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Systemic immune-inflammation index is a novel marker to predict functionally significant coronary artery stenosis

    Mehmet Erdoğan

    *Author for correspondence: Tel.: +90 312 552 6000; Fax: +90 312 552 6000;

    E-mail Address: mhmterdogan@windowslive.com

    Department of Cardiology, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara 06830, Turkey

    Department of Cardiology, Ankara Bilkent City Hospital, University of Health Sciences, Ankara 06800, Turkey

    ,
    Mehmet A Erdöl

    Department of Cardiology, Ankara Bilkent City Hospital, University of Health Sciences, Ankara 06800, Turkey

    ,
    Selçuk Öztürk

    Department of Cardiology, Faculty of Medicine, Bozok University, Yozgat 66900, Turkey

    &
    Tahir Durmaz

    Department of Cardiology, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara 06830, Turkey

    Department of Cardiology, Ankara Bilkent City Hospital, University of Health Sciences, Ankara 06800, Turkey

    Published Online:https://doi.org/10.2217/bmm-2020-0274

    Aim: The study aimed to investigate and compare the predictive capacity of a systemic immune-inflammation index (SII), neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) to determine a hemodynamically significant coronary artery stenosis assessed by fractional flow reserve (FFR). Patients & methods: A total of 207 chronic coronary syndrome patients with FFR measurement were enrolled in the study. NLR, PLR and SII levels were calculated. Results: The cut-off value of the SII (620) was associated with 78.4% sensitivity and 64.0% specificity to predict a hemodynamically significant stenosis. SII level independently predicted FFR ≤0.80. Conclusion: SII is an independent predictor of functionally significant coronary stenosis detected by FFR in chronic coronary syndrome patients. SII levels can predict hemodynamically severe obstruction better than NLR and PLR.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

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