Growth differentiation factor-15 as a biomarker of coronary microvascular dysfunction in ST-segment elevation myocardial infarction

• Published in: Heliyon 2024-08, Vol.10 (15), p.e35476, Article e35476
• Main Authors: Tian, Rui, Wang, Zerui, Zhang, Shenglin, Wang, Xiaojun, Zhang, Yiwen, Yuan, Jiaquan, Zhang, Jiajun, Xu, Feng, Chen, Yuguo, Li, Chuanbao
• Format: Article
• Language: English
• Subjects: Coronary microvascular dysfunction; Growth differentiation factor-15; Hemodynamics; No-reflow phenomenon; Percutaneous coronary intervention; ST-Segment elevation myocardial infarction
• ISSN: 2405-8440; 2405-8440
• DOI: 10.1016/j.heliyon.2024.e35476

The predictive value of growth differentiation factor-15 (GDF-15) in coronary microvascular dysfunction (CMD) following primary percutaneous coronary intervention (PPCI) in ST-segment elevation myocardial infarction (STEMI) patients is unclear. This study continuously recruited STEMI patients treated with PPCI at the Chest Pain Center of Qilu Hospital of Shandong University from April 2023 to December 2023. Blood samples were taken before PPCI and the level of circulating GDF-15 was measured by enzyme-linked immunosorbent assay (ELISA), and the patients were divided into CMD and Control group according to angiographic microvascular resistance (AMR) (cut-off value 2.50 mmHg*s/cm). The differences in GDF-15 expression levels between the two groups were compared, and the predictive value of GDF-15 for CMD was systematically evaluated. A total of 134 patients, with an average age of 59.78 ± 12.69 years and 75.37 % being male, were included in this study. Multivariable logistic regression revealed a significant association between GDF-15 and CMD (adjusted OR = 2.505, 95 % CI: 1.661–3.779, P