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The association between C-reactive protein/albumin ratio and aortic arch calcification in acute coronary syndrome patients Skip to content Yıl 2024, Cilt: 49 Sayı: 2, 382 – 390, 30.06.2024
Uğur Köktürk , Fahri Çakan
https://doi.org/10.17826/cumj.1438569
Öz Amaç: Akut koroner sendrom (AKS) hastalarında aortik ark kalsifikasyonunun ciddiyeti (AAC) ile C-reaktif protein/Albümin oranı (CAR) arasındaki ilişkiyi değerlendirdik. Gereç ve Yöntem: AKS ile başvuran ve koroner anjiyografi yapılan 288 hasta analize dahil edildi. CAR serum CRP/albümin x 10 olarak hesaplandı. AAC dört gruba ayrıldı (0 ila 3): Grade 0-1 AAC, ciddi olmayan AAC grubu olarak; grade 2-3 AAC olanlar ise ciddi AAC grubu olarak tanımlandı. Bulgular: CRP ve CAR, ciddi AAC grubunda, ciddi olmayan AAC grubuna göre anlamlı derecede yüksekti. Çok değişkenli analiz, AKS hastalarında ciddi AAC’nin bağımsız bir belirleyicisi olarak CAR ve yaşın pozitif ilişkili olduğunu belirledi. Eğri altındaki CAR alanı (AUC) ve CRP AUC, albümin seviyesine kıyasla paralel eğriler gösterdi ve bu da daha yüksek istatistiksel anlamlılığa işaret ettiğini gösterdi. Albüminin AUC’si 0,349’du (%95 GA: 0,286-0,413). CAR için AUC 0,695, %95 GA 0,625 ila 0,753, CRP için AUC 0,684 (%95 GA: 0,620-0,748) idi. CAR kesme değerine (1,664) göre 2 gruba ayrıldıktan sonra, ciddi AAC oranı, yüksek CAR hastalarında düşük CAR hastalarına kıyasla önemli ölçüde daha sık görüldü (%56,7 vs %23,7). Sonuç: Kolayca hesaplanabilen, tekrarlanabilir ve geçerli bir inflamasyon belirteci olan CAR, AKS hastalarında ciddi AAC’yi öngörmek için güvenilir bir şekilde kullanılabilir.
Anahtar Kelimeler C-reaktif protein, aortik ark kalsifikasyonu, akut koroner sendrom
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The association between C-reactive protein/albumin ratio and aortic arch calcification in acute coronary syndrome patients Yıl 2024, Cilt: 49 Sayı: 2, 382 – 390, 30.06.2024
Uğur Köktürk , Fahri Çakan
https://doi.org/10.17826/cumj.1438569
Öz Purpose: We evaluated the association between the severity of aortic arch calcification (AAC) and C-reactive protein/albumin ratio (CAR) in acute coronary syndrome (ACS) patients. Materials and Methods: 288 patients who presented with ACS and underwent coronary angiography were enrolled analysis. CAR was calculated as serum CRP/albumin x 10. The AAC was separated into four groups (0 to 3): Grade 0-1 AAC was defined as the non-severe AAC group, and those with grade 2-3 AAC were defined as the severe AAC group. Results: CRP and CAR were significantly higher in the severe AAC group than in the non-severe AAC group. Multivariate analysis determined that CAR and age were positively associated in ACS patients as an independent predictor of severe AAC. CAR area under the curve (AUC) and CRP AUC demonstrated parallel curves compared to albumin levels, indicating higher statistical significance. The AUC for albumin was 0.349 (95% CI: 0.286-0.413). The AUC for CAR was 0.695, 95% CI 0.625 to 0.753, for CRP the AUC was 0.684 (95% CI: 0.620-0.748). After stratification into 2 groups according to the CAR cut-off value (1.664), the rate of severe AAC was importantly often in high CAR patients compared to in low CAR patients (56.7% vs 23.7%). Conclusion: CAR, an easily calculable, repeatable, and valid surrogate marker of inflammation, can be used reliably to indicate severe AAC in ACS patients.
Anahtar Kelimeler C-Reactive protein, acute myocardial infarction, aortic arch calcification
Etik Beyan The retrospective study was approved by the Karabuk University ethic committee (number: 2023/1276, day: 27.02.2023).
Destekleyen Kurum The authors declare that this study received no financial support
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Aortic arch calcification predicts the renal function progression in patients with stage 3 to 5 chronic kidney disease. Biomed Res Int. 2015;2015:131263. Takasu J, Katz R, Nasir K, Carr JJ, Wong N, Detrano R et al. Relationships of thoracic aortic wall calcification to cardiovascular risk factors: The multi-ethnic study of atherosclerosis (mesa). Am Heart J. 2008;155:765-71. Hashimoto H, Iijima K, Hashimoto M, Son BK, Ota H, Ogawa S et al. Validity and usefulness of aortic arch calcification in chest x-ray. J Atheroscler Thromb. 2009;16:256-64. Iijima K, Hashimoto H, Hashimoto M, Son BK, Ota H, Ogawa S et al. Aortic arch calcification detectable on chest x-ray is a strong independent predictor of cardiovascular events beyond traditional risk factors. Atherosclerosis. 2010;210:137-44. Weissberg PL, Bennett MR. Atherosclerosis–an inflammatory disease. N Engl J Med. 1999;340:1928-9. Wang J, Tan GJ, Han LN, Bai YY, He M, Liu HB. Novel biomarkers for cardiovascular risk prediction. J Geriatr Cardiol. 2017;14:135-50. Murat SN, Kurtul A, Yarlioglues M. Impact of serum albumin levels on contrast-induced acute kidney injury in patients with acute coronary syndromes treated with percutaneous coronary intervention. Angiology. 2015;66:732-7. Wang X, Zhang G, Jiang X, Zhu H, Lu Z, Xu L. Neutrophil to lymphocyte ratio in relation to risk of all-cause mortality and cardiovascular events among patients undergoing angiography or cardiac revascularization: A meta-analysis of observational studies. Atherosclerosis. 2014;234:206-13. Zhou S, Cai B, Zhang Y, Wang L, Liu X, Xu G. The relationship between neutrophil-to-lymphocyte ratio and aortic arch calcification in ischemic stroke patients. J Stroke Cerebrovasc Dis. 2017;26:1228-32. Toplam 29 adet kaynakça vardır.
Ayrıntılar Birincil Dil İngilizce Konular Klinik Tıp Bilimleri (Diğer) Bölüm Araştırma Yazarlar Uğur Köktürk ZONGULDAK BÜLENT ECEVİT ÜNİVERSİTESİ, TIP FAKÜLTESİ 0000-0003-0459-9295 Türkiye
Fahri Çakan Bir kuruma bağlı değildir 0000-0002-5427-3480 Türkiye
Yayımlanma Tarihi 30 Haziran 2024 Gönderilme Tarihi 16 Şubat 2024 Kabul Tarihi 17 Nisan 2024 Yayımlandığı Sayı Yıl 2024 Cilt: 49 Sayı: 2
Kaynak Göster MLA Köktürk, Uğur ve Fahri Çakan. “The Association Between C-Reactive protein/Albumin Ratio and Aortic Arch Calcification in Acute Coronary Syndrome Patients”. Cukurova Medical Journal, c. 49, sy. 2, 2024, ss. 382-90, doi:10.17826/cumj.1438569.
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