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Published on: October 17, 2017
Relationship between monocyte to HDL cholesterol ratio and concomitant cardiovascular disease in Chinese Han patients
Ning Li1,2, Lei Ren3, Jia Hui Wang1,2
1Department of Respiratory and Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Insights
Monocyte to HDL cholesterol ratio (MHR) is linked to obstructive sleep apnea (OSA) severity and cardiovascular disease (CVD) in Chinese patients. MHR shows promise as a biomarker for predicting CVD in OSA.
Area of Science:
- Cardiology
- Sleep Medicine
- Biomarkers
Background:
- Obstructive sleep apnea (OSA) is a significant risk factor for cardiovascular disease (CVD), primarily driven by inflammation from chronic intermittent hypoxia (CIH).
- The monocyte to high-density lipoprotein cholesterol ratio (MHR) is an emerging inflammatory biomarker for CVD, yet its role in OSA remains understudied.
- This study investigates the association between MHR and CVD in Chinese Han patients diagnosed with OSA.
Purpose of the Study:
- To explore the correlation between MHR and the presence of CVD in Chinese Han patients with OSA.
- To assess MHR as a potential predictor of CVD in the context of OSA severity.
Main Methods:
- A cross-sectional study involving 657 Chinese Han subjects, including controls and patients with mild, moderate, and severe OSA.
- Analysis of the relationship between MHR levels and concomitant CVD in OSA patients.
- Statistical methods included logistic regression and ROC analysis to evaluate MHR's predictive value.
Main Results:
- MHR levels positively correlated with apnea-hypopnea index (AHI) and negatively with lowest SpO2.
- OSA patients with CVD exhibited significantly higher MHR values compared to those without CVD.
- MHR was identified as an independent predictor of CVD in OSA patients, with specific cut-off values determined for prediction.
Conclusions:
- MHR is strongly associated with both OSA severity and the occurrence of CVD in OSA patients.
- MHR is a readily available and promising biomarker for predicting CVD in Chinese Han patients suffering from OSA.
Background:
Obstructive sleep apnea (OSA) is an independent risk factor for cardiovascular disease (CVD), which is attributed to chronic intermittent hypoxia (CIH) induced inflammation. As a new inflammatory biomarker of CVD, monocyte to high-density lipoprotein cholesterol ratio (MHR) has received little attention in OSA studies to date. Therefore, we aimed to investigate the correlation between MHR and concomitant CVD in Chinese Han patients with OSA.
Methods:
A total of 657 Chinese Han subjects (169 controls, 145 mild, 94 moderate, and 249 severe OSA) of both genders were enrolled in this cross-sectional study, with an average BMI of 32.35±6.56 kg/m2. The relationship between MHR and concomitant CVD in OSA patients was analyzed.
Results:
The level of MHR was correlated positively with apnea-hypopnea index (AHI), while negatively with lowest SpO2 (P<0.01). Moreover, the MHR values were higher in OSA patients with CVD than those without CVD (17.64±7.16 vs. 12.73±5.06, P<0.001). Logistic regression analysis demonstrated that MHR is an independent predictor of CVD (OR =1.190, P<0.001). The ROC analysis indicated that the best cut-off value of MHR for predicting CVD in OSA patients was 15.364 (sensitivity 65.0%, specificity 74.4%), while its cutoff value for identifying CVD in severe OSA patients was 15.362 (sensitivity 67.3%, specificity 80.1%).
Conclusions:
MHR is strongly correlated with the severity of OSA and the occurrence of CVD in OSA patients. As an easy and available test, MHR is expected to be a promising biomarker candidate in predicting CVD in Chinese Han patients with OSA.
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