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The evaluation of relationship between neutrophil-to-lymphocyte ratio and slow coronary flow

Year 2013, , 537 - 542, 01.12.2013
https://doi.org/10.5798/diclemedj.0921.2013.04.0329

Abstract

Objective: The aim of this study was to investigate the correlations between leukocyte counts, the neutrophil-to-lymphocyte ratio (NLR), and slow coronary flow (SCF). Methods: We evaluated 135 patients undergoing coronary angiography (CAG) within coronary artery disease (CAD) indication. We divided patients into three groups according to the CAG findings. Group 1 consisted of 45 patients with an SCF pattern; group 2 consisted of 45 patients with at least 50% lumen narrowing in at least one epicardial coronary artery; and group 3 (control group) consisted of 45 patients with normal coronary arteries. The quantification of the coronary flow was assessed using the thrombolysis in myocardial infarction (TIMI) frame count method for each of the coronary arteries. Blood samples were collected from the patients after a 12 h overnight fasting. The NLR ratio was calculated from the automated complete blood count. Results: NLR in CAD was higher than in both the SCF and control groups (p=0.008, p

References

  • Tambe AA, Demany MA, Zimmerman HA, et al. Angina pectoris and slow flow velocity of dye in coronary arteries. A new angiographic finding. Am Heart J 1972;84:66-67.
  • Mosseri M, Yarom R, Gotsman MS, et al. Histologic evi- dence for small vessel coronary artery disease in patients with angina pectoris and patent large coronary arteries. Cir- culation 1986;74:964-972.
  • Beltrame JF, Limaye SB, Horowitz JD. The coronory slow phenomenon-a new coronary microvascular disorder. Car- diology 2002;97:197-202.
  • Pekdemir H, Cin VG, Cicek D, et al. Slow coronary flow may be a sign of diffuse atherosclerosis: Contribution of FFR and IVUS. Acta Cardiol 2004;59:127-133.
  • Turhan H, Saydam GS, Erbay AR, et al. Increased plasma soluble adhesion molecules; ICAM-1, VCAM-1, and E- selectin levels in patients with slow coronary flow. Int J Cardiol 2006;108:224-230.
  • Sezgin AT, Sigirci A, Barutcu I, et al. Vascular endothelial function in patients with slow coronary flow. Coron Artery Dis 2003;14:155-161.
  • Ari H, Ari S, Erdogan E, et al. The effects of endothelial dysfunction and inflammation on slow coronary flow. Arch Turk Soc Cardiol 2010;38:327-333.
  • Kalay N, Aytekin M, Kaya MG, et al. The relationship be- tween inflammation and slow coronary flow: increased red cell distribution width and serum uric acid levels. Arch Turk Soc Cardiol 2011;39:463-468.
  • Libby P, Ridker PM, Maseri A. Inflammation and atheroscl- rosis. Circulation 2002;105:1135-1143.
  • Pereira IA, Borba EF. The role of inflammation, humoral and cell mediated autoimmunity in the pathogenesis of ath- erosclerosis. Swiss Med Wkly 2008;138(37-38):534-539.
  • Ates AH, Canpolat U, Yorgun H, et al. Total white blood cell count is associated with the presence, severity and extent of coronary atherosclerosis detected by dual-source multislice computed tomographic coronary angiography. Cardiol J 2011;18:371-377.
  • Rasouli M, Nesarhosseini V, Kiasari AM, et al. The multi- plicative interactions of leukocyte counts with some other risk factors enhance the prognostic value for coronary ar- tery disease. Cardiol J 2011;18:246-253.
  • Gul M, Uyarel H, Ergelen M, et al. Predictive Value of Neu- trophil to Lymphocyte Ratio in Clinical Outcomes of Non- ST Elevation Myocardial Infarction and Unstable Angina Pectoris: A 3-Year Follow-Up. Clin Appl Thromb Hemost 2012 Nov 8. [Epub ahead of print]
  • Papa A, Emdin M, Passino C, et al. Predictive value of el- evated neutrophil-lymphocyte ratio on cardiac mortality in patients with stable coronary artery disease. Clin Chim Acta 2008;395:27-31.
  • Arbel Y, Finkelstein A, Halkin A, et al. Neutrophil/lym- phocyte ratio is related to the severity of coronary artery disease and clinical outcome in patients undergoing angi- ography. Atherosclerosis 2012;225:456-460.
  • Kaya H, Ertas F, Islamoglu Y, et al. Association between neutrophil to lymphocyte ratio and severity of coronary ar- tery disease. Clin Appl Thromb Hemost 2012 Jul 11. [Epub ahead of print]
  • Gibson CM, Cannon CP, Daley WL, et al. TIMI frame count: A quantitative method of assessing coronary artery flow. Circulation 1996;93:879-888.
  • Mangieri E, Macchiarelli G, Ciavolella M, et al. Slow coro- nary flow: clinical and histopathological features in patients with otherwise normal epicardial coronary arteries. Cathet Cardiovasc Diagn 1996;37:375-381.
  • Yazici M, Demircan S, Durna K, et al. The role of adrener- gic activity in slow flow coronary flow and its relationship to TIMI frame count. Angiology 2007;58:393-400.
  • Kurtoglu N, Akcay A, Dindar I. Usefulness of oral dipyri- damole therapy for angiographic slow coronary flow. Am J Cardiol 2001;87:777-779.
  • De Bruyne B, Hersbach F, Pijls NH, et al. Abnormal epi- cardial coronary resistance in patients with diffuse athero- sclerosis but “normal” coronary angiography. Circulation 2001;104:2401-2406.
  • Camsari A, Ozcan T, Ozer C, et al. Carotid artery intima- media thickness correlates with intravascular ultrasound parameters in patients with slow coronary flow. Atheroscle- rosis 2008;200:310-314.
  • Ross R. Atherosclerosis - an inflammatory disease. N Engl J Med 1999;340:115-126.
  • Hoffman M, Blum A, Baruch R, et al. Leukocytes and coro- nary heart disease. Atherosclerosis 2004;172:1-6.
  • Horne BD, Anderson JL, John JM, et al. Intermountain Heart Collaborative Study Group. Which white blood cell subtypes predict increased cardiovascular risk? J Am Coll Cardiol 2005;45:1638-1643.
  • Cil H, Islamoglu Y, Yavuz C, et al. Association between neutrophil/lymphocyte ratio and coronary collateral circu- lation. J Clin Exp Invest 2012;3:29-32.
  • Isik T, Ayhan E, Uyarel H, et al. Association of neutrophil to lymphocyte ratio with presence of isolated coronary artery ectasia. Arch Turk Soc Cardiol 2013;41:123-130.
  • Brown DW, Giles WH, Croft JB. White blood cell count: an independent predictor of coronary heart disease mortality among a national cohort. J Clin Epidemiol 2001;54:316- 322.
  • Cingoz F, Iyisoy A, Demirkol S, et al. Carotid intima- media thickness in patients with slow coronary flow and ıts association with neutrophil-to-lymphocyte ratio: a pre- liminary report. Clin Appl Thromb Hemost 2013. (DOI: 10.1177/1076029613485283)
  • Dogan M, Akyel A, Cimen T, et al. Relationship be- tween neutrophil to lymphocyte ratio and slow coro- nary flow. Clin Appl Thromb Hemost 2013. (DOI: 10.1177/1076029613498814)

