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304; P less then 0.001). Both GRACE score [hazard ratio (HR), 1.706; 95% CI, 1.435-3.058; P less then 0.001] and MPVLR level (HR, 1.668; 95% CI, 1.202-2.170; P less then 0.001) were found to be independent predictors of a 30-day MACE. Additionally, the high MPVLR + high GRACE score group of patients had an HR of 2.455 (95% CI, 1.736-3.188) for a 30-day MACE, when using the low MPVLR + low GRACE score group as a reference. Based on the area under the curve, MPVLR combined with GRACE scores achieved an improved performance in differentiat