Platelet-to-lymphocyte ratio is a predictor of long-term mortality in patients with acute coronary syndrome
Yazarlar (8)
Mustafa Oylumlu Dicle Üniversitesi, Türkiye
Muhammed Oylumlu Dicle Üniversitesi, Türkiye
Bayram Arslan Dicle Üniversitesi, Türkiye
Nihat Polat Dicle Üniversitesi, Türkiye
Mehmet Özbek Dicle Üniversitesi, Türkiye
Muhammed Demir Dicle Üniversitesi, Türkiye
Prof. Dr. Abdulkadir YILDIZ Dicle Üniversitesi, Türkiye
Nizamettin Toprak Dicle Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı Postepy W Kardiologii Interwencyjnej
Dergi ISSN 1734-9338 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce Basım Tarihi 01-2020
Cilt / Sayı / Sayfa 16 / 2 / 170–176 DOI 10.5114/aic.2020.95859
Makale Linki https://www.termedia.pl/doi/10.5114/aic.2020.95859
Özet
Introduction: Atherosclerosis is a chronic inflammatory process and inflammation is an important component of acute coronary syndrome (ACS). Platelet-to-lymphocyte ratio (PLR) is a useful parameter showing the degree of the inflammatory response. Aim: To explore the association between PLR and long-term mortality in patients with ACS. Material and methods: A total of 538 patients who had a diagnosis of ACS between January 2012 and August 2013 were followed up to 60 months. On admission, blood sampling to calculate PLR and detailed clinical data were obtained. Results: In total, 538 patients with a mean age of 61.5 ±13.1 years (69% male) were enrolled in the study. Median follow-up was 79 months (IQR: 74–83 months). Patients were divided into 3 tertiles based on PLR levels. Five-year mortality of the patients was significantly higher among patients in the upper PLR tertile when compared with the lower and middle PLR tertile groups (55 (30.7%) vs. 27 (15.0%) and 34 (19.0%); p < 0.001, p = 0.010 respectively). In the Cox regression analysis, a high level of PLR was an independent predictor of 5-year mortality (OR = 1.005, 95% CI: 1.001–1.008, p = 0.004). Kaplan-Meier analysis according to the long-term mortality-free survival revealed the higher occurrence of mortality in the third PLR tertile group compared to the first (p < 0.001) and second tertiles (p = 0.009). Conclusions: PLR, which is an easily calculated and universally available marker, may be useful in long-term risk classification of patients presenting with ACS.
Anahtar Kelimeler
Acute coronary syndrome | Coronary heart disease | Long-term mortality | Platelet-to-lymphocyte ratio
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
Web of Science 13
Scopus 16
Platelet-to-lymphocyte ratio is a predictor of long-term mortality in patients with acute coronary syndrome

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