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Association between neutrophil/lymphocyte ratio and coronary collateral circulation

Year 2012, Volume: 3 Issue: 1, 29 - 32, 01.03.2012
https://doi.org/10.5799/ahinjs.01.2012.01.0106

Abstract

Objectives: To investigate relation between neutrophil/lymphocyte ratio and coronary collateral flow. Material and methods: Eighty-two patients admitted Dicle University Medical Faculty Hospital Cardiology Department with diagnosis of coronary artery disease and detected significant stenosis or occlusion at least one of the coronary arteries, were included to study. Age, sex, presence of diabetes mellitus and hypertension, acute/stable coronary disease, body mass index, neutrophil/lymphocyte ratio, white blood count, Rentrop scores and number of diseased vessel were recorded. Results: Well-developed coronary collateral circulation was found in 33 of the patients. Forty-nine patients had poor coronary collateral circulation. Mean age, sex, body mass index, presence of diabetes mellitus and hypertension were similar in two groups. Mean neutrophil/lymphocyte ratio was lower in well-developed coronary collateral circulation group than poor coronary collateral circulation group, but there was no significant differences (2.78 vs 2.89, p=0.12). Conclusions: There was no association between neutron/hil lymphocyte ratio and coronary collateral circulation according to our data.

References

  • Billinger M, Kloos P, Eberli F, Windecker S, Meier B, Seiler C. Physiologically assessed coronary collateral flow and adverse cardiac ischemic events: a follow-up study in 403 patients with coronary artery disease. J Am Coll Cardiol 2002;40(9):1545-50.
  • Buschmann I, Schaper W. The pathophysiology of the collateral circulation (arteriogenesis). J Pathol 2000; 190(3): 338-42.
  • Pohl T, Seiler C, Billinger M, Herren E, Wustmann K, Mehta H et al. Frequency distribution of collateral flow and factors influencing collateral channel develop- ment. Functional collateral channel measurement in 450 patients with coronary artery disease. J Am Coll Cardiol 2001; 38(7): 1872-8.
  • Kerner A, Gruberg L, Goldberg A, et al. Relation of C- reactive protein to coronary collaterals in patients with stable angina pectoris and coronary artery disease. Am J Cardiol 2007;99(4):509–512.
  • 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(10):1638 –1643.
  • Tamhane UU, Aneja S, Montgomery D, Rogers EK, Eagle KA, Gurm HS. Association between admis- sion neutrophil to lymphocyte ratio and outcomes in patients with acute coronary syndrome. Am J Cardiol 2008;102(6):653– 657.
  • Uthamalingam S, Patvardhan EA., Subramanian S et al. Utility of the Neutrophil to Lymphocyte Ratio in PredictingLong-Term Outcomes in Acute Decompen- sated Heart Failure. Am J Cardiol 2011;107(3):433-8.
  • Papa A, Emdin M, Passino C, Michelassi C, Battaglia D, Cocci F. Predictive value of elevated neutrophil- lymphocyte ratio on cardiac mortality in patients with stable coronary artery disease.Clin Chim Acta 2008; 395(1-2): 27–31.
  • Rentrop KP, Cohen M, Blanke H, Phillips RA. Changes in collateral channel filling immediately after controlled coronary artery occlusion by an angioplasty balloon in human subjects. J Am Coll Cardiol 1985; 5(3): 587-92.
  • Elayda MA, Mathur VS, Hall RJ, Massumi GA, Garcia E, de Castro CM. Collateral circulation in coronary ar- tery disease. Am J Cardiol 1985; 55(1): 58-60.
  • Chilian WM, Mass HJ, Williams SE, Layne SM, Smith EE, Scheel KW. Microvascular occlusions promote coronary collateral growth. Am J Physiol 1990; 258(4 Pt 2): H1103-1.
  • Glasser SP, Selwyn AP, Ganz P. Atherosclerosis: risk factors and the vascular endothelium. Am Heart J 1996; 131(2): 379-84.
  • Schaper W, Sharma HS, Quinkler W, Markert T, Wünsch M, Schaper J. Molecular biologic concepts of coronary anastomoses. J Am Coll Cardiol 1990; 15(3): 513-8.
  • Libby P. Molecular basis of the acute coronary syn- dromes. Circulation 1995;91(11):2844-52.
  • Falk E, Shah P, Fuster V. Coronary plaque disruption. Circulation 1995;92(3):657-71.
  • Boos CJ, Lip GY. Assessment of mean platelet vol- ume in coronary artery disease–what does it mean? Thromb Res 2007;120(1):11-3.
  • Dibra A, Mehilli J, Braun S et al. Association between C-reactive protein levels and subsequent cardiac events among patients with stable angina treated with coronary artery stenting. Am J Med 2003;114(9):715- 22.
  • Masoudkabir F, Karbalai S, Vasheqhani-Farahani A et al. The association of liver transaminase activity with presence and severity of premature coronary artery disease. Angiology 2011;62(8):614-9.
  • Gulec S, Ozdemir AO, Maradit-Kremers H, Dincer I, Atmaca Y, Erol C. Elevated levels of C-reactive pro- tein are associated with impaired coronary collateral development. Eur J Clin Invest 2006;36(6):369-75.
  • Kerner A, Gruberg L, Goldberg A et al. Relation of C-Reactive protein to coronary collaterals in patients with stable angina pectoris and coronary artery dis- ease. Am J Cardiol 2007;99(4):509-12.

