Prediction of uric acid for elderly patients with acute coronary syndrome
Wang Xinyu
Chen Mulei
Liu Hongbin
Li Weiming
Wang Hongjiang
Wang Xin
Liu Jia
Yuan Yuting
Wang Juan
Abstract:Objective To investigate the predictive value of uric acid for cardiovascular events in the elderly patients with ACS.Methods An observational follow-up study was conducted on 3440 ACS inpatients and outpatients admitted in the Heart Center of Beijing Chaoyang Hospital and the First Medical Center of Chinese PLA General Hospital from June 2017 to October 2022.According to the occurrence of cardiovascular events,they were divided into a cardiovascular event group(529 patients)and a non-cardiovascular event group(2911 patients).Their clinical data were collected for Cox risk proportional regression analysis.Results The cardiovascular event group had significantly uric acid when compared with the non-cardiovascular event group(P<0.01).Af-ter adjusting the traditional risk factors and plasma biomarkers,uric acid was still a significant predictor for clinical endpoints(HR=2.634,95%CI:1.870-3.744,P<0.01)and for cardiovascu-lar events(HR=1.508,95%CI:1.357-1.660,P<0.01).Furthermore,uric acid was significantly correlated with acute heart failure,cardiovascular death and all-cause death(P<0.01).Conclusion Uric acid is a risk predictor for cardiovascular events in elderly ACS patients,and can provide ear-ly warning information and diagnostic value for acute cardiovascular events.
Keywords:uric acidcoronary artery diseasemyocardial infarctionforecasting
Publication Date:2025-03-14
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:4( 290-293 )