The Association Between Atherogenic Index of Plasma and No-Reflow Phenomenon in Acute Coronary Syndrome.
Anatol J Cardiol
; 27(12): 712-719, 2023 12 01.
Article
em En
| MEDLINE
| ID: mdl-37807878
ABSTRACT
BACKGROUND:
The atherogenic index of plasma (AIP) is a biomarker of plasma atherogenicity. Elevated AIP is linked with adverse cardiac events. We sought to examine the association of admission AIP and no-reflow phenomenon (NRP) in acute coronary syndrome (ACS) patient population treated with percutaneous coronary intervention (PCI).METHODS:
Eight hundred eight-four ACS patients were included to statistical tests retrospectively and classified according to the occurrence of NRP NRP (-) (n = 662) and NRP (+) (n = 186). AIP levels were calculated through the formula log10 (triglyceride-to-high-density lipoprotein cholesterol ratio).RESULTS:
AIP levels were higher in NRP (+) patients compared to NRP (-) group patients. The receiver operating characteristic (ROC) curve analysis for AIP to predict NRP yielded an area under the ROC curve value 0.643 [95% confidence interval (CI) 0.596-0.690, P <.001]. AIP was associated with NRP in univariate logistic regression analysis [Odds Ratio (OR) 2.46; P =.001; CI 1.44 (lower limit)-4.21 (upper limit)]. However, AIP did not emerge as a significant prognostic factor of NRP in multiple logistic regression analysis [OR 2.11; P =.422; CI 0.34 (lower limit)-13.11 (upper limit)]. On the other hand, peak troponin T (log10) was an independent prognostic factor for NRP [OR 0.13; P <.001; CI 0.10 (lower limit)-0.37 (upper limit)] occurrence.CONCLUSION:
The AIP level on admission is not a statistically significant prognostic factor of NRP. However, peak troponin T (log10) is an independent prognostic parameter of NRP.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aterosclerose
/
Síndrome Coronariana Aguda
/
Fenômeno de não Refluxo
/
Intervenção Coronária Percutânea
Tipo de estudo:
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Anatol J Cardiol
Ano de publicação:
2023
Tipo de documento:
Article