Predictive value of fibrinogen-to-albumin ratio in acute coronary syndrome.

Abstract:

BACKGROUND:We aimed to investigate the predictive value of the fibrinogen-to-albumin ratio (FAR) regarding the development of major cardiovascular events (MACE) in patients treated with percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS). METHODS:This was a prospective, observational cohort study that included 261 consecutive patients who were treated with PCI. The patients were grouped according to the occurrence of MACE during the follow-up period. RESULTS:During follow-up, MACE occurred in 68 (26%) patients. The FAR was independently predictive of MACE (HR: 1.017, 95% CI: 1.010-1.024, p < 0.001). In addition, left ventricular ejection fraction (LVEF) and a diagnosis of ST-segment elevation myocardial infarction (STEMI) were independent predictors of MACE. The area under the curve (AUC) of the multivariable model, including LVEF and diagnosis of STEMI, was 0.707 (95% CI: 0.631-0.782, p < 0.001). When the FAR was added to the multivariable model, the AUC was 0.770 (95% CI: 0.702-0.838, z = 2.820, difference p = 0.0048). CONCLUSION:The FAR could be used for the prediction of MACE in patients with ACS who have undergone PCI.

journal_name

Herz

journal_title

Herz

authors

Çetin M,Erdoğan T,Kırış T,Özer S,Yılmaz AS,Durak H,Aykan AÇ,Şatıroğlu Ö

doi

10.1007/s00059-019-4840-5

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

145-151

issue

Suppl 1

eissn

0340-9937

issn

1615-6692

pii

10.1007/s00059-019-4840-5

journal_volume

45

pub_type

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