Prognostic significance of high sensitivity C-reactive protein and lipoprotein (a) in patients received primary percutaneous coronary intervention after actue myocardial infarction

Objective:To study the prognostic significance of high sensitivity C-reactive protein(hsCRP) and lipoprotein(a) in patients received primary percutaneous coronary intervention(PCI) after acute myocardial infarction.Method:We reviewed 118 patients received primary PCI after acute myocardial infarction from January 2007 to April 2010 and their plasma hsCRP and Lp(a) concentration.The cardiovascular event incidence is compared between the hsCRP-elevated group and the hsCRP-normal group,so did between the Lp(a)-elevated group and the Lp(a)-nomal group.Result:It showed that the cardiovascular event incidence in the hsCRP-elevated group was 52.9%,and that in the hsCRP-normal group was 18.2%.There is a significant difference between these two groups(P=0.011).However,there is no significant difference in the cardiovascular event incidence between the Lp(a) elevated group(35.3%) and the the Lp(a) nomal group(46.4%),P=0.733.Conclusion:HsCRP,but not Lp(a),could be a prognostic instruction factor in patients received primary PCI after acute myocardial infarction.