非体外循环手术后严重左心室功能不全患者骨髓间充质干细胞特征与抗心律失常药物使用的关系

M. Esmailidehaj, S. Mirhosseini, Zakieh Sadat Sheikhalishahi
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摘要

背景与目的:房颤是冠状动脉旁路移植术(CABG)后最常见的心律失常,高达30%的心力衰竭患者发生房颤。间充质干细胞(MSCs)可以在组织损伤后再生和改善心脏功能,并被用于临床试验。由于MSCs可能具有改善心功能的能力,在这项工作中,我们旨在研究MSCs增殖率与非体外泵搭桥后严重左心室功能障碍患者抗心律失常药物需求的可能关联。方法:对30例在Afshar医院和Seyed Al-Shohada医院行非体外循环冠脉搭桥的患者进行胸骨骨髓采集。为计算MSCs倍增时间,分别在4、7、14天后用台盼蓝和血细胞计对细胞计数。结果:MSCs加倍时间与患者年龄、性别无显著差异。术后女性患者需要抗心律失常药物的比例明显高于男性。同时,我们发现女性患者接受抗心律失常药物治疗后骨髓间充质干细胞倍增时间少于男性患者,但差异不显著。结论:基于本研究,我们认为女性患者服用抗心律失常药物的比例明显高于男性,但严重左心功能不全患者MSCs倍增时间与抗心律失常药物需要量无明显相关性。*通讯作者:Zakieh Sadat Sheikhalishahi;请将本文注明出处:Esmailidehaj M, Mirhosseini SJ, Sheikhalishahi ZS。非体外循环手术后严重左心室功能不全患者骨髓间充质干细胞特征与抗心律失常药物使用的关系中华医学杂志,2020;6:2 - 6。https://doi.org/10.22037/amls.v6.31297
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Association between Bone Marrow Mesenchymal Stem Cell Characterizations and the Administration of Antiarrhythmic Drugs in Patients with Severe Left Ventricular Dysfunction after Off-Pump Bypass Surgery
Background and Aim: Atrial fibrillation is the most common arrhythmia after coronary artery bypass grafting (CABG) and occurs in up to 30% of patients with heart failure. Mesenchymal stem cells (MSCs) can regenerate and improve cardiac function after tissue damage and are used in clinical trials. Due to the possible ability of MSCs to improve cardiac functions, in this work, we aimed to examine the probable association of the MSCs proliferation rate with the requirement for antiarrhythmic drugs in patients with severe left ventricular dysfunction after off-pump CABG. Methods: Bone marrow samples were obtained from the sternum of 30 patients who underwent off-pump CABG at Afshar Hospital and Seyed Al-Shohada Hospital. For calculating MSCs doubling time, the cells were counted after 4, 7, and 14 days using trypan-blue color and a hemocytometer. Results: There were no significant differences between MSCs' doubling time and the patient's age and gender. The percentage of women patients who require antiarrhythmic medicine was significantly higher than men after surgery. Also, we demonstrated that the BMSCs doubling time in female patients who received antiarrhythmic drugs was less than that of male patients who received antiarrhythmic drugs, but these differences were not significant. Conclusion: Based on this research, we concluded that women patients who received antiarrhythmic drugs were significantly higher than men, but there was no apparent relevancy between MSCs doubling time and antiarrhythmic drugs requirement in patients with severe left ventricular dysfunction. *Corresponding Author: Zakieh Sadat Sheikhalishahi; Email: z.sheikhalishahi@gmail.com Please cite this article as: Esmailidehaj M, Mirhosseini SJ, Sheikhalishahi ZS. Association between Bone Marrow Mesenchymal Stem Cell Characterizations and the Administration of Antiarrhythmic Drugs in Patients with Severe Left Ventricular Dysfunction after Off-Pump Bypass Surgery. Arch Med Lab Sci. 2020;6:e2. https://doi.org/10.22037/amls.v6.31297
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