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Published on: January 28, 2020
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.
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.
Aim:
We investigated the predictive value of monocyte count to HDL ratio (M/H ratio) for stent thrombosis (ST) in ST elevation myocardial infarction (STEMI).
Patients & Methods:
1170 STEMI patients treated with primary PCI were followed-up for a median of 37.2 months.
Results:
During follow-up, 112 patients were diagnosed as 'definite' ST. The rate of ST was significantly highest in the third M/H ratio tertile. In Cox regression analysis, adjusted for other factors, having an M/H ratio in third tertile had a 2.2-fold increased risk of ST. Kaplan-Meier analysis revealed the higher occurrence of ST in the third tertile compared with others (p <0.001).
Conclusion:
M/H ratio as a novel marker of inflammation seemed to be an independent predictor of ST in STEMI patients.
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