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Relationship between C‐reactive protein/albumin ratio and coronary artery disease severity in patients with stable angina pectoris

Background Syntax score (SS), which is an angiographic tool used in grading the complexity of coronary artery disease (CAD), has prognostic importance in coronary artery disease (CAD) and provides important information regarding selection of revascularization strategy. C‐reactive protein (CRP) and a...

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Published in:Journal of clinical laboratory analysis 2018-09, Vol.32 (7), p.e22457-n/a
Main Authors: Karabağ, Yavuz, Çağdaş, Metin, Rencuzogullari, Ibrahim, Karakoyun, Süleyman, Artaç, İnanç, İliş, Doğan, Atalay, Eray, Yesin, Mahmut, Gürsoy, Mustafa Ozan, Halil Tanboğa, Ibrahim
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container_title Journal of clinical laboratory analysis
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creator Karabağ, Yavuz
Çağdaş, Metin
Rencuzogullari, Ibrahim
Karakoyun, Süleyman
Artaç, İnanç
İliş, Doğan
Atalay, Eray
Yesin, Mahmut
Gürsoy, Mustafa Ozan
Halil Tanboğa, Ibrahim
description Background Syntax score (SS), which is an angiographic tool used in grading the complexity of coronary artery disease (CAD), has prognostic importance in coronary artery disease (CAD) and provides important information regarding selection of revascularization strategy. C‐reactive protein (CRP) and albumin are indicators of inflammation, and high levels of them are associated with high SS. We aimed to investigate whether baseline CRP to albumin ratio C‐Reactive Protein/Albumin Ratio (CAR), an easily available and novel inflammatory marker, is associated with SS. Method A total 403 consecutive patients with stabile angina pectoris, who underwent coronary angiography for suspected CAD from January 2015 to June 2016, were classified into two groups, low SS (≤22) and intermediate‐high SS (>22). Results C‐Reactive Protein/Albumin Ratio was significantly higher in patients with intermediate‐high SS group (P 6.3 predicted an intermediate‐high SS with sensitivity and specificity of 86.8% and 43.4%, respectively. Conclusion C‐Reactive Protein/Albumin Ratio was more tightly associated with the complexity and severity of CAD than CRP and albumin alone and was found to be an independent predictor for intermediate‐high SS group.
doi_str_mv 10.1002/jcla.22457
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C‐reactive protein (CRP) and albumin are indicators of inflammation, and high levels of them are associated with high SS. We aimed to investigate whether baseline CRP to albumin ratio C‐Reactive Protein/Albumin Ratio (CAR), an easily available and novel inflammatory marker, is associated with SS. Method A total 403 consecutive patients with stabile angina pectoris, who underwent coronary angiography for suspected CAD from January 2015 to June 2016, were classified into two groups, low SS (≤22) and intermediate‐high SS (&gt;22). Results C‐Reactive Protein/Albumin Ratio was significantly higher in patients with intermediate‐high SS group (P &lt; .001). In multivariate regression analysis, CAR remained an independent predictor of intermediate‐high SS group together with hypertension and LDL. The predictive performance of CAR, CRP, and albumin was compared by ROC curve analysis. CAR surpassed CRP and albumin in predicting intermediate‐high SS group. CAR &gt;6.3 predicted an intermediate‐high SS with sensitivity and specificity of 86.8% and 43.4%, respectively. Conclusion C‐Reactive Protein/Albumin Ratio was more tightly associated with the complexity and severity of CAD than CRP and albumin alone and was found to be an independent predictor for intermediate‐high SS group.</description><identifier>ISSN: 0887-8013</identifier><identifier>EISSN: 1098-2825</identifier><identifier>DOI: 10.1002/jcla.22457</identifier><identifier>PMID: 29667724</identifier><language>eng</language><publisher>United States: John Wiley &amp; Sons, Inc</publisher><subject>Aged ; Albumin ; Angina ; Angina pectoris ; Angina, Stable - complications ; Angina, Stable - epidemiology ; Angiography ; Biomarkers - blood ; C-Reactive Protein - analysis ; Cardiovascular disease ; Coronary artery ; Coronary Artery Disease - blood ; Coronary Artery Disease - complications ; Coronary Artery Disease - epidemiology ; coronary artery disease severity ; Coronary vessels ; C‐reactive protein ; C‐reactive protein/albumin ratio ; Female ; Heart diseases ; Humans ; Inflammation ; Low density lipoprotein ; Male ; Middle Aged ; Proteins ; ROC Curve ; Serum Albumin - analysis ; Severity of Illness Index ; stable angina pectoris ; syntax score</subject><ispartof>Journal of clinical laboratory analysis, 2018-09, Vol.32 (7), p.e22457-n/a</ispartof><rights>2018 Wiley Periodicals, Inc.