Serum CA-125 levels and associated factors in patients with acute myocardial infarction

Trinh Thanh Son, Nguyen Van Hoang, Nguyen Thi Diem

Main Article Content

Abstract

An analytical cross-sectional study was conducted on 130 patients with acute myocardial infarction at Tay Ninh General Hospital from June 2025 to February 2026 to investigate serum CA-125 levels and associated factors. The median CA-125 concentration was 29.95 (12.60 – 48.60) U/mL. CA-125 levels were significantly higher in patients with Killip class II–IV and in those with LVEF < 40% compared with the corresponding comparison groups, with p < 0.001. CA-125 was positively correlated with NT-proBNP (r = 0.705; p < 0.001) and high-sensitivity troponin T at 0 hour (r = 0.200; p = 0.023) and inversely correlated with LVEF (r = -0.441; p < 0.001) and eGFR (r = -0.283; p = 0.001). In the multivariable model, Killip class II–IV, LVEF < 40% and reduced eGFR remained significantly associated with CA-125 levels. These findings suggest that CA-125 may serve as an adjunctive marker for assessing congestion and hemodynamic burden, although they should be interpreted cautiously.

Article Details

References

1. Bộ Y tế. Hướng dẫn chẩn đoán và xử trí hội chứng mạch vành cấp. Quyết định 2187/QĐ-BYT. 2019.
2. Nguyễn Thường Nghĩa, Nguyễn Đăng Khoa. Tử vong và các biến cố tim mạch nội viện ở bệnh nhân nhồi máu cơ tim cấp st chênh lên có phân suất tống máu thất trái ≤ 40% sau can thiệp mạch vành qua da. Tạp chí Y học Việt Nam. 2024;536(1B):240-244. doi: 10.51298/vmj.v536i1B.8818.
3. Nguyễn Thượng Nghĩa, Ngô Minh Hùng. Cẩm nang thông tim và chụp mạch chẩn đoán. Nhà xuất bản Y học; 2021.
4. Akhtar Z, Aleem MA, Ghosh PK, et al. In-hospital and 30-day major adverse cardiac events in patients referred for ST-segment elevation myocardial infarction in Dhaka, Bangladesh. BMC Cardiovasc Disord. 2021;21:1-9. doi: 10.1186/s12872-021-01896-9.
5. Falcão F, Oliveira F, Cantarelli F, et al. Carbohydrate antigen 125 predicts pulmonary congestion in patients with ST-segment elevation myocardial infarction. Braz J Med Biol Res. 2019;52:e9124. doi: 10.1590/1414-431X20199124.
6. Xu K, Wu M, Huang M, Zhuo X, Weng Y, Chen X. Carbohydrate antigen 125 combined with N-terminal pro-B-type natriuretic peptide in the prediction of acute heart failure following ST-elevation myocardial infarction. Medicine. 2022;101(48):e32129. doi: 10.1097/MD.0000000000032129.
7. Byrne RA, Rossello X, Coughlan J, et al. 2023 ESC guidelines for the management of acute coronary syndromes: developed by the task force on the management of acute coronary syndromes of the European Society of Cardiology (ESC). Eur Heart J. 2023;13(1):55-161. doi: 10.1093/eurheartj/ehad191.
8. Falcão F, Oliveira F, Cantarelli F, et al. Carbohydrate antigen 125 for mortality risk prediction following acute myocardial infarction. Sci Rep. 2020;10(1):11016. doi: 10.1038/s41598-020-67548-8.
9. Peter Libby. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. vol 12th edition. Elservier Science; 2022:599 - 800
10. Jenča D, Melenovský V, Stehlik J, et al. Heart failure after myocardial infarction: incidence and predictors. ESC Heart Fail. 2021;8(1):222-237. doi: 10.1002/ehf2.13144.
11. Yndigegn T, Gu T, Grufman H, et al. Elevated carbohydrate antigen 125 (CA125) is associated with incident heart failure and mortality in acute coronary syndrome. ESC Heart Fail. 2024;11(6):4325-4334. doi: 10.1002/ehf2.15037.
12. Macić-Džanković A, Pojskić B. Acute heart failure after myocardial infarction. Bosn J Basic Med Sci. 2007;7(1):40. doi: 10.17305/bjbms.2007.3088.
13. Núñez J, de la Espriella R, Miñana G, et al. Antigen carbohydrate 125 as a biomarker in heart failure: a narrative review. Eur J Heart Fail. 2021;23(9):1445-1457. doi: 10.1002/ejhf.2295.