The Relationship between Coronary Collateral Circulation and Neutrophil/Lymphocyte Ratio in Patients with Coronary Chronic Total Occlusion

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dc.contributor.authorNacar, Alper Bugra
dc.contributor.authorErayman, Ali
dc.contributor.authorKurt, Mustafa
dc.contributor.authorBuyukkaya, Eyup
dc.contributor.authorKarakas, Mehmet Fatih
dc.contributor.authorAkcay, Adnan Burak
dc.contributor.authorBuyukkaya, Sule
dc.date.accessioned2024-09-18T20:52:44Z
dc.date.available2024-09-18T20:52:44Z
dc.date.issued2015
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjectives: To investigate the relationship between neutrophil/lymphocyte ratio (NLR) and coronary collateral circulation (CCC) in patients with coronary chronic total occlusion. Subjects and Methods: Our study population consisted of 275 consecutive patients with chronic total occlusion. One hundred and thirty-eight patients with chronic total occlusion were included in the study. They were classified into 2 groups as follows: impaired CCC (group 1: Rentrop grades 0-1) and good CCC (group 2: Rentrop grades 2-3). The NLR was calculated from the complete blood count. Results: The NLR values of the patients with impaired CCC (4.5 +/- 0.7) were significantly higher than of those with good CCC (2.7 +/- 0.6, p < 0.001). In the multivariate logistic regression test, NLR (OR 33.36, 95% CI 8.189-135.7, p < 0.001), high-sensitivity C-reactive protein (hs-CRP; OR 2.152, 95% CI 1.226-3.777, p = 0.008), estimated glomerular filtration rate (OR 1.167, 95% CI 1.049-1.298, p = 0.004) and systolic blood pressure (OR 1.068, 95% CI 1.009-1.1310, p = 0.025) were independent predictors of impaired CCC. The NLR value > 3.55 yielded an area under the curve value of 0.957 (95% CI 0.921-0.992, p < 0.001) and demonstrated a sensitivity of 95% and a specificity of 90% for the prediction of CCC. A moderate correlation between NLR and hs-CRP was observed (r = 0.443; p < 0.001). Conclusion: Our findings reveal that NLR correlates with the impaired development of coronary collaterals. (C) 2014 S. Karger AG, Baselen_US
dc.identifier.doi10.1159/000365734
dc.identifier.endpage69en_US
dc.identifier.issn1011-7571
dc.identifier.issn1423-0151
dc.identifier.issue1en_US
dc.identifier.pmid25342010en_US
dc.identifier.scopus2-s2.0-84921439073en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage65en_US
dc.identifier.urihttps://doi.org/10.1159/000365734
dc.identifier.urihttps://hdl.handle.net/20.500.12483/11345
dc.identifier.volume24en_US
dc.identifier.wosWOS:000348061200011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKargeren_US
dc.relation.ispartofMedical Principles and Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectNeutrophil/lymphocyte ratioen_US
dc.subjectCoronary collateral circulationen_US
dc.subjectChronic total occlusionen_US
dc.titleThe Relationship between Coronary Collateral Circulation and Neutrophil/Lymphocyte Ratio in Patients with Coronary Chronic Total Occlusionen_US
dc.typeArticleen_US

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