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. 2021 Jun 28;51(3):1281-1288.
doi: 10.3906/sag-2003-188.

Prognostic value of the C-reactive protein to albumin ratio in patients undergoing primary percutaneous coronary intervention for ST-segment elevation myocardial infarction

Özgür Söğüt  1 , Tarık Akdemir  1 , Mehmet Mustafa Can  2
Affiliations

Prognostic value of the C-reactive protein to albumin ratio in patients undergoing primary percutaneous coronary intervention for ST-segment elevation myocardial infarction

Özgür Söğüt et al. Turk J Med Sci. .

Abstract

Background/aim: This study investigated whether baseline serum level of C-reactive protein (CRP)/albumin ratio is associated with infarct localization, number of vascular lesions, and in-hospital mortality in patients undergoing primary percutaneous coronary intervention (PCI) for acute ST elevation myocardial infarction (STEMI).

Methods: The study population consisted of 116 patients diagnosed with STEMI. The CRP/albumin ratio at first admission, cardiac troponin-I (cTnI), PCI results, and clinical outcomes were recorded.

Results: The mean CRP/albumin ratio, cTnI level, and mean number of vascular lesions were significantly higher in non-survivors than in survivors (p = 0.006, p = 0.004, and p = 0.007, respectively). Multivariate logistic regression analysis demonstrated that the CRP/ albumin ratio and number of coronary artery lesions were independent predictors of mortality in STEMI patients. According to these analyses, the presence of ≥ 2 vessel lesions was the most important predictor of mortality, with an odds ratio of 2.009 (95% confidence interval: 1.191–3.387, p = 0.009).

Conclusion: This study demonstrates the potential utility of the CRP/albumin ratio for predicting the clinical outcome of patients with STEMI. In addition, the presence of ≥ 2 vascular lesions contributed to a 2-fold increase in mortality rate in STEMI patients.

Keywords: CRP/albumin ratio; ST-elevation myocardial infarction; infarction localization; prognosis; vascular lesion number.

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Conflict of interest statement

The authors have no conflicts of interest to declare. No funding support was used to carry out the research.

Figures

Figure 1
Figure 1
Distribution of cardiac troponin-I levels in survivors and non-survivors.
Figure 2
Figure 2
Distribution of the number of vascular lesions in survivors and non-survivors.
Figure 3
Figure 3
Distribution of the C-reactive protein/albumin ratio in survivors and non-survivors.
See this image and copyright information in PMC

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