCr (treated with additional intravenous infusion of exogenous PCr).
The serum levels of biomarkers were detected at administration and 4, 12, 24, and
48 h after PCI, with natural logarithmic (log) transformation of data when
modeling assumptions were not fulfilled. Results: The level of
log-transformed IL-6 increased in both groups, especially at 12 and 24 h
after the operation, and that of PCr group was less than the control group at 48
h. The content of log-transformed cTnI was significantly increased in both
groups, while that of the PCr group was markedly lower than the control group at
all time points after PCI. Moreover, the ratio of neutrophils was elevated at all
time points after PCI, while that of the PCr group was lower at 48 h, and the
variations in the ratio of lymphocytes showed opposite results.
Conclusions: Exogenous phosphocreatine reduces stent implantation,
triggers inflammation manifested as decreased serum levels of IL-6 and the
aggregation of neutrophils, and protects the myocardium of the patients
undergoing PCI. These findings provided the potential mechanism and treatment for
myocardial injury associated with PCI.