Department of Cardiology, The First Hospital of Handan, Handan, China.
Biomol Biomed. 2023 Sep 4;23(5):785-791. doi: 10.17305/bb.2023.8888.
Irisin is a myogenic cytokine which plays an important role in the cardiovascular system. The aim of this study was to investigate the correlation between serum irisin levels and major adverse cardiovascular events (MACE) in patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI). A total of 207 patients with AMI who underwent PCI were selected as research subjects. Serum irisin levels at admission were measured, and patients were stratified according to the receiver operating characteristic curve to assess differences in MACE within one year after PCI. After one year of follow-up, 207 patients were divided into two groups, 86 with MACE and 121 without MACE. There were significant differences in age, Killip grade, left ventricular ejection fraction, cardiac troponin I, creatine kinase-muscle/brain, and serum irisin between the two groups. Serum irisin level at admission in AMI patients significantly correlated with the occurrence of MACE after PCI, and could be used as an effective marker for predicting the occurrence of MACE in AMI patients after PCI.
鸢尾素是一种肌源性细胞因子,在心血管系统中发挥着重要作用。本研究旨在探讨经皮冠状动脉介入治疗(PCI)后急性心肌梗死(AMI)患者血清鸢尾素水平与主要不良心血管事件(MACE)的相关性。选取 207 例接受 PCI 的 AMI 患者作为研究对象。入院时检测血清鸢尾素水平,并根据受试者工作特征曲线对患者进行分层,评估 PCI 后 1 年内 MACE 的差异。随访 1 年后,207 例患者分为两组,MACE 组 86 例,无 MACE 组 121 例。两组患者在年龄、Killip 分级、左心室射血分数、心肌肌钙蛋白 I、肌酸激酶同工酶/脑、血清鸢尾素等方面存在显著差异。AMI 患者入院时的血清鸢尾素水平与 PCI 后 MACE 的发生显著相关,可作为预测 PCI 后 AMI 患者 MACE 发生的有效标志物。