Triglycerides/High Density Lipoprotein-Cholesterol Ratio as a Novel Marker of Atherosclerosis in Patients with Acute Coronary Syndrome.

Background: A high Triglycerides/High Density Lipoprotein-Cholesterol (TG/HDL-C) ratio was considered a cardiovascular disease and mortality risk factor. Aim: to assess the use TG/HDL-C ratio as potential new measure of atherosclerosis in ACS. Methods: This cross-sectional study included 200 ACS patients subjected to clinical &laboratory assessment, (CK-MB), high-sensitive troponin, lipogram, (eGFR), (ECG) & Echocardiography. TGs /HDL-C ratio will be calculated. Results: This study included 200 patients separated into 3 groups: (Group A: n= 24 patients with unstable angina; Group B: n=124 patients with STEMI and Group C: n= 52 patients with NSTEMI). Regarding the mean TG/HDL-C ratio, was 4.44± 3.26. Most cases (85.5%) had high ratio. There is nonsignificant differences between 3 groups regarding TG /HDL-c ratio (p>0.05). Conclusion: There was a strong correlation between high TG /HDL-c ratio & the pattern of ACS. Therefore, TG to HDL-C ratio may be used as a biomarker of atherosclerosis in ACS patients. [ABSTRACT FROM AUTHOR]