title: Plasma visfatin levels are associated with major adverse cardiovascular events in patients with acute ST-elevation myocardial infarction.
abstract: OBJECTIVE
  Circulating levels of visfatin, a ubiquitous adipokine, may reflect both the severity of plaque as well as degree of plaque stabilization in acute myocardial injury. The purpose of this study was to test whether the level of visfatin is associated with the occurrence of major adverse cardiovascular events (MACEs) in patients with acute ST-elevation myocardial infarction (STEMI).
  
  
  METHODS
  Consecutive patients (n=185) with acute STEMI were prospectively enrolled in the study. ELISA was used to measure plasma visfatin concentrations. Composite MACEs included death, recurrent myocardial infarction, target lesion revascularization or re-advanced heart failure.
  
  
  RESULTS
  Plasma visfatin levels were significantly higher in composite MACE patients than in non-MACE patients. A multivariate Cox hazard regression model revealed that the predictive independent risk factors for the occurrence of composite MACEs were visfatin level (relative risk = 1.04) and age (relative risk = 6.05). When patients were grouped according to their plasma visfatin levels, composite MACEs occurred more frequently in patients presenting with high visfatin levels. Moreover, Kaplan-Meier analysis revealed that high visfatin levels were significantly associated with the occurrence of composite MACEs.
  
  
  CONCLUSIONS
  The level of plasma visfatin may be associated with risk of composite MACEs in STEMI patients, and may be useful for risk stratification.
authors.affiliation: . email@email.com.
authors.forename: Wei-Chin
authors.initials: WC
authors.lastname: Hung
authors.forename: Teng-Hung
authors.initials: TH
authors.lastname: Yu
authors.forename: Chia-Chang
authors.initials: CC
authors.lastname: Hsu
authors.forename: Li-Fen
authors.initials: LF
authors.lastname: Lu
authors.forename: Fu-Mei
authors.initials: FM
authors.lastname: Chung
authors.forename: I-Ting
authors.initials: IT
authors.lastname: Tsai
authors.forename: Yung-Chuan
authors.initials: YC
authors.lastname: Lu
authors.forename: Jer-Yiing
authors.initials: JY
authors.lastname: Houng
authors.forename: Yau-Jiunn
authors.initials: YJ
authors.lastname: Lee
authors.forename: Chao-Ping
authors.initials: CP
authors.lastname: Wang
mesh_terms: D000368:Aged; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006333:Heart Failure / Q000097:blood / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000097:blood / Q000150:complications* / Q000401:mortality; D054409:Nicotinamide Phosphoribosyltransferase / Q000097:blood*; D016016:Proportional Hazards Models; D011446:Prospective Studies; D012307:Risk Factors
chemical_list: D054409:Nicotinamide Phosphoribosyltransferase