NGHIÊN CỨU ĐẶC ĐIỂM NỒNG ĐỘ VÀ GIÁ TRỊ CỦA NGAL TRONG TIÊN LƯỢNG BIẾN CỐ TIM MẠCH CHÍNH Ở BỆNH NHÂN NHỒI MÁU CƠ TIM CẤP KHÔNG ST CHÊNH LÊN TẠI BỆNH VIỆN ĐA KHOA VĨNH LONG NĂM 2024-2025

Abstract

Objectives: Survey of concentration characteristics and value of NGAL in predicting major adverse cardiovascular events in patients with non-ST-elevation myocardial infarction. Materials and methods: A cross-sectional descriptive study on patients admitted to Vinh Long General Hospital from May 2024 to March 2025. Patients were tested for NGAL concentration and major adverse cardiovascular events were recorded three months after discharge. Results: Of the total 80 patients, 57.5% were male, 75.0% had underlying hypertension. NGAL concentration was 67.88 ± 27.65 ng/mL, hypertensive patients had higher NGAL than non-hypertensive patients with 82.06 ± 29.50 ng/mL compared to 65.48 ± 26.83 ng/mL. The rate of major adverse cardiovascular events was 28.7%. The NGAL value at the cut-off point of 84.45 ng/mL had a sensitivity of 60.9% and a specificity of 87.7% in predicting major adverse cardiovascular events. Conclusion: In patients with non-ST-elevation myocardial infarction, NGAL values ​​at admission have the ability to predict the occurrence of major adverse cardiovascular events at three months after discharge.