Research Article

Association between Low Free Triiodothyronine Levels and Poor Prognosis in Patients with Acute ST-Elevation Myocardial Infarction

Table 1

Baseline characteristics of the patients.

Low fT3 ()Normal fT3 ()Adjusted

Age (years)68 (59–76)61 (50–71)<0.001<0.001
Male gender, (%)113 (63.1)390 (82.5)<0.0010.071
Current smoker, (%)63 (35.2)253 (53.5)<0.0010.568
History of hypertension, (%)88 (49.2)206 (43.6)0.1990.939
Diabetes, (%)42 (23.5)93 (19.7)0.2850.523
Previous MI, (%)6 (3.4)15 (3.2)0.9070.884
SBP (mmHg)112 (99–128)119 (106–132)0.003<0.001
DBP (mmHg)70 (61–79)71 (64–82)0.0380.050
Heart rate (bpm)86 (74–102)78 (68–90)<0.001<0.001
Killip class on admission, (%)<0.001<0.001
 I67 (37.4)343 (72.5)
 II38 (21.2)78 (16.5)
 III32 (17.9)17 (3.6)
 IV42 (23.5)35 (7.4)
LVEF (%)58 (48–61)59 (55–62)0.0010.001
fT3 (pmol/L)2.5 (2.3–2.8)3.8 (3.4–4.2)<0.001<0.001
fT4 (pmol/L)14.8 (13–17.1)15.2 (13.6–17.1)0.0180.001
TSH (mIU/L)1.17 (0.65–2.05)1.47 (0.79–2.43)0.0070.003
Serum creatinine (μmol/L)80.9 (64.1–112.9)73.5 (62.8–88.9)<0.001<0.001
BNP (pg/ml)745.5 (389.5–1585.0)257.0 (90.0–574.3)<0.001<0.001
TnI (ng/ml)11.5 (4.6–22.4)8.0 (2.4–20.1)0.0170.050
TC (mmol/L)4.08 (3.26–4.71)4.32 (3.63–5.02)0.0030.005
LDL-C (mmol/L)2.40 (1.90–3.04)2.64 (2.15–3.16)0.0030.006
TG (mmol/L)1.22 (0.96–1.66)1.48 (1.10–2.09)<0.001<0.001
HDL-C (mmol/L)0.97 (0.81–1.17)0.94 (0.80–1.13)0.4240.453
Hemoglobin (g/L)121 (108–134)134 (122–145)<0.001<0.001
Reperfusion therapy, (%)90 (50.3)342 (72.3)<0.0010.001
Thrombolytic therapy, (%)24 (13.4)68 (14.4)0.7510.497
Primary PCI, (%)66 (36.9)274 (57.9)<0.001<0.001
Aspirin, (%)173 (96.65)466 (98.52)0.2040.438
Clopidogrel/Ticagrelor, (%)175 (97.77)468 (98.94)0.2680.588
β-receptor blocker, (%)140 (78.21)388 (82.03)0.2680.659
Statin, (%)165 (92.18)449 (94.93)0.1810.257
ACEI/ARB, (%)144 (80.45)407 (86.05)0.0780.134

Adjusted for age and sex. Adjusted for sex. Adjusted for age. MI: myocardial infarction; SBP: systolic blood pressure; DBP: diastolic blood pressure; LVEF: left ventricular ejection fraction; fT3: free triiodothyronine; fT4: free thyroxine; TSH: thyroid-stimulating hormone; BNP: brain natriuretic peptide; TnI: troponin I; TC: total cholesterol; LDL-C: low-density lipoprotein cholesterol; TG: triglycerides; HDL-C: high-density lipoprotein cholesterol; PCI: percutaneous coronary intervention; ACEI: angiotensin converting enzyme inhibitor; ARB: angiotensin II receptor blocker.