狼牙棒
医学
经皮冠状动脉介入治疗
传统PCI
临床终点
内科学
心脏病学
心肌梗塞
C反应蛋白
入射(几何)
不利影响
作者
Lele Cheng,Zixuan Meng,Qi Wang,Zhijie Jian,Pengcheng Fan,Xinxin Feng,Xiangrui Qiao,Jian Yang,Zuyi Yuan,Bolin Li,Yue Wu
标识
DOI:10.3389/fcvm.2021.731261
摘要
Inflammation and nutrition as main factors can affect the prognosis of patients with chronic total coronary occlusion (CTO) undergoing percutaneous coronary intervention (PCI). The C-reactive protein to albumin ratio (CAR) can clarify the inflammation and nutrition status, which are highly related to clinical outcomes. This study aims to investigate the association between CAR and adverse cardiovascular events in patients with CTO undergoing PCI. For this study, 664 patients were divided into three groups based on the tertiles of CAR. The primary endpoint was all-cause mortality and the secondary endpoint was major adverse cardiovascular events (MACE). Over a median follow-up of 33.7 months, the primary endpoint occurred in 64 patients (9.6%) and the secondary endpoint occurred in 170 patients (25.6%). The patients with higher CAR represented a worse prognosis with all-cause death and cardiovascular death after the adjustment for the baseline risk factors. Adding the CAR values raised the predictive value for the incidence of the all-cause death and cardiovascular death but not MACE. The capacity of prognosis prediction was improved after the addition of the CAR value to the traditional prediction model.
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