Association of neutrophil to lymphocyte ratio (NLR) with angiographic SYNTAX score in patients with non-ST-Segment elevation acute coronary syndrome (NSTE-ACS)
Association of neutrophil to lymphocyte ratio (NLR) with angiographic SYNTAX score in patients with non-ST-Segment elevation acute coronary syndrome (NSTE-ACS)
نویسندگان: مهدی ملکی , آرزو تجلیل , احمد سپرهم , بهرام سهرابی ممقانی , ندا روشن روان , ناصر اصلان آبادی , فریما نجاریان , سینا مشایخی , صمد غفاری باویل
کلمات کلیدی: Acute Coronary Syndrome, Neutrophil, Lymphocyte, NLR, Inflammation, Coronary Artery Diseases, SYNTAX Score, TIMI Risk Score, Myocardial Infarction
نشریه: 42207 , 3 , 13 , 2021
| نویسنده ثبت کننده مقاله |
صمد غفاری باویل |
| مرحله جاری مقاله |
تایید نهایی |
| دانشکده/مرکز مربوطه |
مرکز تحقیقات قلب وعروق |
| کد مقاله |
77836 |
| عنوان فارسی مقاله |
Association of neutrophil to lymphocyte ratio (NLR) with angiographic SYNTAX score in patients with non-ST-Segment elevation acute coronary syndrome (NSTE-ACS) |
| عنوان لاتین مقاله |
Association of neutrophil to lymphocyte ratio (NLR) with angiographic SYNTAX score in patients with non-ST-Segment elevation acute coronary syndrome (NSTE-ACS) |
| ناشر |
10 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ |
خیر |
| عنوان نشریه (خارج از لیست فوق) |
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| نوع مقاله |
Original Article |
| نحوه ایندکس شدن مقاله |
ایندکس شده سطح دو – PubMed |
| آدرس لینک مقاله/ همایش در شبکه اینترنت |
|
| Introduction: Considering the role of inflammation in pathogenesis of atherosclerosis, we aimed to
investigate the association of presentation neutrophil to lymphocyte ratio (NLR) with complexity
of coronary artery lesions determined by SYNTAX score in patients with non-ST-elevation acute
coronary syndrome (NSTE-ACS).
Methods: From March 2018 to March 2019, we recruited 202 consecutive patients, who were
hospitalized for NSTE-ACS and had undergone percutaneous coronary intervention in our hospital.
The association of presentation NLR with SYNTAX score was determined in univariate and multivariate
linear regression analysis.
Results: Higher NLR was significantly associated with higher SYNTAX score (beta = 0.162, P = 0.021).
In addition, older age, having hypertension, higher TIMI score, and lower ejection fraction on
echocardiographic examination were significantly associated with higher SYNTAX score. TIMI score
had the largest beta coefficient among the studied variables (TIMI score beta = 0.302, P < 0.001). In
two separate multivariate linear regression models, we assessed the unique contribution of NLR in
predicting SYNTAX score in patients with NSTE-ACS. In the first model, NLR was significantly
contributed to predicting SYNTAX score after adjustment for age, sex, and hypertension as covariates
available on patient presentation (beta = 0.142, P = 0.040). In the second model, NLR was not an
independent predictor of SYNTAX score after adjustment for TIMI score (beta = 0.121, P = 0.076).
Conclusion: In NSTE-ACS, presentation NLR is associated with SYNTAX score. However, NLR does
not contribute significantly to the prediction of SYNTAX score after adjustment for TIMI score. TIMI
risk score might be a better predictor of the SYNTAX score in comparison to NLR. |
| نام فایل |
تاریخ درج فایل |
اندازه فایل |
دانلود |
| jcvtr-13-216-1.pdf | 1400/10/25 | 364849 | دانلود |