The inflammatory marker SIRI acts as a statistical mediator between ApoB/ApoA1 ratio and atrial fibrillation, and combined biomarkers show higher discriminative ability for the presence of atrial fibrillation than single indicators - Takeaways - MDSpire
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The role of the systemic inflammation response index (SIRI) as a mediator between the ApoB/ApoA1 ratio and atrial fibrillation, with combined biomarkers demonstrating superior discriminative power compared to individual markers

  • By

  • Chenyang Zheng

  • Meixue Jia

  • Bin Ning

  • August 13, 2026

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  • 1

    The study examined the systemic inflammation response index (SIRI) as a mediator between the ApoB/ApoA1 ratio and atrial fibrillation (AF).

  • 2

    A total of 638 individuals were analyzed, including 212 with persistent AF, 212 with paroxysmal AF, and 214 controls without AF.

  • 3

    SIRI was found to be a partial mediator in the inverse relationship between the ApoB/ApoA1 ratio and AF.

  • 4

    The combined model of ApoB/ApoA1 and SIRI demonstrated superior discriminative power for detecting AF compared to individual markers.

  • 5

    The findings indicate a significant link between elevated SIRI, decreased ApoB/ApoA1 levels, and higher odds of AF.

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