The association between platelet-to-lymphocyte ratio and inflammatory markers with the severity of aortic stenosis

Biomark Med. 2016;10(4):367-73. doi: 10.2217/bmm-2015-0016. Epub 2016 Mar 14.

Abstract

Aim: Platelet-to-lymphocyte ratio (PLR) was proposed as a novel indirect marker of inflammation. We aimed to evaluate the relationship between PLR and aortic stenosis (AS).

Patients & methods: The study population included 453 patients of which 98 patients with severe AS, 206 patients with mild-to-moderate AS and 149 patients as control.

Results: PLR was significantly increased in parallel to the severity of AS (p < 0.001). There was significant positive correlation between PLR and maximum, and mean systolic transaortic gradient (all p < 0.001). Also, PLR was correlated with C-reactive protein and neutrophil-to-lymphocyte ratio (all p < 0.001) and PLR was independently associated with the presence of AS (p < 0.001).

Conclusion: We found a significant relationship between PLR and AS.

Keywords: aortic stenosis; inflammation; platelet-to-lymphocyte ratio.

MeSH terms

  • Aged
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / pathology*
  • Blood Glucose / analysis
  • Blood Platelets / cytology
  • Blood Platelets / metabolism*
  • C-Reactive Protein / analysis
  • Case-Control Studies
  • Echocardiography
  • Female
  • Humans
  • Logistic Models
  • Lymphocyte Count
  • Lymphocytes / cytology
  • Lymphocytes / metabolism*
  • Male
  • Middle Aged
  • Neutrophils / cytology
  • Neutrophils / metabolism
  • Odds Ratio
  • Platelet Count
  • Retrospective Studies
  • Severity of Illness Index

Substances

  • Blood Glucose
  • C-Reactive Protein