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Association between fetuin-A and prognosis of CAD: A systematic review and meta-analysis
Wei-Ming Xie1,2,3, Lu-Sen Ran2, Jie Jiang2
1Department of Geriatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Insights
High serum fetuin-A levels are linked to reduced mortality in coronary artery disease (CAD) patients. This meta-analysis found no significant association between fetuin-A and secondary cardiovascular disease events in CAD.
Area of Science:
- Cardiology
- Biochemistry
- Clinical Research
Background:
- Fetuin-A acts as an anti-inflammatory and anti-calcification factor.
- Its role in coronary artery disease (CAD) prognosis remains debated.
- Clarifying fetuin-A's prognostic value in CAD is crucial.
Purpose of the Study:
- To conduct a meta-analysis assessing the association between serum fetuin-A levels and CAD patient prognosis.
- To evaluate the impact of fetuin-A on all-cause mortality and secondary cardiovascular disease (CVD) events.
Main Methods:
- Systematic review and meta-analysis of prospective studies published before January 2019.
- Included studies focused on patients with diagnosed CAD.
- Hazard ratios (HR) or Kaplan-Meier curves for mortality and CVD events were analyzed.
Main Results:
- Four studies with 4256 CAD participants were analyzed.
- High serum fetuin-A was significantly associated with lower all-cause mortality (HR: 0.57, 95% CI: 0.37-0.87).
- No significant association was found between serum fetuin-A and secondary CVD events (HR: 0.86, 95% CI: 0.60-1.23).
Conclusions:
- Elevated serum fetuin-A levels correlate with improved survival in CAD patients.
- Serum fetuin-A levels do not appear to predict the incidence of secondary CVD events in CAD.
- Fetuin-A may serve as a potential prognostic biomarker for CAD mortality.
Background:
Fetuin-A is an anti-inflammation and anti-calcification factor involved in the course of coronary artery disease (CAD). But the association between serum fetuin-A level and the prognosis of CAD patients was still controversial. To clarify the association between serum fetuin-A level and the prognosis of CAD patients, we conducted the present meta-analysis.
Methods:
The included studies should be potentially relevant prospective studies published in English language before January 2019. The target population of the present meta-analysis was restricted to patients with CAD. The results of studies must report hazard ratio (HR) or Kaplan-Meier survival curve for all-cause mortality or incidence of secondary cardiovascular disease (CVD) events. The pooled HRs were analysed by the method of meta-analysis.
Results:
A total of four prospective studies, including 4256 participants with CAD disease, were chosen to be included. The pooled HR for all-cause mortality was 0.57 (95% CI: 0.37-0.87), showing a statistically significant association between high serum fetuin-A level and low all-cause mortality in CAD patients. For the incidence of secondary CVD events, the pooled HR was 0.86 (95% CI: 0.60-1.23), indicating no statistically significant association between serum fetuin-A level and incidence of secondary CVD events in CAD patients.
Conclusion:
High serum fetuin-A level associated with lower all-cause mortality in patients with CAD. No association between serum fetuin-A level and incidence of secondary CVD events was found in patients with CAD.
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