Nötrofil/Lenfosit oranı ile yavaş koroner akım arasındaki ilişkinin incelenmesi

Year 2013, , 537 - 542, 01.12.2013
https://doi.org/10.5798/diclemedj.0921.2013.04.0329

Abstract

Amaç: Çalışmamızda yavaş koroner akım (SCF) ile nötrofil/lenfosit oranı (NLR) ve lökosit alt tipleri arasındaki ilişkiyi araştırmayı amaçladık. Yöntemler: Çalışmaya; koroner arter hastalığı şüphesiyle koroner anjiyografisi yapılan toplam 135 hasta alındı. Hastalar koroner anjiyografisi sonucuna göre üç gruba ayrıldı: yavaş koroner akım saptanan 45 hasta grup 1, en az bir koroner arterinde 50% ve üzerinde darlık saptanan 45 hasta grup 2 ve normal koroner arterlere sahip 45 kişi ise grup 3\'e (kontrol grubu) dahil edildi. Koroner yavaş akım tanısı her bir koroner arterin TIMI kare sayısı hesaplanarak kondu. Tüm hastalardan 12 saatlik açlık sonrası kan örnekleri alındı. NLR oranı tam kan sayımından faydalanılarak hesaplandı. Bulgular: Nötrofil/lenfosit oranı koroner arter hastalığına sahip olanlarda, yavaş koroner akım ve kontrol grubuna göre anlamlı olarak daha yüksekti (sırasıyla p=0,008 ve p

