1. The synergistic effect of the atherogenic index of plasma and hyperuricemia on the prediction of coronary chronic total occlusion lesion: an observational cross-sectional study
- Author
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HongYa Han, XiaoLi Liu, Qi Zhao, ZhiJian Wang, Yan Sun, Xiaoteng Ma, MengChen Li, HanYing Ma, YuYang Liu, DongMei Shi, YuJing Cheng, and YuJie Zhou
- Subjects
coronary artery disease ,chronic total occlusion ,atherogenic index of plasma ,hyperuricemia ,prediction ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
BackgroundThe atherogenic index of plasma (AIP) and hyperuricemia (HUA) have been shown to be closely associated with morbidity and mortality of coronary artery disease. However, studies targeting predictive value of AIP and HUA for chronic total occlusion (CTO) lesions are still lacking.MethodsIn total, 5,238 patients meeting the eligibility criteria were recruited in this analysis. CTO was defined as the condition of lesions without forward blood flow and with over three months of occlusion time. AIP was calculated as log10 [triglycerides (mmol/L)/high-density lipoprotein cholesterol (mmol/L)]. HUA was defined based on sex-specific criteria: serum uric acid 420 and 360 μmol/L for males and females, respectively.ResultsCTO lesions were presented in 907 (17.3%) patients. Compared with patients showing lower AIP levels and non-HUA, the CTO lesion risks increased by 5.225 and 2.765 times in patients with higher AIP levels and HUA. Patients with AIP >0.15 and HUA exhibited the greatest CTO incidence (odds ratio 11.491; 95% confidence interval 9.019–14.641, P
- Published
- 2024
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