High Sensitive C-reactive Protein to Albumin Ratio in Acute Coronary Syndrome

Observational study conducted at coronary care unit(CCU) in sohag university hospital It included patients with ACS diagnosed according to AHA/ACCF guidelines (according to symptoms, ECG findings and serum troponin levels), who had admitted to the CCU.

Venous blood samples were instantly collected on admission to the hospital. hs-CRP , serum albumin level were measured.

hs-CAR is calculated and the patients divided into two groups: Group A ( patients with high hs-CAR) and group B ( patients with low hs-CAR) In-hospital MACE was regarded as the end point of our study. It was defined as acute heart failure, cardiogenic shock, reinfarction, all-cause death, serious arrhythmia and cardiac death

Inclusion criteria

• All patients aged 18 Year or older presented by ACS not candidet for primary percutaneus coronary intervention ( PCI ) .

Exclusion criteria

• • Patients aged < 18 years old

• Patients who have eGFR <60 ml/kg /m2
• Patients who have malignancies
• Patients who have chronic heart failure (NYHA class >II)
• Pateints who have chronic liver disease
• Patients who have nephrotic syndrome
• Patients who have acute cerebrovascular stroke
• Pregnant women
• Patients who have recent infection