Long-term prognostic value of elevated pentraxin 3 in patients undergoing primary angioplasty for ST-elevation

Ozgur Akgul1, Omer Faruk Baycan, Umit Bulut

  • 1aDepartment of Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center, Training and Research Hospital bDepartment of Cardiology, School of Medicine, Bezmialem Vakif University, Istanbul, Turkey.

Insights

High pentraxin 3 (PTX3) levels predict worse outcomes in ST-segment elevation myocardial infarction (STEMI) patients after primary percutaneous coronary intervention (PCI). This indicates PTX3 is a valuable prognostic marker for long-term mortality in STEMI.

Area of Science:

  • Cardiology
  • Biomarkers
  • Myocardial Infarction Research

Background:

  • Pentraxin 3 (PTX3) is a known prognostic marker in acute coronary syndromes.
  • The long-term prognostic significance of PTX3 in ST-segment elevation myocardial infarction (STEMI) requires further investigation.

Purpose of the Study:

  • To assess the prognostic value of PTX3 in patients with STEMI undergoing primary percutaneous coronary intervention (PCI).

Main Methods:

  • Prospective enrollment of 499 STEMI patients undergoing primary PCI.
  • Classification into high-PTX3 (≥3.2 ng/ml) and low-PTX3 (<3.2 ng/ml) groups based on admission PTX3 levels.
  • Follow-up for in-hospital cardiovascular mortality and 2-year all-cause mortality.

Main Results:

  • The high-PTX3 group was older and exhibited higher in-hospital cardiovascular mortality (9.9% vs. 2.8%) and 2-year all-cause mortality (21% vs. 6.2%).
  • High admission PTX3 levels were independently associated with increased 2-year all-cause mortality (OR: 2.3, P=0.025).

Conclusions:

  • Elevated admission PTX3 levels are linked to increased in-hospital cardiovascular mortality.
  • High PTX3 levels serve as an independent predictor of 2-year all-cause mortality in STEMI patients post-primary PCI.
Abstract

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