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Fibrinogen-to-albumin ratio may be a predictor for ascending aortic aneurysm
Mevlüt Serdar Kuyumcu1, Oğuz Aydın1
1Süleyman Demirel University, Faculty of Medicine, Department of Cardiology - Isparta, Turkey.
Insights
The fibrinogen-to-albumin ratio, a marker of inflammation and oxidative stress, is significantly higher in patients with ascending aortic aneurysm. This ratio may help identify individuals at high risk for this condition.
Area of Science:
- Cardiovascular Medicine
- Biomarker Research
- Aortic Diseases
Background:
- Inflammation and oxidative stress are implicated in ascending aortic aneurysm (AAA) development.
- The fibrinogen-to-albumin ratio (FAR) reflects systemic inflammation and oxidative stress.
- Previous studies linked FAR to coronary artery disease, suggesting broader cardiovascular relevance.
Purpose of the Study:
- To investigate the association between the fibrinogen-to-albumin ratio (FAR) and ascending aortic aneurysm (AAA).
- To determine if FAR can serve as a predictive marker for AAA.
Main Methods:
- A case-control study involving 250 patients with AAA and 250 controls with normal aortic diameter.
- Transthoracic echocardiography was used for all patient assessments.
- Comparison of FAR levels and other clinical data between the AAA and control groups.
Main Results:
- Patients with ascending aortic aneurysm exhibited significantly higher FAR levels compared to controls (p<0.001).
- A significant positive correlation was observed between ascending aorta diameter and FAR (p<0.001).
Conclusions:
- The fibrinogen-to-albumin ratio is significantly associated with ascending aortic aneurysm.
- FAR may function as a valuable blood biomarker for identifying patients at elevated risk of ascending aortic aneurysm.
Objective:
The predictive value of the fibrinogen-to-albumin ratio has been evidenced in coronary artery disease. Available data demonstrated that inflammation and oxidative stress are the relevant mechanisms of ascending aortic aneurysm formation and dilatation. The fibrinogen-to-albumin ratio reflects oxidative stress and inflammation. This study investigated the correlation between fibrinogen-to-albumin ratio and ascending aortic aneurysm.
Methods:
A total of 250 consecutive patients with ascending aortic aneurysm and 250 consecutive patients with normal ascending aortic diameter were included in the study using comprehensive transthoracic echocardiography. All data and fibrinogen-to-albumin ratio were compared between two groups.
Results:
The fibrinogen-to-albumin ratio levels were significantly higher in ascending aortic aneurysm group compared with normal ascending aortic diameter group (p<0.001). Also, there was significantly positive correlation between the diameter of the ascending aorta and the fibrinogen-to-albumin ratio (p<0.001).
Conclusion:
Fibrinogen-to-albumin ratio is associated with ascending aortic aneurysm and may serve as blood marker for identifying high-risk patients.
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