PMID- 35726733 OWN - NLM STAT- MEDLINE DCOM- 20230302 LR - 20230302 IS - 1940-1574 (Electronic) IS - 0003-3197 (Linking) VI - 74 IP - 4 DP - 2023 Apr TI - The Association of Serum Uric Acid/Albumin Ratio with No-Reflow in Patients with ST Elevation Myocardial Infarction. PG - 381-386 LID - 10.1177/00033197221110700 [doi] AB - The goal of this investigation was to explore the relationship between serum uric acid/albumin ratio (UAR) and no-reflow (NR) in ST elevation myocardial infarction (STEMI) patients (n = 838) who underwent primary percutaneous coronary intervention (pPCI). Angiographic NR was defined as thrombolysis in myocardial infarction (TIMI) flows 0, 1, and 2 in the absence of coronary spasm or dissection. NR developed in 91 (10.9%) STEMI patients. Patients with NR had higher UAR and according to multivariable logistic regression models, a high UAR was an independent risk factor for NR. The area under the curve (AUC) value of the UAR was .760 (95%CI: .720-.801) in a receiver-operating characteristics curve (ROC) assessment. Notably, the UAR AUC value was greater than that of its components: albumin (AUC: .642) and serum uric acid (AUC: .637) (P < .05 for both comparisons). The optimum UAR value in detecting NR in STEMI patients was >1.21 with a sensitivity of 82% and a specificity of 67%. This was the first study to report that the UAR was independently associated with NR in STEMI patients who underwent pPCI. FAU - Cinar, Tufan AU - Cinar T AUID- ORCID: 0000-0001-8188-5020 AD - Department of Cardiology, 506079Istanbul Sultan II Abdulhamid Han Training and Research Hospital, Istanbul, Turkey. FAU - Saylik, Faysal AU - Saylik F AUID- ORCID: 0000-0003-3165-6769 AD - Department of Cardiology, 64259Van Training and Research Hospital, Van, Turkey. FAU - Hayiroglu, Mert Ilker AU - Hayiroglu MI AUID- ORCID: 0000-0001-6515-7349 AD - Department of Cardiology, 111319Siyami Ersek Training and Research Hospital, Istanbul, Turkey. FAU - Asal, Suha AU - Asal S AD - Department of Cardiology, 506079Istanbul Sultan II Abdulhamid Han Training and Research Hospital, Istanbul, Turkey. FAU - Selcuk, Murat AU - Selcuk M AD - Department of Cardiology, 506079Istanbul Sultan II Abdulhamid Han Training and Research Hospital, Istanbul, Turkey. FAU - Cicek, Vedat AU - Cicek V AD - Department of Cardiology, 506079Istanbul Sultan II Abdulhamid Han Training and Research Hospital, Istanbul, Turkey. FAU - Tanboga, Ibrahim Halil AU - Tanboga IH AD - Department of Cardiology, Hisar Intercontinental Hospital, Istanbul, Turkey. AD - Department of Cardiology, 385796Nisantasi University, Istanbul, Turkey. AD - Department of Biostatistics, Ataturk University, Erzurum, Turkey. LA - eng PT - Journal Article DEP - 20220621 PL - United States TA - Angiology JT - Angiology JID - 0203706 RN - 268B43MJ25 (Uric Acid) RN - 0 (Albumins) SB - IM MH - Humans MH - *ST Elevation Myocardial Infarction/diagnostic imaging/therapy MH - Uric Acid MH - Prognosis MH - Coronary Angiography MH - *Percutaneous Coronary Intervention MH - Albumins MH - *No-Reflow Phenomenon/etiology OTO - NOTNLM OT - ST elevation myocardial infarction OT - no-reflow OT - primary percutaneous coronary intervention OT - uric acid/albumin ratio EDAT- 2022/06/22 06:00 MHDA- 2023/03/03 06:00 CRDT- 2022/06/21 06:12 PHST- 2022/06/22 06:00 [pubmed] PHST- 2023/03/03 06:00 [medline] PHST- 2022/06/21 06:12 [entrez] AID - 10.1177/00033197221110700 [doi] PST - ppublish SO - Angiology. 2023 Apr;74(4):381-386. doi: 10.1177/00033197221110700. Epub 2022 Jun 21.