Nötrofil/lenfosit oranı ile koroner kollateral dolaşım arasındaki ilişki

Year 2012, Volume: 3 Issue: 1, 29 - 32, 01.03.2012
https://doi.org/10.5799/ahinjs.01.2012.01.0106

Abstract

Amaç: Koroner kollateral dolaşım ile nötrofil/lenfosit oranı arasındaki ilişkiyi araştırmak. Gereç ve yöntem: Çalışmaya Dicle Üniversitesi Tıp Fakültesi Kardiyoloji kliniğine koroner arter hastalığı (akut koroner sendrom veya stabil angina pektoris) ön tanısıyla başvurup koroner anjiyografide en az bir damarında %70 den fazla darlık saptanan hastalar alındı. Tüm hastaların yaş, cinsiyet, diyabet ve hipertansiyonu varlığı, akut/stabil koroner sendrom varlığı, vücut kitle indeksi, nötrofil/lenfosit oranı, beyaz küre sayısı, Rentrop skoru, hastalıklı damar sayısı kaydedildi. Çalışmaya toplam 82 hasta alındı. Bulgular: Çalışmaya alınan hastalardan 33\'ünde iyi gelişmiş kollateral dolaşım saptanırken 49\'unda zayıf kollateral dolaşım saptandı. İki gurubun klinik özellikler yaş, cinsiyet, vücut kitle indeksi, hipertansiyon ve diyabet varlığı açısından benzer bulundu. İyi gelişmiş koroner kollateral dolaşım gurubunda ortalama NLO 2,78 iken zayıf kollateral dolaşım gurubunda 2,89 olarak saptandı. Ancak aradaki fark istatistiksel olarak anlamlı bulunmadı (p=0.12). Sonuç: Elde ettiğimiz verilerle nötrofil/lenfosit oranı ile iyi gelişmiş kollateral dolaşım arasında ilişki saptanmadı.

References

  • Billinger M, Kloos P, Eberli F, Windecker S, Meier B, Seiler C. Physiologically assessed coronary collateral flow and adverse cardiac ischemic events: a follow-up study in 403 patients with coronary artery disease. J Am Coll Cardiol 2002;40(9):1545-50.
  • Buschmann I, Schaper W. The pathophysiology of the collateral circulation (arteriogenesis). J Pathol 2000; 190(3): 338-42.
  • Pohl T, Seiler C, Billinger M, Herren E, Wustmann K, Mehta H et al. Frequency distribution of collateral flow and factors influencing collateral channel develop- ment. Functional collateral channel measurement in 450 patients with coronary artery disease. J Am Coll Cardiol 2001; 38(7): 1872-8.
  • Kerner A, Gruberg L, Goldberg A, et al. Relation of C- reactive protein to coronary collaterals in patients with stable angina pectoris and coronary artery disease. Am J Cardiol 2007;99(4):509–512.
  • 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(10):1638 –1643.
  • Tamhane UU, Aneja S, Montgomery D, Rogers EK, Eagle KA, Gurm HS. Association between admis- sion neutrophil to lymphocyte ratio and outcomes in patients with acute coronary syndrome. Am J Cardiol 2008;102(6):653– 657.
  • Uthamalingam S, Patvardhan EA., Subramanian S et al. Utility of the Neutrophil to Lymphocyte Ratio in PredictingLong-Term Outcomes in Acute Decompen- sated Heart Failure. Am J Cardiol 2011;107(3):433-8.
  • Papa A, Emdin M, Passino C, Michelassi C, Battaglia D, Cocci F. Predictive value of elevated neutrophil- lymphocyte ratio on cardiac mortality in patients with stable coronary artery disease.Clin Chim Acta 2008; 395(1-2): 27–31.
  • Rentrop KP, Cohen M, Blanke H, Phillips RA. Changes in collateral channel filling immediately after controlled coronary artery occlusion by an angioplasty balloon in human subjects. J Am Coll Cardiol 1985; 5(3): 587-92.
  • Elayda MA, Mathur VS, Hall RJ, Massumi GA, Garcia E, de Castro CM. Collateral circulation in coronary ar- tery disease. Am J Cardiol 1985; 55(1): 58-60.
  • Chilian WM, Mass HJ, Williams SE, Layne SM, Smith EE, Scheel KW. Microvascular occlusions promote coronary collateral growth. Am J Physiol 1990; 258(4 Pt 2): H1103-1.
  • Glasser SP, Selwyn AP, Ganz P. Atherosclerosis: risk factors and the vascular endothelium. Am Heart J 1996; 131(2): 379-84.
  • Schaper W, Sharma HS, Quinkler W, Markert T, Wünsch M, Schaper J. Molecular biologic concepts of coronary anastomoses. J Am Coll Cardiol 1990; 15(3): 513-8.
  • Libby P. Molecular basis of the acute coronary syn- dromes. Circulation 1995;91(11):2844-52.
  • Falk E, Shah P, Fuster V. Coronary plaque disruption. Circulation 1995;92(3):657-71.
  • Boos CJ, Lip GY. Assessment of mean platelet vol- ume in coronary artery disease–what does it mean? Thromb Res 2007;120(1):11-3.
  • Dibra A, Mehilli J, Braun S et al. Association between C-reactive protein levels and subsequent cardiac events among patients with stable angina treated with coronary artery stenting. Am J Med 2003;114(9):715- 22.
  • Masoudkabir F, Karbalai S, Vasheqhani-Farahani A et al. The association of liver transaminase activity with presence and severity of premature coronary artery disease. Angiology 2011;62(8):614-9.
  • Gulec S, Ozdemir AO, Maradit-Kremers H, Dincer I, Atmaca Y, Erol C. Elevated levels of C-reactive pro- tein are associated with impaired coronary collateral development. Eur J Clin Invest 2006;36(6):369-75.
  • Kerner A, Gruberg L, Goldberg A et al. Relation of C-Reactive protein to coronary collaterals in patients with stable angina pectoris and coronary artery dis- ease. Am J Cardiol 2007;99(4):509-12.
There are 20 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Habib Çil This is me

