Association of Monocyte/HDL-C Ratio with the Selvester QRS Score in Patients with ST Elevation Myocardial Infarction Undergoing Primary Coronary Intervention

Abstract

Background and aim: Recently, monocyte to high density lipoprotein (MHR) has been recommended as a new prognostic factor of cardiovascular diseases. the value of this scoring system have been documented by previous studies in predicting prognosis ST elevation myocardial infarction (STEMA°). However, no study is currently available regarding the association of MHR and the selvester score in predicting the outcomes among patients with STEMA°. Materials and methods: We evaluated a cohort of 99 consecutive patients who were admitted to our tertiary referral centre with STEMA° and under-went first primary percutaneous coronary intervention (pPCI) between June and September in 2016. The Selvester QRS score was estimated on the first electrocardiogram (ECG) after hospital admission. MHR was calculated for all patients. A total of 99 patients with ST elevation ACS were included in the study. They were divided into two groups. These were 52 patients in the low selvester score and 44 patients in the high selvester group. We investigate the relationship between selvester score and MHR ratio in Results: MHR was positively correlated with the Selvester score (r=0.467, P<0.001). In multivariate logistic regression analysis, MHR was an independent predictor of high selvester scores in prognosis of STEMA° (odds ratio: 2.565, 95% CI: 1.509-4.361; P<0.001). The area under the receiver–operating characteristic curve of the MHR was 0.749 (0.647-0.852; P<0.001). Conclusion: The results of this study have indicated that MHR is associated independently and significantly with high selvester score system in prognosis of STEMI.