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Correlation Between the Severity of Coronary Artery Ectasia and Monocyte/Lymphocyte, Platelet/Lymphocyte, and HDL/LDL
Emre Ozdemir1, Ozgen Safak2, Mert Pehlivan AltIn1
1Cardiology Clinic, Izmir Katip Çelebi University, Ataturk Education and Research Hospital, Izmir, Turkey.
Insights
The monocyte/lymphocyte and platelet/lymphocyte ratios correlate with coronary artery ectasia (CE) severity. These ratios can aid in evaluating follow-up and treatment success for CE patients.
Area of Science:
- Cardiology
- Biomarkers
- Vascular Disease
Background:
- Coronary artery ectasia (CE) is often overlooked compared to coronary stenosis.
- Effective markers for assessing CE severity are needed for patient management.
Purpose of the Study:
- To evaluate the efficacy of monocyte/lymphocyte, platelet/lymphocyte, and HDL/LDL ratios as indicators of coronary artery ectasia severity.
Main Methods:
- A retrospective analysis of 7,923 coronary angiographs was conducted.
- Inclusion criteria focused on significant coronary artery dilatation (>1.5 times).
- Demographic data, CE type, clinical status, and specific blood ratios were collected.
Main Results:
- 206 cases (2.6%) of CE were identified, with a mean age of 61.4 years.
- A significant correlation was found between monocyte/lymphocyte ratio, platelet/lymphocyte ratio, and the degree of ectasia.
- Hypertension, hyperlipidemia, and smoking were common comorbidities.
Conclusions:
- The monocyte/lymphocyte ratio and platelet/lymphocyte ratio show consistency with CE severity.
- These inflammatory markers may prove valuable in monitoring CE progression and treatment outcomes.
- Increased clinical awareness and utilization of these ratios for CE evaluation are recommended.
Objective:
To evaluate the efficacy of the monocyte/lymphocyte, platelet/lymphocyte, and HDL/LDL ratios as markers of the severity of coronary artery ectasia(CE).
Study Design:
Cross-sectional study.
Place And Duration Of Study:
Department of Cardiology, Izmir Katip Celebi University and Balikesir University, Turkey, from January 2017 to October 2018.
Methodology:
A total of 7,923 coronary angiographs were retrospectively scanned. Inclusion criteria was >1.5 times dilatated of native coronary artery segment. Exclusion criteria was <1.5 times or no dilatation of native coronary segment compared with normal coronary segment. Demographic features, CE type, clinic status, monocyte/lymphocyte, platelet/ lymphocyte and HDL/LDL ratios are collected.
Results:
Two hundred and six (2.6%) cases were identified, which had a mean age of 61.4 ±11.4 years. The male to female ratio was 3:1; and 46% of the patients presented with unstable angina. The prevalence of CE was 2.6%; and 118 (57.2%) patients had non-obstructive coronary artery disease. Hypertension, hyperlipidemia and smoking were the most commonly seen disorders. Markis Type 4 was the most common type of CE determined. A statistically significant correlation was determined among the monocyte/lymphocyte ratio, platelet/lymphocyte ratio, and the increased diameter of ectasia of the vessel.
Conclusion:
Although there should be awareness of CE, many clinicians do not pay as much attention to CE as to coronary stenosis. The results of this study showed that the monocyte/lymphocyte ratio and platelet/lymphocyte ratio are consistent with the ectasia severity. This correlation will be useful for the evaluation of follow-up and treatment success in patients with CE.
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