title: Predictors of poor coronary collateral development in patients with stable coronary artery disease: neutrophil-to-lymphocyte ratio and platelets.
abstract: OBJECTIVE
  The heterogeneity in the degree of collateralization among patients with coronary artery disease (CAD) remains incompletely understood. We evaluated the predictors of poorly developed coronary collateral circulation (CCC) in patients with stable coronary artery disease.
  
  
  METHODS
  Current study is a retrospective study, consisting of 118 patients with poor CCC and 130 patients with good CCC. We investigated predictors of poor coronary collaterals in a cohort of 248 patients who had high-grade coronary stenosis or occlusion on their angiograms. To classify CCC, we used the Rentrop classification.
  
  
  RESULTS
  Patients with poorly developed CCC had significantly higher neutrophil-to-lymphocyte ratio (N/L) compared with those with well-developed CCC, (4.2±2.8 vs. 3±3.1, p=0.001), whereas mean platelet volume, red cell distribution width and uric acid were not significantly different. Logistic regression analysis showed that N/L ratio (odds ratio 1.199, 95% confidence interval 1.045-1.375) and serum triglyceride levels [odds ratio (OR)=1.006, 95% confidence interval (CI)=1.001-1.010] were independent predictors of poorly developed CCC.
  
  
  CONCLUSIONS
  An elevated level of N/L ratio is independently associated with a significant impairment in coronary collateralization. Our findings suggest that N/L ratio is an inexpensive, universally available hematological marker for sufficiency of CCC in patients with stable coronary artery disease.
authors.affiliation: Department of Cardiology, Faculty of Medicine, Muğla Sıtkı Koçman University; Muğla-Turkey. fatihakin@mu.edu.tr.
authors.forename: Fatih
authors.initials: F
authors.lastname: Akın
authors.forename: Burak
authors.initials: B
authors.lastname: Ayça
authors.forename: Ömer
authors.initials: Ö
authors.lastname: Çelik
authors.forename: Cem
authors.initials: C
authors.lastname: Şahin
mesh_terms: D000787:Angina Pectoris / Q000209:etiology; D016022:Case-Control Studies; D015331:Cohort Studies; D003097:Collateral Circulation; D003324:Coronary Artery Disease / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008214:Lymphocytes; D008297:Male; D008875:Middle Aged; D009504:Neutrophils; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D012720:Severity of Illness Index