Lipids & metabolic liver disease

The prognostic value of metabolic dysfunction‐associated steatotic liver disease in acute myocardial infarction: A propensity score‐matched analysis

Diabetes Obes MetabPublished Retrospective cohort study

Main finding · Long-term all-cause mortalityResult — go to the resultHazard ratio 1.330 95% CI 1.106–1.598

Authors' conclusion

MASLD embodies a higher burden of metabolic dysfunction and is an independent predictor of long-term mortality in the AMI population. Its early identification may be beneficial for risk stratification and provide therapeutic targets for secondary preventive strategies in AMI.

Study context

Population
Patients presenting with acute myocardial infarction at a tertiary centre in Singaporepropensity score-matched
Participants
4,446 patients
Exposure
MASLD vs no MASLD in patients presenting with acute myocardial infarction (AMI)
  • MASLDn = 2,223
Outcome
Long-term all-cause mortality
Follow-up
Mean 3.4 ± 2.4 years
Methodological detailspropensity-score matched (age and sex), single-centre (tertiary centre, Singapore)
  • Propensity-score matched (age and sex)
  • Single-centre (tertiary centre, Singapore)

Main finding

As reported in the abstract

long-term

Hazard ratio

1.330

95% CI 1.106–1.598

P = 0.002

By group

MASLDvs No MASLD
HR 1.330 (95% CI 1.106–1.598); P = 0.002

Observational data: associations, not effects.

Further findings

30-day all-cause mortality

P < 0.001

Baseline characteristics

MASLD had higher rates of obesity, diabetes and CKD than counterparts

Original publication

The prognostic value of metabolic dysfunction‐associated steatotic liver disease in acute myocardial infarction: A propensity score‐matched analysis. Diabetes Obes Metab. Published 23 May 2024. doi:10.1111/dom.15660

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