Association of neutrophil/lymphocyte ratio with plaque morphology in patients with asymptomatic intermediate carotid artery stenosis

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dc.authorid0000-0003-1919-3183
dc.contributor.authorYüksel, İsa Öner
dc.contributor.authorKöklü, Erkan
dc.contributor.authorArslan, Şakir
dc.contributor.authorÇağırcı, Göksel
dc.contributor.authorGöksü Özaydın, Eylem
dc.contributor.authorKoç, Pınar
dc.contributor.authorÇay, Serkan
dc.contributor.authorKızılırmak, Filiz
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T20:01:37Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T20:01:37Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.descriptionWOS: 000384706100016
dc.descriptionPubMed ID: 27721862
dc.description.abstractBackground and Objectives: Non-calcified carotid plaques are more unstable than calcified plaques; and they are associated with a higher risk of rupture, thromboembolism, and consequently, stroke. The purpose of the present study is to compare calcified and non-calcified plaques that cause intermediate carotid artery stenosis with respect to neutrophil/lymphocyte ratio (NLR). Subjects and Methods: A total number of 139 asymptomatic patients with 50-70% stenosis of the carotid artery were included in this study. Carotid Doppler ultrasound imaging and computed tomography angiography were performed to divide the carotid artery plaques into two groups as calcified and non-calcified. Patients included in the calcified (n=73)and non-calcified (n=66) plaque groups were compared with respect to total neutrophil count, lymphocyte count and NLR. Results: Total lymphocyte count was statistically significantly lower in the non-calcified plaque group compared to the calcified plaque group (total lymphocyte count in non-calcified/calcified plaque groups [10(3)/mm(3)]: 2.1/2.3, respectively) (p=0.002). NLR was statistically significantly higher in the non-calcified plaque group compared to the calcified plaque group (NLR in non-calcified/calcified plaque groups: 2.6/2.1, respectively) (p<0.001). The cut-off value for NLR was found to be >2.54. Multivariate regression analysis showed that NLR was independently associated with non-calcified carotid artery plaques (odds ratio 5.686, 95% CI 2.498-12.944, p<0.001). Conclusions: NLR is increased in the presence of non-calcified carotid artery plaques that cause asymptomatic intermediate stenosis. Increased NLR can be used as a marker to assess the risk of rupture of non-calcified carotid artery plaques.
dc.identifier.citationYüksel, İ. Ö., Köklü, E., Arslan, Ş., Çağırcı, G., Göksü Özaydın, E., Koç, P. ... Kızılırmak, F. (2016). Association of neutrophil/lymphocyte ratio with plaque morphology in patients with asymptomatic intermediate carotid artery stenosis. Korean Circulation Journal, 46(5), 699-705. https://dx.doi.org/10.4070/kcj.2016.46.5.699
dc.identifier.doi10.4070/kcj.2016.46.5.699
dc.identifier.endpage705
dc.identifier.issn1738-5520
dc.identifier.issn1738-5555
dc.identifier.issue5
dc.identifier.scopusqualityQ2
dc.identifier.startpage699
dc.identifier.urihttps://dx.doi.org/10.4070/kcj.2016.46.5.699
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3366
dc.identifier.volume46
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKorean Soc Cardiology
dc.relation.ispartofKorean Circulation Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 3.0 Unported*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/*
dc.subjectAtherosclerosis
dc.subjectCarotid Artery Stenosis
dc.subjectNeutrophil Lymphocyte Ratio
dc.subjectAtherosclerotic Plaque
dc.subjectStroke
dc.titleAssociation of neutrophil/lymphocyte ratio with plaque morphology in patients with asymptomatic intermediate carotid artery stenosis
dc.typeArticle

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