References

  • Tambe AA, Demany MA, Zimmerman HA, et al. Angina pectoris and slow flow velocity of dye in coronary arteries. A new angiographic finding. Am Heart J 1972;84:66-67.
  • Mosseri M, Yarom R, Gotsman MS, et al. Histologic evi- dence for small vessel coronary artery disease in patients with angina pectoris and patent large coronary arteries. Cir- culation 1986;74:964-972.
  • Beltrame JF, Limaye SB, Horowitz JD. The coronory slow phenomenon-a new coronary microvascular disorder. Car- diology 2002;97:197-202.
  • Pekdemir H, Cin VG, Cicek D, et al. Slow coronary flow may be a sign of diffuse atherosclerosis: Contribution of FFR and IVUS. Acta Cardiol 2004;59:127-133.
  • Turhan H, Saydam GS, Erbay AR, et al. Increased plasma soluble adhesion molecules; ICAM-1, VCAM-1, and E- selectin levels in patients with slow coronary flow. Int J Cardiol 2006;108:224-230.
  • Sezgin AT, Sigirci A, Barutcu I, et al. Vascular endothelial function in patients with slow coronary flow. Coron Artery Dis 2003;14:155-161.
  • Ari H, Ari S, Erdogan E, et al. The effects of endothelial dysfunction and inflammation on slow coronary flow. Arch Turk Soc Cardiol 2010;38:327-333.
  • Kalay N, Aytekin M, Kaya MG, et al. The relationship be- tween inflammation and slow coronary flow: increased red cell distribution width and serum uric acid levels. Arch Turk Soc Cardiol 2011;39:463-468.
  • Libby P, Ridker PM, Maseri A. Inflammation and atheroscl- rosis. Circulation 2002;105:1135-1143.
  • Pereira IA, Borba EF. The role of inflammation, humoral and cell mediated autoimmunity in the pathogenesis of ath- erosclerosis. Swiss Med Wkly 2008;138(37-38):534-539.
  • Ates AH, Canpolat U, Yorgun H, et al. Total white blood cell count is associated with the presence, severity and extent of coronary atherosclerosis detected by dual-source multislice computed tomographic coronary angiography. Cardiol J 2011;18:371-377.
  • Rasouli M, Nesarhosseini V, Kiasari AM, et al. The multi- plicative interactions of leukocyte counts with some other risk factors enhance the prognostic value for coronary ar- tery disease. Cardiol J 2011;18:246-253.
  • Gul M, Uyarel H, Ergelen M, et al. Predictive Value of Neu- trophil to Lymphocyte Ratio in Clinical Outcomes of Non- ST Elevation Myocardial Infarction and Unstable Angina Pectoris: A 3-Year Follow-Up. Clin Appl Thromb Hemost 2012 Nov 8. [Epub ahead of print]
  • Papa A, Emdin M, Passino C, et al. Predictive value of el- evated neutrophil-lymphocyte ratio on cardiac mortality in patients with stable coronary artery disease. Clin Chim Acta 2008;395:27-31.
  • Arbel Y, Finkelstein A, Halkin A, et al. Neutrophil/lym- phocyte ratio is related to the severity of coronary artery disease and clinical outcome in patients undergoing angi- ography. Atherosclerosis 2012;225:456-460.
  • Kaya H, Ertas F, Islamoglu Y, et al. Association between neutrophil to lymphocyte ratio and severity of coronary ar- tery disease. Clin Appl Thromb Hemost 2012 Jul 11. [Epub ahead of print]
  • Gibson CM, Cannon CP, Daley WL, et al. TIMI frame count: A quantitative method of assessing coronary artery flow. Circulation 1996;93:879-888.
  • Mangieri E, Macchiarelli G, Ciavolella M, et al. Slow coro- nary flow: clinical and histopathological features in patients with otherwise normal epicardial coronary arteries. Cathet Cardiovasc Diagn 1996;37:375-381.
  • Yazici M, Demircan S, Durna K, et al. The role of adrener- gic activity in slow flow coronary flow and its relationship to TIMI frame count. Angiology 2007;58:393-400.
  • Kurtoglu N, Akcay A, Dindar I. Usefulness of oral dipyri- damole therapy for angiographic slow coronary flow. Am J Cardiol 2001;87:777-779.
  • De Bruyne B, Hersbach F, Pijls NH, et al. Abnormal epi- cardial coronary resistance in patients with diffuse athero- sclerosis but “normal” coronary angiography. Circulation 2001;104:2401-2406.
  • Camsari A, Ozcan T, Ozer C, et al. Carotid artery intima- media thickness correlates with intravascular ultrasound parameters in patients with slow coronary flow. Atheroscle- rosis 2008;200:310-314.
  • Ross R. Atherosclerosis - an inflammatory disease. N Engl J Med 1999;340:115-126.
  • Hoffman M, Blum A, Baruch R, et al. Leukocytes and coro- nary heart disease. Atherosclerosis 2004;172:1-6.
  • Horne BD, Anderson JL, John JM, et al. Intermountain Heart Collaborative Study Group. Which white blood cell subtypes predict increased cardiovascular risk? J Am Coll Cardiol 2005;45:1638-1643.
  • Cil H, Islamoglu Y, Yavuz C, et al. Association between neutrophil/lymphocyte ratio and coronary collateral circu- lation. J Clin Exp Invest 2012;3:29-32.
  • Isik T, Ayhan E, Uyarel H, et al. Association of neutrophil to lymphocyte ratio with presence of isolated coronary artery ectasia. Arch Turk Soc Cardiol 2013;41:123-130.
  • Brown DW, Giles WH, Croft JB. White blood cell count: an independent predictor of coronary heart disease mortality among a national cohort. J Clin Epidemiol 2001;54:316- 322.
  • Cingoz F, Iyisoy A, Demirkol S, et al. Carotid intima- media thickness in patients with slow coronary flow and ıts association with neutrophil-to-lymphocyte ratio: a pre- liminary report. Clin Appl Thromb Hemost 2013. (DOI: 10.1177/1076029613485283)
  • Dogan M, Akyel A, Cimen T, et al. Relationship be- tween neutrophil to lymphocyte ratio and slow coro- nary flow. Clin Appl Thromb Hemost 2013. (DOI: 10.1177/1076029613498814)
There are 30 citations in total.

