Analysis of the Correlation Between the Ratio of Monocytes to High-Density Lipoprotein Cholesterol and in-Stent Restenosis in Patients with Premature Coronary Heart Disease

• Published in: Clinical and applied thrombosis/hemostasis Vol. 28; p. 10760296221079334
• Main Authors: Chen, Bo-Wen, Liu, Jia-Jing, Xing, Jun-Hui, Liu, Heng-Dao, Wei, Yu-Zhen, Xue, Xiao-Fei, Gu, He-Ping, Tao, Hai-Long
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01.02.2022; SAGE PUBLICATIONS, INC; SAGE Publishing
• Subjects: Cardiovascular disease; Cholesterol, HDL - blood; Comorbidity; Confidence intervals; Coronary Artery Disease - surgery; Coronary Restenosis - epidemiology; Drug-Eluting Stents; Female; Fibrinogen - analysis; High density lipoprotein; Humans; Lipoproteins; Logistic Models; Male; Medical imaging; Middle Aged; Monocytes - metabolism; Odds Ratio; Original Manuscript; Percutaneous Coronary Intervention - adverse effects; Retrospective Studies; Risk Assessment; Risk Factors; ROC Curve; Stents; premature coronary heart disease; in-stent restenosis (ISR); ratio of monocytes to high-density lipoprotein (MHR)
• ISSN: 1076-0296; 1938-2723
• DOI: 10.1177/10760296221079334

Background High-density lipoprotein cholesterol (HDL-C) and monocytes are associated with coronary artery disease, and the ratio of monocytes to high-density lipoprotein (MHR) is associated with long-term adverse outcomes and the recurrence of atrial fibrillation. Currently, the trend of coronary heart disease proned to young people is becoming prominent. However, the relationship between MHR and in-stent restenosis (ISR) in patients with premature coronary heart disease (PCHD) has not been investigated. Therefore, we aimed to assess the relationship between MHR and ISR in patients with PCHD. Methods We retrospectively included 257 patients (men ≤ 55 years old, women ≤ 65 years old) with PCHD who underwent drug-eluting stent implantation and follow-up coronary angiography at the First Affiliated Hospital of Zhengzhou University from September 2016 to September 2019. Patients were divided into ISR and non-ISR groups depending on their follow-up coronary angiography results. Relative clinical information was recorded and analyzed. A receiver operating characteristic curve analysis was used to determine the optimum pre-procedural MHR cutoff value to predict ISR. Results Logistic regression analysis showed that MHR, smoking history, and fibrinogen were independent risk factors for ISR in patients with PCHD. The area under the receiver operating characteristic curve (AUC) of MHR was 0.750 (95% confidence interval, 0.695-0.820; P < .001), the cutoff value was 546.88, and the specificity and sensitivity were 65.2% and 78%, while the AUC of monocytes was 0.631 (95% confidence interval, 0.638-0.794; P < .001), the cutoff value was 590, and the specificity and sensitivity were 77.1% and 60.0%. Conclusion MHR is an independent risk factor for ISR in patients with PCHD and showed a certain predictive value.