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Updated: Feb 9, 2026

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Acute Myocardial Infarction in Rats
Published on: February 16, 2011
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Association between Low Free Triiodothyronine Levels and Poor Prognosis in Patients with Acute ST-Elevation
Yuanbin Song1,2, Jiabei Li1,2, Shizhu Bian1
1Department of Cardiology, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China.
Biomed Research International
|June 1, 2018
Summary
Low free triiodothyronine (fT3) levels indicate a poorer prognosis for patients with ST-elevation myocardial infarction (STEMI). Measuring fT3 can help identify high-risk STEMI patients early.
Area of Science:
- Cardiology
- Endocrinology
- Clinical Medicine
Background:
- Low free triiodothyronine (fT3) is linked to poor outcomes in heart disease, but data for ST-elevation myocardial infarction (STEMI) in Chinese patients is scarce.
- Controversy exists regarding the prognostic value of fT3 in cardiovascular conditions.
Purpose of the Study:
- To investigate the association between fT3 levels and prognosis in STEMI patients.
- To determine if fT3 levels can predict adverse outcomes in STEMI.
Main Methods:
- A prospective observational study included 699 STEMI patients.
- Patients were categorized into low fT3 (<3.1 pmol/L) and normal fT3 (≥3.1 pmol/L) groups.
- Outcomes including all-cause death and major adverse cardiac events (MACE) were tracked for 1 year.
Main Results:
- The low fT3 group had significantly higher rates of all-cause death (39.1% vs. 8.5%) and MACE (58.7% vs. 15.6%) compared to the normal fT3 group (P < 0.001).
- Low fT3 levels were independently associated with increased 30-day and 1-year all-cause death and MACE.
- Hazard ratios indicated a significant risk increase for adverse events in patients with low fT3.
Conclusions:
- Low fT3 levels are strongly associated with poor prognosis in STEMI patients.
- fT3 measurement is a simple and potentially valuable tool for identifying high-risk STEMI individuals.
- This finding supports the clinical utility of assessing fT3 in STEMI management.
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