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The relationship between gender and systemic immune-inflammation index in patients with new-onset essential
Emine Altuntas1, Sükrü Cetın1, Songül Usalp1
1Department of Cardiology, Sancaktepe Sehit Prof Dr Ilhan Varank Education and Research Hospital, Istanbul, Turkey.
Insights
The systemic immune-inflammation index (SII) is higher in women with hypertension and correlates with age. This finding may help improve survival rates in hypertensive women with cardiovascular diseases.
Area of Science:
- Cardiovascular Medicine
- Immunology
- Gerontology
Background:
- The systemic immune-inflammation index (SII) shows prognostic value in cardiovascular diseases and cancers.
- Hypertension is a major risk factor for cardiovascular morbidity and mortality.
Purpose of the Study:
- To investigate the association between SII and gender and age in newly diagnosed, treatment-naïve hypertensive patients.
- To explore the potential of SII as a biomarker in hypertension management.
Main Methods:
- A retrospective study of 153 newly diagnosed, treatment-naïve hypertensive patients (93 men, 60 women).
- Calculation of SII using the formula: SII = (platelet count × neutrophil count) / lymphocyte count.
- Analysis of SII levels in relation to gender and age.
Main Results:
- SII was significantly higher in women than in men (546.31 vs. 385, p=0.003).
- SII showed a positive correlation with age.
- A specific SII cut-off value was identified for predicting new-onset essential hypertension in women with 67.6% sensitivity and 67.2% specificity.
Conclusions:
- The study suggests a potential role for SII in differentiating hypertensive individuals based on gender and age.
- Elevated SII in women may indicate increased inflammation and could be a marker for cardiovascular risk.
- The findings support considering SII for improving survival rates in hypertensive women with cardiovascular diseases.
Aim:
The systemic immune-inflammation index (SII) has been reported to have a prognostic ability in various cardiovascular diseases and tumours. In this study, we aimed to investigate whether there was an association between SII and gender and age in newly diagnosed, treatment-naïve, hypertensive patients.
Methods:
A total of 153 participants, of whom 93 were men and 60 were women, were included in this retrospective study. Retrospective evaluation of the patients was performed using electronic medical records. The SII was calculated according to the following formula at admission: SII = platelet × neutrophil/lymphocyte counts.
Results:
The SII was significantly higher in women compared to men (546.31 vs 385, respectively, p = 0.003) and was positively correlated with age. The receiver operating characteristic curve shows the SII cut-off value predicting new-onset essential hypertension with a sensitivity of 67.6% and a specificity of 67.2% in women.
Conclusions:
According to these results, using the SII in cardiovascular diseases may be recommended to increase survival rate in hypertensive women.
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