Comparison of pan-immune-inflammation value with other inflammation markers of long-term survival after ST-segment elevation myocardial infarction
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Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Bektas Murat1, Selda Murat2, Mehmet Ozgeyik1
1Eskisehir City Hospital, Department of Cardiology, Eskisehir, Turkey.
Insights
The Pan-Immune-Inflammation Value (PIV) effectively predicts mortality in ST-elevation myocardial infarction (STEMI) patients, outperforming other inflammatory markers. Further research is recommended to validate this finding.
Area of Science:
- Cardiology
- Inflammation Research
- Biomarker Discovery
Background:
- Atherosclerosis, a key driver of coronary artery disease, involves a significant inflammatory response.
- Inflammatory markers are increasingly recognized for their prognostic value in cardiovascular diseases.
Purpose of the Study:
- To evaluate the association between the Pan-Immune-Inflammation Value (PIV) and mortality in patients diagnosed with ST-elevation myocardial infarction (STEMI).
- To compare the predictive performance of PIV against other established inflammation-based scores.
Main Methods:
- Retrospective analysis of 658 STEMI patients who underwent percutaneous coronary intervention (PCI) between 2018 and 2022.
- Calculation and comparison of PIV with other inflammatory indices, including neutrophil-lymphocyte ratio and platelet-lymphocyte ratio.
- Primary outcome assessed was one-year all-cause mortality.
Main Results:
- The study population comprised 76.9% males with a mean age of 58.7 years.
- The Pan-Immune-Inflammation Value (PIV) demonstrated superior predictive ability for both primary and secondary outcomes compared to other inflammation markers.
- Mean follow-up duration was 18.8 months.
Conclusions:
- The Pan-Immune-Inflammation Value (PIV) emerges as a potent predictor of mortality in STEMI patients.
- Further prospective studies are warranted to confirm the clinical utility of PIV as a prognostic biomarker in STEMI.
Background:
Atherosclerosis is a process that causes coronary artery disease and is associated with the inflammatory response. In this study, we aimed to evaluate the association of Pan-Immune-Inflammation Value (PIV) with in-hospital and long-term mortality in STEMI patients.
Methods:
A total of 658 patients who were admitted to the emergency department of two tertiary centers with the diagnosis of STEMI and underwent percutaneous coronary intervention (PCI) between 2018 and 2022 were retrospectively enrolled. PIV and other inflammation parameters were compared for the study population. The primary outcome was one-year all-cause of mortality.
Results:
The mean age was 58.7 ± 17.1 years and 507 (76.9%) were male. The mean duration of the follow-up was 18.8 ± 8.5 months (median 18.9 months). PIV was superior to the neutrophil-lymphocyte ratio, platelet-lymphocyte ratio, and systemic immune-inflammation index for the prediction of primary and secondary outcomes in STEMI.
Conclusion:
Our study reveals that PIV is a better predictor of mortality in STEMI patients. Prospective studies are needed to validate this biomarker.
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