Evaluation of Neutrophil To Lymphocyte Ratio As An İndicator of Presence of Coronary Artery Disease in Diabetic Patients
Yazarlar (5)
Doç. Dr. Şafak ŞAHİN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Savaş Sarıkaya
Bozok Üniversitesi, Türkiye
Lütfi Akyol
Ondokuz Mayıs Üniversitesi, Türkiye
Fatih Altunkaş
Gaziosmanpaşa Üniversitesi, Türkiye
Doç. Dr. Kayıhan KARAMAN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Makale Türü Özgün Makale (Diğer hakemli uluslarası dergilerde yayınlanan tam makale)
Dergi Adı National Journal Of Medical Research
Dergi ISSN 2277-8810
Dergi Tarandığı Indeksler Index Copernicus International
Makale Dili İngilizce Basım Tarihi 09-2013
Cilt / Sayı / Sayfa 3 / 4 / 300–303 DOI
Makale Linki http://www.scopemed.org/?mno=45589
UAK Araştırma Alanları
İç Hastalıkları
Özet
Introduction: Cardiovascular disease (CVD) is the leading cause of death in type 2 diabetes mellitus (DM). DM is a substantial risk factor in atherosclerotic cardiovascular disease. We aimed to investigate relationship between the presence of established neutrophil to lymphocyte ratio (NLR) and coronary artery disease (CAD) in DM.Methods: 104 diabetic patients who had coronary lesion with a diameter stenosis of at least 50% and 64 diabetic patients who had normal coronary anatomy matched with age and sex were retrospectively selected and classified CAD (+) and CAD (-) group respectively. Baseline NLR in two groups was compared.Results: NLR was higher in CAD (+) group compared to group without CAD (-)(2.69±1.74 vs. 1.98±. 85, p< 0.001). C reactive protein (CRP) was higher in CAD (+) group compared to group without CAD (-)(1.71±99 vs. 1.38±. 99 p= 0.02). Multivariate analysis indicated CRP and NLR were an independent indicator of presence of CAD in diabetic patients (Odds ratio: 1.405,% CI: 1.035-1.908, p= 0.029 and odds ratio: 1.759,% CI: 1.226-2.525, p= 0.002 respectively).Conclusion: NLR was higher in diabetic patients with angiographically proven CAD compared to those without CAD. NLR may be a useful marker to predict the presence of CAD in type 2 diabetic patients.
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