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Archives of cardiovascular diseases
Volume 109, n° 10
page 562 (octobre 2016)
Doi : 10.1016/j.acvd.2016.05.003
Received : 12 Mars 2016 ;  accepted : 24 May 2016
Letter to the editor

Letter in response to the article entitled “High-sensitivity cardiac troponin T: A biomarker for the early risk stratification of type-A acute aortic dissection?” by Li et al.
Lettre en réponse à l’article intitulé « Troponine T cardiaque hypertensive : un biomarqueur pour la stratification précoce du risque dans la dissection aortique de type A » par Li et al.

Levent Cerit
 Near East University Hospital, Department of Cardiology, Near East Boulevard, 99138 Nicosa, Cyprus 

Keywords : Acute aortic dissection, hs-Troponin T, Triglyceride to high-density lipoprotein cholesterol ratio

Mots clés : Dissection aortique aiguë, Troponine haute sensibilité T, Rapport des triglycérides : cholestérol lipoprotéine à haute densité

Abbreviations : HDL-C, TG

To the Editor,

I read with great interest the article entitled “High-sensitivity cardiac troponin T: A biomarker for the early risk stratification of type-A acute aortic dissection?” by Li et al. [1], recently published in the Archives of Cardiovascular Diseases . The investigators reported that the concentration of high-sensitivity troponin T is an independent prognostic factor for in-hospital mortality in patients with type-A acute aortic dissection [1].

Concentrations of D-dimer [2] and C-reactive protein [3] have been associated with the prognosis of acute aortic dissection.

Recently, a new variable, known as the triglyceride to high-density lipoprotein cholesterol (TG/HDL-C) ratio, has been suggested as a simple means of identifying apparently healthy individuals at increased cardiometabolic risk [4]. Turak et al. [5] recently demonstrated that a high TG/HDL-C ratio was associated with major adverse cardiac events, including aortic dissection and total mortality, in patients with essential hypertension.

In light of this knowledge, the TG/HDL-C ratio should be mentioned, and the relationship between this ratio and mortality should be discussed.

Disclosure of interest

The author declares that he has no competing interest.


Li G., Wu X.W., Lu W.H., and al. High-sensitivity cardiac troponin T: a biomarker for the early risk stratification of type-A acute aortic dissection? Arch Cardiovasc Dis 2016 ;  109 : 163-170 [inter-ref]
Wen D., Du X., Dong J.Z., Zhou X.L., Ma C.S. Value of D-dimer and C reactive protein in predicting inhospital death in acute aortic dissection Heart 2013 ;  99 : 1192-1197 [cross-ref]
Al Mahameed S.T., Novaro G.M., Asher C.R., and al. Predictive value of high sensitivity C-reactive protein in the diagnosis and outcomes of acute aortic syndromes Heart Asia 2010 ;  2 : 136-139
Murguia-Romero M., Jimenez-Flores J.R., Sigrist-Flores S.C., and al. Plasma triglyceride/HDL-cholesterol ratio, insulin resistance, and cardiometabolic risk in young adults J Lipid Res 2013 ;  54 : 2795-2799 [cross-ref]
Turak O., Afsar B., Ozcan F., and al. The role of plasma triglyceride/high-density lipoprotein cholesterol ratio to predict new cardiovascular events in essential hypertensive patients J Clin Hypertens (Greenwich) 2015 ;

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