Introduction <p>Levels of galectin-3 (GAL-3), a pro-inflammation biomarker, are closely associated with a diagnosis of acute coronary syndrome (ACS). However, the predictive ability of GAL-3 for long-term adverse prognosis in ACS has not been well-investigated. This prospective cohort study aimed to evaluate the predictive value of GAL-3 using classification and regression tree (CART) analysis.</p> Results <p>A total of 134 patients with ACS at The Affiliated Hospital of Chengde Medical University were consecutively enrolled between January 2016 and May 2017. All included patients (102 [76.1%] male, median age, 58.18 years) completed follow-up (median, 6.5 years). The primary end-point was major adverse cardiovascular events (MACEs), including all-cause death, need for rehospitalization due to severe angina, and revascularization (re-percutaneous coronary intervention). CART results showed that GAL-3 had better prognostic ability than the other four cytokines and that the optimal GAL-3 cut-off value was 1.778 ng/mL. Kaplan–Meier analysis showed that the cumulative survival rate in the GAL-3 ≥ 1.778 ng/mL group was significantly lower than that in the GAL-3 &lt; 1.778 ng/mL group (log-rank test, all <i>p</i> = 0.010). Cox regression analysis identified GAL-3 ≥ 1.778 ng/mL as an independent risk factor of long-term adverse prognosis in ACS.</p> Conclusion <p>Serum level of the pro-inflammation cytokine GAL-3 ≥ 1.778 ng/mL was independently associated with a high risk of MACEs in patients with ACS.</p>

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Serum galectin-3 level increase correlates with poor prognosis in acute coronary syndrome

  • Xinchen Wang,
  • Ge Song,
  • Chen Wei,
  • Jingyi Liu,
  • Yuewen Qi,
  • Weichao Shan,
  • Ying Zhang,
  • Lixian Sun

摘要

Introduction

Levels of galectin-3 (GAL-3), a pro-inflammation biomarker, are closely associated with a diagnosis of acute coronary syndrome (ACS). However, the predictive ability of GAL-3 for long-term adverse prognosis in ACS has not been well-investigated. This prospective cohort study aimed to evaluate the predictive value of GAL-3 using classification and regression tree (CART) analysis.

Results

A total of 134 patients with ACS at The Affiliated Hospital of Chengde Medical University were consecutively enrolled between January 2016 and May 2017. All included patients (102 [76.1%] male, median age, 58.18 years) completed follow-up (median, 6.5 years). The primary end-point was major adverse cardiovascular events (MACEs), including all-cause death, need for rehospitalization due to severe angina, and revascularization (re-percutaneous coronary intervention). CART results showed that GAL-3 had better prognostic ability than the other four cytokines and that the optimal GAL-3 cut-off value was 1.778 ng/mL. Kaplan–Meier analysis showed that the cumulative survival rate in the GAL-3 ≥ 1.778 ng/mL group was significantly lower than that in the GAL-3 < 1.778 ng/mL group (log-rank test, all p = 0.010). Cox regression analysis identified GAL-3 ≥ 1.778 ng/mL as an independent risk factor of long-term adverse prognosis in ACS.

Conclusion

Serum level of the pro-inflammation cytokine GAL-3 ≥ 1.778 ng/mL was independently associated with a high risk of MACEs in patients with ACS.