PMID- 31555382 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1792-0981 (Print) IS - 1792-1015 (Electronic) IS - 1792-0981 (Linking) VI - 18 IP - 4 DP - 2019 Oct TI - Prognostic value of fibrinogen-to-albumin ratio in predicting 1-year clinical progression in patients with non-ST elevation acute coronary syndrome undergoing percutaneous coronary intervention. PG - 2972-2978 LID - 10.3892/etm.2019.7890 [doi] AB - Previous studies have indicated that fibrinogen and low serum albumin levels are associated with poor cardiovascular outcomes. The objective of the present study was to examine whether the fibrinogen-to-albumin ratio (FAR) was able to predict the 1-year prognosis of patients with non-ST elevation acute coronary syndrome (NSTE-ACS) following percutaneous coronary intervention (PCI). A total of 1,352 patients with NSTE-ACS undergoing PCI were included in this prospective study and were divided into a low-FAR group (FAR 8.713, n=451). FAR was defined as the concentration ratio of fibrinogen (mg/dl) to albumin (mg/dl) multiplied by 100. The endpoint was the incidence of major adverse cardiovascular events (MACEs), including all-cause mortality, cardiac mortality, non-fatal myocardial reinfarction and unscheduled repeat revascularisation. The predictive performance was validated by receiver-operator characteristic (ROC) curve analysis. A total of 127 MACEs were noted during the 1-year follow-up period. Multivariate Cox analysis suggested that a high FAR was an independent predictor of all-cause mortality (hazard ratio=2.223, 95% confidence interval: 1.002-4.931, P=0.049). Regarding the predictor of MACEs, the FAR exhibited an area under the ROC curve of 0.676 with a sensitivity of 0.630 and a specificity of 0.726. The cut-off value was 9.114. The FAR was an independent prognostic factor in NSTE-ACS. The present results suggest that the FAR may serve as a potential prognostic indicator for patients with NSTE-ACS undergoing PCI (approval no. NCT02667548; January 29, 2016; Shengjing Hospital of China Medical University). FAU - He, Dongxu AU - He D AD - Department of Cardiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110022, P.R. China. FAU - Jiao, Yundi AU - Jiao Y AD - Department of Cardiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110022, P.R. China. FAU - Yu, Tongtong AU - Yu T AD - Department of Cardiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110022, P.R. China. FAU - Song, Jia AU - Song J AD - Department of Cardiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110022, P.R. China. FAU - Wen, Zongyu AU - Wen Z AD - Department of Cardiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110022, P.R. China. FAU - Wu, Jiake AU - Wu J AD - Department of Cardiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110022, P.R. China. FAU - Duan, Weili AU - Duan W AD - Department of Cardiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110022, P.R. China. FAU - Sun, Na AU - Sun N AD - Department of Cardiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110022, P.R. China. FAU - Sun, Zhijun AU - Sun Z AD - Department of Cardiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110022, P.R. China. FAU - Sun, Zhaoqing AU - Sun Z AD - Department of Cardiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110022, P.R. China. LA - eng PT - Journal Article DEP - 20190814 PL - Greece TA - Exp Ther Med JT - Experimental and therapeutic medicine JID - 101531947 PMC - PMC6755427 OTO - NOTNLM OT - fibrinogen-to-albumin ratio OT - major adverse cardiovascular events OT - non-ST elevation acute coronary syndrome OT - percutaneous coronary intervention EDAT- 2019/09/27 06:00 MHDA- 2019/09/27 06:01 PMCR- 2019/08/14 CRDT- 2019/09/27 06:00 PHST- 2018/10/19 00:00 [received] PHST- 2019/06/06 00:00 [accepted] PHST- 2019/09/27 06:00 [entrez] PHST- 2019/09/27 06:00 [pubmed] PHST- 2019/09/27 06:01 [medline] PHST- 2019/08/14 00:00 [pmc-release] AID - ETM-0-0-7890 [pii] AID - 10.3892/etm.2019.7890 [doi] PST - ppublish SO - Exp Ther Med. 2019 Oct;18(4):2972-2978. doi: 10.3892/etm.2019.7890. Epub 2019 Aug 14.