Oxidative stress and antioxidants in patients with cardiogenic shock complicating acute myocardial infarction

S. Senthil, R. M. Veerappan, M. Ramakrishna Rao, K. V. Pugalendi

Research output: Contribution to journalArticle

54 Citations (Scopus)


Background: Lipid peroxidation and derived oxidized products are being intensively investigated because of their potential to cause injury and because of their pathogenic role in several diseases. The view that an excess of lipid peroxidation products is present and is relevant in the pathogenesis of cardiogenic shock-induced damage has still not received definitive support. Methods: To evaluate the extent of lipid peroxidation, the status of enzymatic and nonenzymatic antioxidants in patients with cardiogenic shock that complicate acute myocardial infarction (AMI) and to compare with normal subjects. Results: Compared with normal subjects, cardiogenic shock patients had higher malondialdehyde, conjugated dienes and reduced activities of erythrocyte antioxidant enzymes such as superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx) and lower concentrations of reduced glutathione (GSH) in erythrocyte and in plasma GSH, vitamin C, vitamin E and in β-carotene. Conclusions: Cardiogenic shock is associated with greater than normal lipid peroxidation and with an imbalance in antioxidants' status. These results indicate that low activities of SOD, CAT, GPx and low concentrations of GSH, vitamin C, vitamin E and β-carotene in the circulation of patients with cardiogenic shock complicating AMI may be due to increased utilization to scavenge lipid peroxides. Decrease in plasma concentrations of GSH, vitamin E and β-carotene seems to be responsible for the elevation of lipid peroxidation in cardiogenic shock complicating AMI compared with MI.

Original languageEnglish
Pages (from-to)131-137
Number of pages7
JournalClinica Chimica Acta
Issue number1-2
Publication statusPublished - 1 Oct 2004



  • Acute myocardial infarction
  • Antioxidants
  • Blood pressure
  • Cardiogenic shock
  • Hypotension
  • Lipid peroxidation

ASJC Scopus subject areas

  • Biochemistry
  • Clinical Biochemistry
  • Biochemistry, medical

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