Relationship between gamma-glutamyl transferase/albumin ratio and coronary slow flow phenomenon

• Main Authors: Uğur Küçük (Author), Kadir Arslan (Author)
• Format: Book
• Published: National Scientific Medical Center, 2022-04-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

<b>Aim: </b>The coronary slow flow phenomenon (CSFP) is a pathology characterized by decreased coronary flow without stenosis on angiographic imaging. It is known that gamma-glutamyl transferase (GGT) and albumin play a role in cardiovascular disease. Our aim was to investigate whether GGT-to-albumin ratio could predict CSFP.<br /> <b>Material and methods: </b>Our cross-sectional study included 149 patients who had myocardial ischemia and underwent coronary angiography in our clinic. Our study consisted of two groups, with and without CSFP. The GGT-to-albumin ratio values were compared between the groups, and the presence of a risk factor for CSFP was evaluated with a regression analysis.<br /> <b>Results: </b>A statistical significance was observed between the groups with and without CSFP in terms of GGT-to-albumin ratio values, (6.16 and 4.46, respectively; p<0.001). There was a moderate correlation between GGT-to-albumin ratio and the mean thrombolysis in myocardial infarction frame counts (r=0.423, p<0.001). In the univariate logistic regression analysis revealed that GGT-to-albumin ratio was predictive of CSFP [odds ratio: 0.460, 95% confidence interval (CI): 0.341-0.620, p<0.001]. In the receiver operating characteristic curve analysis performed on GAR to distinguish CSFP, the GGT-to-albumin ratio exhibited 84% sensitivity and 59% specificity for values ≥4.67 (area under the curve: 0.78, 95% CI: 0.708-0.859, p<0.001).<br /> <b>Conclusion: </b>GGT-to-albumin ratio values were found to increase in the presence of CSFP. Our findings advise that GGT-to-albumin ratio might also play a function inside the pathogenesis of CSFP.

Item Description

1812-2892
2313-1519
10.23950/jcmk/11940