Background
Monocyte to high-density lipoprotein cholesterol Ratio (MHR) has been found to be a new inflammatory biomarker related to cardiovascular diseases (CVDs). The current retrospective study focused on exploring the relationship between MHR and Framingham risk score (FRS) and the prognostic significance of this relationship in mid to high risk CVDs in individuals with psoriasis vulgaris.
Methods
In the present study, 128 patients with psoriasis vulgaris and 120 normal controls were involved. In addition, neutrophil to high-density lipoprotein cholesterol ratio (NHR), MHR, and neutrophil to lymphocyte ratio (NLR) values of the two groups were retrospectively evaluated. Correlations between MHR and FRS were analyzed.
Results
NHR, MHR, and NLR values of the patients in psoriasis group with moderate to severe cardiovascular risk noticeably increased relative to the controls (p = 0.018, p = 0.002, p༜0.001, respectively). Furthermore, FRS was positively correlated to MHR, NHR, and NLR among the patients with psoriasis (p = 0.002, p = 0.017, and p < 0.001, respectively). Logistic regression identified age, sex, and MHR as the influencing factors for FRS (p < 0.05). On the basis of the ROC curve, the greatest Youden’s index (0.316) could be obtained at MHR of 0.24, with the relevant sensitivity, specificity, and area under ROC curve of 0.729, 0.413, and 0.662 (95% CI of 0.565, 0.758), respectively.
Conclusions
MHR was related to FRS, which could be adopted for predicting medium to high risk of CVDs in patients suffering from psoriasis.