Yahya İslamoğlu This is me

Celal Yavuz This is me

Zuhal Arıtürk Atılgan This is me

Ahmet Çalışkan This is me

Sinan Demirtaş This is me

Mustafa Oylumlu This is me

Publication Date March 1, 2012
Published in Issue Year 2012 Volume: 3 Issue: 1

Cite

APA Çil, H., İslamoğlu, Y., Yavuz, C., Atılgan, Z. A., et al. (2012). Nötrofil/lenfosit oranı ile koroner kollateral dolaşım arasındaki ilişki. Journal of Clinical and Experimental Investigations, 3(1), 29-32. https://doi.org/10.5799/ahinjs.01.2012.01.0106
AMA Çil H, İslamoğlu Y, Yavuz C, Atılgan ZA, Çalışkan A, Demirtaş S, Oylumlu M. Nötrofil/lenfosit oranı ile koroner kollateral dolaşım arasındaki ilişki. J Clin Exp Invest. March 2012;3(1):29-32. doi:10.5799/ahinjs.01.2012.01.0106
Chicago Çil, Habib, Yahya İslamoğlu, Celal Yavuz, Zuhal Arıtürk Atılgan, Ahmet Çalışkan, Sinan Demirtaş, and Mustafa Oylumlu. “Nötrofil/Lenfosit Oranı Ile Koroner Kollateral dolaşım arasındaki ilişki”. Journal of Clinical and Experimental Investigations 3, no. 1 (March 2012): 29-32. https://doi.org/10.5799/ahinjs.01.2012.01.0106.
EndNote Çil H, İslamoğlu Y, Yavuz C, Atılgan ZA, Çalışkan A, Demirtaş S, Oylumlu M (March 1, 2012) Nötrofil/lenfosit oranı ile koroner kollateral dolaşım arasındaki ilişki. Journal of Clinical and Experimental Investigations 3 1 29–32.
IEEE H. Çil, “Nötrofil/lenfosit oranı ile koroner kollateral dolaşım arasındaki ilişki”, J Clin Exp Invest, vol. 3, no. 1, pp. 29–32, 2012, doi: 10.5799/ahinjs.01.2012.01.0106.
ISNAD Çil, Habib et al. “Nötrofil/Lenfosit Oranı Ile Koroner Kollateral dolaşım arasındaki ilişki”. Journal of Clinical and Experimental Investigations 3/1 (March 2012), 29-32. https://doi.org/10.5799/ahinjs.01.2012.01.0106.
JAMA Çil H, İslamoğlu Y, Yavuz C, Atılgan ZA, Çalışkan A, Demirtaş S, Oylumlu M. Nötrofil/lenfosit oranı ile koroner kollateral dolaşım arasındaki ilişki. J Clin Exp Invest. 2012;3:29–32.
MLA Çil, Habib et al. “Nötrofil/Lenfosit Oranı Ile Koroner Kollateral dolaşım arasındaki ilişki”. Journal of Clinical and Experimental Investigations, vol. 3, no. 1, 2012, pp. 29-32, doi:10.5799/ahinjs.01.2012.01.0106.
Vancouver Çil H, İslamoğlu Y, Yavuz C, Atılgan ZA, Çalışkan A, Demirtaş S, Oylumlu M. Nötrofil/lenfosit oranı ile koroner kollateral dolaşım arasındaki ilişki. J Clin Exp Invest. 2012;3(1):29-32.