Journal
INTERNATIONAL JOURNAL OF GENERAL MEDICINE
Volume 13, Issue -, Pages 1255-1263Publisher
DOVE MEDICAL PRESS LTD
DOI: 10.2147/IJGM.S275202
Keywords
monocyte count to high-density lipoprotein cholesterol ratio; in-stent restenosis; drug-eluting stent
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Funding
- Chinese Cardiovascular Association-V.G. fund [2017-CCA-VG-042]
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Background: The clinical value of monocyte count to high-density lipoprotein cholesterol ratio (MHR) in in-stent restenosis (ISR) of patients who have undergone bare metal stent implantation has been studied. However, the predictive value of MHR in ISR for patients who have undergone drug-eluting stent (DES) implantation has not been explored. Methods: Non-ST segment elevation acute coronary syndrome (NSTE-ACS) patients who had undergone DES implantation and coronary angiography follow-up at the Beijing Shijitan Hospital, Capital Medical University, between January 1, 2008, and December 31, 2018, were retrospectively enrolled. Patients were divided into ISR and non-ISR groups depending on the follow-up coronary angiography results. Relative clinical information was recorded and analyzed. The receiver operating characteristic curve analysis was used to determine the optimum cut-off pre-procedural MHR to predict ISR. Results: A total of 214 patients were enrolled in our study. The mean period between two coronary angiography procedures was 25.4 +/- 9.8 months. Percutaneous coronary intervention due to NSTE myocardial infarction, a bifurcation lesion, increased platelet count, and a high MHR were the independent risk factors in multivariate logistic regression analyses. Conclusion: Our results indicated that elevated MHR is an independent and useful predictor of ISR in NSTE-ACS patients who have undergone DES implantation.
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