</rights><rights>Copyright © 2018 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4487-17c68eed10fed13028724368111ded1f17baf21157f9a7c9313e32e1305372083</citedby><cites>FETCH-LOGICAL-c4487-17c68eed10fed13028724368111ded1f17baf21157f9a7c9313e32e1305372083</cites><orcidid>0000-0002-8156-315X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6816976/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6816976/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29667724$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karabağ, Yavuz</creatorcontrib><creatorcontrib>Çağdaş, Metin</creatorcontrib><creatorcontrib>Rencuzogullari, Ibrahim</creatorcontrib><creatorcontrib>Karakoyun, Süleyman</creatorcontrib><creatorcontrib>Artaç, İnanç</creatorcontrib><creatorcontrib>İliş, Doğan</creatorcontrib><creatorcontrib>Atalay, Eray</creatorcontrib><creatorcontrib>Yesin, Mahmut</creatorcontrib><creatorcontrib>Gürsoy, Mustafa Ozan</creatorcontrib><creatorcontrib>Halil Tanboğa, Ibrahim</creatorcontrib><title>Relationship between C‐reactive protein/albumin ratio and coronary artery disease severity in patients with stable angina pectoris</title><title>Journal of clinical laboratory analysis</title><addtitle>J Clin Lab Anal</addtitle><description>Background Syntax score (SS), which is an angiographic tool used in grading the complexity of coronary artery disease (CAD), has prognostic importance in coronary artery disease (CAD) and provides important information regarding selection of revascularization strategy. C‐reactive protein (CRP) and albumin are indicators of inflammation, and high levels of them are associated with high SS. We aimed to investigate whether baseline CRP to albumin ratio C‐Reactive Protein/Albumin Ratio (CAR), an easily available and novel inflammatory marker, is associated with SS. Method A total 403 consecutive patients with stabile angina pectoris, who underwent coronary angiography for suspected CAD from January 2015 to June 2016, were classified into two groups, low SS (≤22) and intermediate‐high SS (&gt;22). Results C‐Reactive Protein/Albumin Ratio was significantly higher in patients with intermediate‐high SS group (P &lt; .001). In multivariate regression analysis, CAR remained an independent predictor of intermediate‐high SS group together with hypertension and LDL. The predictive performance of CAR, CRP, and albumin was compared by ROC curve analysis. CAR surpassed CRP and albumin in predicting intermediate‐high SS group. CAR &gt;6.3 predicted an intermediate‐high SS with sensitivity and specificity of 86.8% and 43.4%, respectively. 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C‐reactive protein (CRP) and albumin are indicators of inflammation, and high levels of them are associated with high SS. We aimed to investigate whether baseline CRP to albumin ratio C‐Reactive Protein/Albumin Ratio (CAR), an easily available and novel inflammatory marker, is associated with SS. Method A total 403 consecutive patients with stabile angina pectoris, who underwent coronary angiography for suspected CAD from January 2015 to June 2016, were classified into two groups, low SS (≤22) and intermediate‐high SS (&gt;22). Results C‐Reactive Protein/Albumin Ratio was significantly higher in patients with intermediate‐high SS group (P &lt; .001). In multivariate regression analysis, CAR remained an independent predictor of intermediate‐high SS group together with hypertension and LDL. The predictive performance of CAR, CRP, and albumin was compared by ROC curve analysis. CAR surpassed CRP and albumin in predicting intermediate‐high SS group. CAR &gt;6.3 predicted an intermediate‐high SS with sensitivity and specificity of 86.8% and 43.4%, respectively. Conclusion C‐Reactive Protein/Albumin Ratio was more tightly associated with the complexity and severity of CAD than CRP and albumin alone and was found to be an independent predictor for intermediate‐high SS group.</abstract><cop>United States</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>29667724</pmid><doi>10.1002/jcla.22457</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-8156-315X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aged
Albumin
Angina
Angina pectoris
Angina, Stable - complications
Angina, Stable - epidemiology
Angiography
Biomarkers - blood
C-Reactive Protein - analysis
Cardiovascular disease
Coronary artery
Coronary Artery Disease - blood
Coronary Artery Disease - complications
Coronary Artery Disease - epidemiology
coronary artery disease severity
Coronary vessels
C‐reactive protein
C‐reactive protein/albumin ratio
Female
Heart diseases
Humans
Inflammation
Low density lipoprotein
Male
Middle Aged
Proteins
ROC Curve
Serum Albumin - analysis
Severity of Illness Index
stable angina pectoris
syntax score
title Relationship between C‐reactive protein/albumin ratio and coronary artery disease severity in patients with stable angina pectoris
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