Evidence map›Paper›PMID 39632977›Full record

ArticleScientific reports2024

Monocyte to high-density lipoprotein cholesterol ratio predicts restenosis of drug-eluting stents in patients with unstable angina pectoris.

He Meng, Xiujun Zhou, Lushan Li, Yuanying Liu, Yujie Liu, Ying Zhang

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Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
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4citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

He MengDepartment of Cardiology, Tianjin Chest Hospital, No.261 of Taierzhuangnan Road, Jinnan District, Tianjin, 300222, People's Republic of China.
Xiujun ZhouDepartment of Cardiology, Tianjin Chest Hospital, No.261 of Taierzhuangnan Road, Jinnan District, Tianjin, 300222, People's Republic of China.
Lushan LiDepartment of Cardiology, Tianjin Chest Hospital, No.261 of Taierzhuangnan Road, Jinnan District, Tianjin, 300222, People's Republic of China.
Yuanying LiuDepartment of Cardiology, Tianjin Chest Hospital, No.261 of Taierzhuangnan Road, Jinnan District, Tianjin, 300222, People's Republic of China.
Yujie LiuDepartment of Cardiology, Tianjin Chest Hospital, No.261 of Taierzhuangnan Road, Jinnan District, Tianjin, 300222, People's Republic of China. liuyujie5020@163.com.
Ying ZhangDepartment of Cardiology, Tianjin Chest Hospital, No.261 of Taierzhuangnan Road, Jinnan District, Tianjin, 300222, People's Republic of China. zhangying5020@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several studies have shown that the monocyte count to high-density lipoprotein cholesterol ratio (MHR) serves as a predictive marker for in-stent restenosis (ISR) of bare-metal stents (BMSs). However, the ability of the MHR to predict ISR in patients with drug-eluting stents (DESs) remains uncertain. This study aimed to investigate the predictive value of the MHR for ISR in patients with unstable angina pectoris who have undergone primary DES implantation. A total of 474 consecutive patients with unstable angina pectoris who underwent successful DES-based percutaneous coronary intervention (PCI) from 01-12-2014 to 01-12-2022 were enrolled in the study. Patients were divided into the ISR group and the non-ISR group on the basis of the follow-up results of coronary angiography. The demographic and clinical characteristics of the patients were documented. The MHR was calculated via the following formula: [Formula: see text]. Multivariate logistic regression models were developed to evaluate the predictive value of the MHR for DES-ISR. The baseline MHR was notably greater in the ISR group than in the non-ISR group (P < 0.001). After adjusting for confounding factors, the MHR emerged as an independent predictor of ISR (OR = 1.244; 95%CI 1.171-1.321). Receiver operating characteristic (ROC) curve analysis revealed that MHR for predicting ISR had an AUC of 0.752 (95% CI 0.708-0.796). For a MHR > 7.32, the sensitivity was estimated to be 59.8% (95% CI 47.2-66.5%) and the specificity was 81.2% (95% CI 71.2-86.4%). Including the MHR in the predictive model for ISR improved the area under the curve (0.698 vs. 0.782, P < 0.001), categorical net reclassification improvement (0.703; 95%CI 0.536-0.871), and integrated discrimination improvement (0.121; 95%CI 0.092-0.151). The MHR can be used to predict DES-ISR in patients with unstable angina pectoris, indicating that the MHR may serve as a valuable marker for risk stratification and prognosis in individuals undergoing DES implantation.

Indexed as

Angina, UnstableCholesterol, HDLCoronary RestenosisDrug-Eluting StentsMonocytesPercutaneous Coronary InterventionAgedBiomarkersCoronary AngiographyFemaleHumansMaleMiddle AgedROC CurveBiomarkersCholesterol, HDLBiomarkerDrug-eluting stentIn-stent restenosisMonocyte-to-high-density lipoprotein cholesterol ratioPercutaneous coronary interventionUnstable angina pectoris

Identifiers

PMID39632977
PMCPMC11618658

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.