Relationship Between Systemic Inflammation Index and No-Reflow Phenomenon in Patients With ST-Segment Elevation Myocardial Infarction

Çelik M. C., Karayiğit O., Ozkan C., Dolu A. K., Kalçık M.

Angiology, cilt.74, sa.4, ss.387-394, 2023 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 74 Sayı: 4
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1177/00033197221115562
  • Dergi Adı: Angiology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, CINAHL, EMBASE, Food Science & Technology Abstracts, MEDLINE
  • Sayfa Sayıları: ss.387-394
  • Anahtar Kelimeler: neutrophil-lymphocyte ratio, no-reflow phenomenon, platelet-lymphocyte ratio, systemic inflammation index, ST-segment elevation myocardial infarction, LYMPHOCYTE RATIO, PREDICTS PROGNOSIS, NEUTROPHIL, STENOSIS
  • Atatürk Üniversitesi Adresli: Hayır

Özet

© The Author(s) 2022.This study aimed to evaluate the relationship between no-reflow phenomenon and systemic inflammation index (SII) and to compare the predictive capacity of SII together with the neutrophil–lymphocyte ratio (NLR), and the platelet–lymphocyte ratio (PLR) in patients with ST-elevation myocardial infarction (STEMI). A total of 785 patients were included. The thrombolysis in myocardial infarction (TIMI) flow degree has been used to describe the no-reflow phenomenon. The study population was divided into two groups regarding the presence of no-reflow phenomenon including 110 patients with no-reflow (TIMI frame count 0-2) and 675 patients without no-reflow (TIMI frame count 3). The NLR [6.6 (4.6-11.6) vs 3.2 (2.0-5.3); P <.001], PLR [175 (121.3-220) vs 102.6 (76.1-150.1); P <.001] and SII [1921(1225-2906) vs 738.5 (450.5-1293); P <.001] were significantly higher in the no-reflow group. High NLR (OR: 1.078, 95%CI: 1.027-1.397; P =.021), PLR (OR: 1.009, 95%CI: 1.003-1.021; P =.041) and SII (OR: 1.216, 95%CI: 1.106-1.942; P =.004) were found to be independently associated with no-reflow phenomenon. The comparison of the receiver-operating characteristic curves showed that area under the curve of SII was greater than that of NLR (.789 vs.766, P =.007) and PLR (.789 vs.759, P =.048). SII levels may predict no-reflow phenomenon better than NLR and PLR.