
An unresolved issue to whether mesenchymal stem cells have
similar safety and possibly greater value
than bone marrow mononuclear cells which would be an effective proregenerative
treatment for ischemic cardiomyopathy. 65 patients were included in the study that
had ischemic cardiomyopathy. Each patient
was injected with mesenchymal stem cells (n=19) with placebo (n = 11) and bone
marrow mononuclear cells (n = 19) with placebo (n = 10) with 1 yr. follow
up. The primary measured outcome was
treatment emergent 30 day serious adverse event rate that which is defined as composite of
death, heart attack, stroke, hospitalization for worsening heart failure,
perforation (rupture), tamponade (compression of the heart due to collection of
blood or fluid), or sustained ventricular arrhythmias. No patient had treatment emergent-serious
adverse event at day 30. Over 1 yr. the
score improved with mesenchymal stem cells and with bone marrow cells but not
with placebo, additionally the 6-minute walk distance increased with
mesenchymal stem cells only.
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