Details

Primary Language Turkish
Journal Section Research Articles
Authors

Mehmet Ertürk This is me

Özgür Sürgit This is me

Ahmet Arif Yalçın This is me

Fatih Uzun This is me

Özgür Akgül This is me

Muhammet Gürdoğan This is me

İbrahim Faruk Aktürk This is me

Ender Öner This is me

Ali Birant This is me

Abdurrahman Eksik This is me

Publication Date December 1, 2013
Submission Date March 2, 2015
Published in Issue Year 2013

Cite

APA Ertürk, M., Sürgit, Ö., Yalçın, A. A., Uzun, F., et al. (2013). Nötrofil/Lenfosit oranı ile yavaş koroner akım arasındaki ilişkinin incelenmesi. Dicle Tıp Dergisi, 40(4), 537-542. https://doi.org/10.5798/diclemedj.0921.2013.04.0329
AMA Ertürk M, Sürgit Ö, Yalçın AA, Uzun F, Akgül Ö, Gürdoğan M, Aktürk İF, Öner E, Birant A, Eksik A. Nötrofil/Lenfosit oranı ile yavaş koroner akım arasındaki ilişkinin incelenmesi. diclemedj. December 2013;40(4):537-542. doi:10.5798/diclemedj.0921.2013.04.0329
Chicago Ertürk, Mehmet, Özgür Sürgit, Ahmet Arif Yalçın, Fatih Uzun, Özgür Akgül, Muhammet Gürdoğan, İbrahim Faruk Aktürk, Ender Öner, Ali Birant, and Abdurrahman Eksik. “Nötrofil/Lenfosit Oranı Ile Yavaş Koroner akım arasındaki ilişkinin Incelenmesi”. Dicle Tıp Dergisi 40, no. 4 (December 2013): 537-42. https://doi.org/10.5798/diclemedj.0921.2013.04.0329.
EndNote Ertürk M, Sürgit Ö, Yalçın AA, Uzun F, Akgül Ö, Gürdoğan M, Aktürk İF, Öner E, Birant A, Eksik A (December 1, 2013) Nötrofil/Lenfosit oranı ile yavaş koroner akım arasındaki ilişkinin incelenmesi. Dicle Tıp Dergisi 40 4 537–542.
IEEE M. Ertürk, “Nötrofil/Lenfosit oranı ile yavaş koroner akım arasındaki ilişkinin incelenmesi”, diclemedj, vol. 40, no. 4, pp. 537–542, 2013, doi: 10.5798/diclemedj.0921.2013.04.0329.
ISNAD Ertürk, Mehmet et al. “Nötrofil/Lenfosit Oranı Ile Yavaş Koroner akım arasındaki ilişkinin Incelenmesi”. Dicle Tıp Dergisi 40/4 (December 2013), 537-542. https://doi.org/10.5798/diclemedj.0921.2013.04.0329.
JAMA Ertürk M, Sürgit Ö, Yalçın AA, Uzun F, Akgül Ö, Gürdoğan M, Aktürk İF, Öner E, Birant A, Eksik A. Nötrofil/Lenfosit oranı ile yavaş koroner akım arasındaki ilişkinin incelenmesi. diclemedj. 2013;40:537–542.
MLA Ertürk, Mehmet et al. “Nötrofil/Lenfosit Oranı Ile Yavaş Koroner akım arasındaki ilişkinin Incelenmesi”. Dicle Tıp Dergisi, vol. 40, no. 4, 2013, pp. 537-42, doi:10.5798/diclemedj.0921.2013.04.0329.
Vancouver Ertürk M, Sürgit Ö, Yalçın AA, Uzun F, Akgül Ö, Gürdoğan M, Aktürk İF, Öner E, Birant A, Eksik A. Nötrofil/Lenfosit oranı ile yavaş koroner akım arasındaki ilişkinin incelenmesi. diclemedj. 2013;40(4):537-42.