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논문 기본 정보

자료유형
학술저널
저자정보
İsa Öner Yüksel (Antalya Education and Research Hospital) Erkan Köklü (Antalya Education and Research Hospital) Şakir Arslan (Antalya Education and Research Hospital) Göksel Çağırcı (Antalya Education and Research Hospital) Eylem Özaydın Göksu (Antalya Education and Research Hospital) Pınar Koç (Antalya Education and Research Hospital) Serkan Çay (Türkiye Yüksek İ htisas Education) Filiz Kızılırmak (Medipol University Faculty of Medicine)
저널정보
대한심장학회 Korean Circulation Journal Korean Circulation Journal Vol.46 No.5
발행연도
2016.1
수록면
699 - 705 (7page)

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Background and Objectives: Non-calcified carotid plaques are more unstable than calcified plaques, and they are associated with a higher risk of rupture, thromboembolism, and consequently, stroke. The purpose of the present study is to compare calcified and non-calcified plaques that cause intermediate carotid artery stenosis with respect to neutrophil/lymphocyte ratio (NLR). Subjects and Methods: A total number of 139 asymptomatic patients with 50-70% stenosis of the carotid artery were included in this study. Carotid Doppler ultrasound imaging and computed tomography angiography were performed to divide the carotid artery plaques into two groups as calcified and non-calcified. Patients included in the calcified (n=73) and non-calcified (n=66) plaque groups were compared with respect to total neutrophil count, lymphocyte count and NLR. Results: Total lymphocyte count was statistically significantly lower in the non-calcified plaque group compared to the calcified plaque group (total lymphocyte count in non-calcified/calcified plaque groups [103/mm3]: 2.1/2.3, respectively) (p=0.002). NLR was statistically significantly higher in the non-calcified plaque group compared to the calcified plaque group (NLR in non-calcified/calcified plaque groups: 2.6/2.1, respectively) (p<0.001). The cut-off value for NLR was found to be >2.54. Multivariate regression analysis showed that NLR was independently associated with non-calcified carotid artery plaques (odds ratio 5.686, 95% CI 2.498-12.944, p<0.001). Conclusions: NLR is increased in the presence of non-calcified carotid artery plaques that cause asymptomatic intermediate stenosis. Increased NLR can be used as a marker to assess the risk of rupture of non-calcified carotid artery plaques.

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