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. , 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 .

Concentrations of D-dimer and C-reactive protein 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 . Turak et al. 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.