To evaluate the predictive value of atherogenic index of plasma for in-hospital major adverse cardiovascular events in patients with acute ST-segment elevation myocardial infarction
Liu Huiliang
Wang Jiaqi
Gao Man
Zhang Feifei
Li Yingxiao
Dang Yi
Qi Xiaoyong
Abstract：Objective To investigate the relationship between the atherogenic index of plasma(AIP)and in-hospital major adverse cardiovascular events(MACE)in patients with acute ST-segment elevation myocardial infarction(STEMI)undergoing primary PCI.Methods Consecutive patients diagnosed with acute STEMI and who underwent primary PCI in the Department of Cardiology of Hebei General Hospital from January 2018 to May 2020 were selected.According to the inclusion and exclusion criteria,1012 patients were finally included in the study.The patients were divided into the MACE group(n=106,10.5%)and non-MACE group(n=906,89.5%).The independent risk factors for MACE after PCI were analyzed,and the receiver operating characteristic(ROC)curve was used to further analyze the predictive efficacy of AIP for in-hospital MACE.Results Compared with the non-MACE group,smoking history,TG,age and AIP were higher,while LVEF and LDL-C were lower in the MACE group(P<0.05).Multivariate Logistic regression analysis showed that AIP,age and LVEF were independent risk factors for in-hospital MACE in STEMI patients(P<0.05).ROC curve showed that the area under the curve of AIP for predicting in-hospital MACE in STEMI patients was 0.794.Conclusion AIP is an independent risk factor for in-hospital MACE in patients with STEMI and has a good predictive value for in-hospital MACE.
Keywords：Mycardial infaractionAtherosclerosisTriglyceridesAdverse event
Publication Date：2024-07-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 22-27 )