Novel predictors of infarct-related artery patency for ST-segment elevation myocardial infarction: Platelet-to-lymphocyte ratio, uric acid, and neutrophil-to-lymphocyte ratio
 
Yazarlar (15)
Prof. Dr. Halit Acet Dicle Üniversitesi, Türkiye
Prof. Dr. Faruk Ertaş Dicle Üniversitesi, Türkiye
Prof. Dr. Mehmet Ata Akıl Dicle Üniversitesi, Türkiye
Doç. Dr. Ferhat Özyurtlu Dicle Üniversitesi, Türkiye
Prof. Dr. Abdulkadir YILDIZ Dicle Üniversitesi, Türkiye
Prof. Dr. Nihat Polat Dicle Üniversitesi, Türkiye
Prof. Dr. Mehmet Zihni Bilik Dicle Üniversitesi, Türkiye
Prof. Dr. Mesut Aydin Dicle Üniversitesi, Türkiye
Prof. Dr. Mustafa Oylumlu Dicle Üniversitesi, Türkiye
Dr. Öğr. Üyesi Hasan Kaya Dicle Üniversitesi, Türkiye
Doç. Dr. Murat Yüksel Dicle Üniversitesi, Türkiye
Abdurrahman Akyuz
Dicle Üniversitesi, Türkiye
Hilal Ayçiçek
Dicle Üniversitesi, Türkiye
Sait Alan
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 Anadolu Kardiyoloji Dergisi
Dergi ISSN 1302-8723
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce Basım Tarihi 08-2015
Cilt / Sayı / Sayfa 15 / 8 / 648–656 DOI 10.5152/akd.2014.5592
Makale Linki https://www.journalagent.com/anatoljcardiol/pdfs/AnatolJCardiol_15_8_648_656.pdf
UAK Araştırma Alanları
Kardiyoloji
Özet
Objective: The neutrophil/lymphocyte ratio (NLR), the platelet/lymphocyte ratio (PLR), and uric acid (UA) are inflammatory markers in cardiovascular disease. However, there are not enough data on infarct-related artery (IRA) patency in ST-segment elevation myocardial infarction (STEMI). We aimed to investigate the association of NLR, PLR, and UA with IRA patency before percutaneous coronary intervention (PCI) in STEMI. Methods: The study was designed as a retrospective study. Three hundred and twenty-four consecutive patients with STEMI were divided into two groups according to pre-PCI Thrombolysis in Myocardial Infarction flow grade (TIMI). Patients with a TIMI flow grade of into the spontaneous reperfusion (SR) group, while patients with TIMI flow grade of 0, 1 and 2 were placed into the non-SR group. The χ2 and independentsamples t-test, Mann-Whitney U test, multivariate logistic regression analysis, and receiver-operator characteristic (ROC) curve analysis were used for the statistical analysis. Results: PLR, NLR, and UA values in the SR group were lower than in the non-SR group (p<0.004, p<0.001, p<0.001, respectively). In the multivariate analysis, serum UA level and PLR were found to be independent predictors of pre-PCI IRA patency. In the ROC curve analysis, PLR >190, UA>5.75 mg/dL, and NLR>4.2 predicted non-SR. The sensitivity and specificity of the association between low IRA TIMI flow grade and PLR were 88% and 84%, 72% and 66% for UA, and 74% and 44% for NLR, respectively. Conclusion: We determined that PLR and UA are novel predictors of IRA patency before PCI. We suggest that PLR and UA may be used in riskstratifying STEMI.
Anahtar Kelimeler
Acute myocardial infarction | Coronary angiography | Infarctrelated artery patency | Neutrophil-to-lymphocyte ratio | Platelet-to-lymphocyte ratio | Uric acid