GPT and metabolic dysfunction-associated steatotic liver disease: The GRACE-ALT study found that NAFLD, diagnosed by elevated serum alanine aminotransferase (ALT), was significantly associated with more cardiac muscle injury (aOR 7.07, 95% CI 1.83–27.37) and all-cause mortality in-hospital and up to 6 months after discharge among ACS patients (aOR 8.96, 95% CI 3.28–24.49) [53].