Monocyte/HDL-cholesterol ratio predicts the definite stent thrombosis after primary percutaneous coronary

Elif Hande Ozcan Cetin1, Mehmet Serkan Cetin1, Uğur Canpolat1

  • 1Türkiye Yuksek Ihtisas Education & Research Hospital, Cardiology Department, Ankara, Turkey.

Biomarkers in Medicine
|October 7, 2015
PubMed

Insights

The monocyte to HDL ratio (M/H ratio) can predict stent thrombosis (ST) in ST-elevation myocardial infarction (STEMI) patients. A higher M/H ratio indicates an increased risk of ST following percutaneous coronary intervention.

Area of Science:

  • Cardiology
  • Biomarkers
  • Inflammation

Background:

  • ST-elevation myocardial infarction (STEMI) is a critical cardiovascular event.
  • Stent thrombosis (ST) is a serious complication following percutaneous coronary intervention (PCI).
  • Identifying reliable predictors of ST is crucial for patient management.

Purpose of the Study:

  • To evaluate the predictive value of the monocyte count to HDL ratio (M/H ratio) for stent thrombosis (ST).
  • To assess the M/H ratio as a potential novel inflammatory marker in STEMI patients.

Main Methods:

  • A cohort of 1170 STEMI patients undergoing primary PCI was followed.
  • Median follow-up duration was 37.2 months.
  • Monocyte count to HDL ratio (M/H ratio) was analyzed in relation to ST occurrence.

Main Results:

  • 112 patients were diagnosed with definite ST during follow-up.
  • ST incidence was significantly higher in the highest M/H ratio tertile.
  • Cox regression analysis revealed a 2.2-fold increased risk of ST for the highest M/H ratio tertile, independent of other factors.

Conclusions:

  • The M/H ratio emerged as a novel marker of inflammation.
  • The M/H ratio is an independent predictor of ST in STEMI patients.
  • This finding may aid in risk stratification and personalized treatment strategies.
Abstract

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