PMID- 33453709
OWN - NLM
STAT- MEDLINE
DCOM- 20211213
LR  - 20240402
IS  - 1303-6165 (Electronic)
IS  - 1300-0144 (Print)
IS  - 1300-0144 (Linking)
VI  - 51
IP  - 3
DP  - 2021 Jun 28
TI  - Prognostic value of the C-reactive protein to albumin ratio in patients 
      undergoing primary percutaneous coronary intervention for ST-segment elevation 
      myocardial infarction.
PG  - 1281-1288
LID - 10.3906/sag-2003-188 [doi]
AB  - 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.
CI  - This work is licensed under a Creative Commons Attribution 4.0 International 
      License.
FAU - Sogut, Ozgur
AU  - Sogut O
AUID- ORCID: 0000-0003-3365-3713
AD  - Department of Emergency Medicine, Haseki Training and Research Hospital, 
      University of Health Sciences, Istanbul, Turkey
FAU - Akdemir, Tarik
AU  - Akdemir T
AUID- ORCID: 0000-0003-1178-2274
AD  - Department of Emergency Medicine, Haseki Training and Research Hospital, 
      University of Health Sciences, Istanbul, Turkey
FAU - Can, Mehmet Mustafa
AU  - Can MM
AUID- ORCID: 0000-0002-7786-5198
AD  - Department of Cardiology, Haseki Training and Research Hospital, University of 
      Health Sciences, Istanbul, Turkey
LA  - eng
PT  - Journal Article
DEP - 20210628
PL  - Turkey
TA  - Turk J Med Sci
JT  - Turkish journal of medical sciences
JID - 9441758
RN  - 9007-41-4 (C-Reactive Protein)
SB  - IM
MH  - C-Reactive Protein
MH  - Hospital Mortality
MH  - Humans
MH  - *Percutaneous Coronary Intervention
MH  - Prognosis
MH  - *ST Elevation Myocardial Infarction/surgery
PMC - PMC8283510
OTO - NOTNLM
OT  - CRP/albumin ratio
OT  - ST-elevation myocardial infarction
OT  - infarction localization
OT  - prognosis
OT  - vascular lesion number
COIS- The authors have no conflicts of interest to declare. No funding support was used 
      to carry out the research.
EDAT- 2021/01/18 06:00
MHDA- 2021/12/15 06:00
PMCR- 2021/06/28
CRDT- 2021/01/17 06:40
PHST- 2020/03/22 00:00 [received]
PHST- 2021/01/16 00:00 [accepted]
PHST- 2021/01/17 06:40 [entrez]
PHST- 2021/01/18 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
PHST- 2021/06/28 00:00 [pmc-release]
AID - 10.3906/sag-2003-188 [doi]
PST - epublish
SO  - Turk J Med Sci. 2021 Jun 28;51(3):1281-1288. doi: 10.3906/sag-2003-188.