Predictive value of CRP/albumin ratio for in-hospital atrial fibrillation development in ST segment elevation myocardial infarctionPredictive value of CRP/albumin ratio for in-hospital atrial fibrillation development in ST segment elevation myocardial infarction

Abstract

Aim: Atrial fibrillation(AF) development in ST elevation myocardial infarction (STEMI) patients is associated with increased cardiovascular mortality and morbidity. The CRP to Albumin ratio(CAR) is a new described parameter and it has been suggested that this parameter may also be correlated with cardiovascular diseases. In this study, we investigated the association between AF development and the CAR in STEMI patients undergoing percutaneous coronary intervention. Material and Methods: This study was conducted in patients presenting to our department with a diagnosis of STEMI retrospectively and undergoing percutaneous coronary intervention. A total of 110 patients were included in the study. The patients were divided into two groups according to AF development and the predictors for AF development were investigated. Results: The mean age of the patients was 62±5.1 years and 72% of them were males. While CAR, TIMI, CRP, albumin, neutrophil to lymphocyte to ratio, lesion localization, myocardial blush grade and syntax score were associated with the AF development in the univariate analysis, the CAR was determined to be an independent predictor of AF development in the multivariate regression analysis. Conclusions: We have demonstrated that the CAR was an independent predictor for prediction of AF development and we think that this parameter may be useful in clinical practice.