Serum alkaline phosphatase levels are associated with coronary artery calcification patterns and plaque vulnerability
Objectives This study aimed to investigate the association of serum alkaline phosphatase (ALP) with calcification patterns and plaque morphology detected by intravascular ultrasound (IVUS) in acute coronary syndrome (ACS) patients. Background ALP has been shown to predict vascular calcification and...
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Published in | Catheterization and cardiovascular interventions Vol. 97; no. S2; pp. 1055 - 1062 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Hoboken, USA
John Wiley & Sons, Inc
01.05.2021
Wiley Subscription Services, Inc |
Subjects | |
Online Access | Get full text |
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Summary: | Objectives
This study aimed to investigate the association of serum alkaline phosphatase (ALP) with calcification patterns and plaque morphology detected by intravascular ultrasound (IVUS) in acute coronary syndrome (ACS) patients.
Background
ALP has been shown to predict vascular calcification and long‐term cardiovascular events. However, the relationship between ALP and vascular calcification patterns or plaque morphology remains unclear.
Methods
In total, 328 ACS patients who underwent IVUS examinations were screened from January 2017 to December 2018; among them, 234 eligible participants were grouped according to the tertiles of ALP levels (<68, 68–80, and >80 IU/L). Demographic data and IVUS parameters were documented and analyzed.
Results
After adjusting for potential confounders, independent associations were observed between ALP and the presence of coronary calcification, spotty calcification, minimum lumen area (MLA) ≤ 4.0 mm2, and plaque burden (PB) > 70%. Compared with the lowest ALP tertile group, the highest ALP group had higher risks of calcification (odds ratio [OR], 2.85; 95% confidence interval [95%CI], 1.38–5.90; p = .005), spotty calcification (OR, 1.86; 95%CI, 1.09–3.84; p = .012), MLA≤4.0 mm2 (OR, 3.32; 95%CI, 1.51–7.28; p = .003), and PB > 70% (OR, 4.59; 95%CI, 1.83–11.50; p = .001). Similar results were found when ALP was analyzed as a continuous variable or a category variate according to the cut‐off value determined by the receiver operating characteristic curve analysis. Furthermore, the model including clinical factors and ALP significantly improved the predictive power for coronary calcification, spotty calcification, MLA≤4.0 mm2, and PB > 70%.
Conclusion
Our findings suggest that ALP may be a potential predictive biomarker for calcification and plaque vulnerability. |
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Bibliography: | Funding information Liaoning Province Natural Science Foundation, Grant/Award Numbers: 2019‐ZD‐0635, 20180550892; Beijing Lisheng Cardiovascular Health Foundation Yongkui Ren and Xinsheng Li contributed equally to this article. Yulong Xia and Da Yin contributed equally to this study. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1522-1946 1522-726X |
DOI: | 10.1002/ccd.29642 |