Skip to main content
Top
Published in: Cardiovascular Toxicology 5/2024

Open Access 15-04-2024 | Angiography | Research

Could Pan-Immune-Inflammation Value be a Marker for the Diagnosis of Coronary Slow Flow Phenomenon?

Authors: Mustafa Kaplangoray, Kenan Toprak, Edhem Deveci, Cuneyt Caglayan, Ebru Şahin

Published in: Cardiovascular Toxicology | Issue 5/2024

Login to get access

Abstract

Inflammation plays a key role in the pathogenesis of the coronary slow flow phenomenon (CSFP). The newly developed inflammatory marker, pan-immune-inflammation value (PIV), is associated with adverse cardiovascular events. This study investigated the predictive value of PIV for diagnosing CSFP in comparison to other inflammation-based markers. A total of 214 patients, 109 in the CSFP group and 105 in the normal coronary flow (NCF) group, were retrospectively included in the study. Coronary flow was calculated using the Thrombolysis in Myocardial Infarction frame count method. In addition to PIV, other inflammatory markers such as neutrophil–lymphocyte ratio, platelet-lymphocyte ratio (PLR), and systemic immune-inflammation index (SII) were calculated for the patients. The average age of patients was 50.3 ± 8.4, with a male ratio of 55.1%. Compared to the NCF group, patients in the CSFP group had higher levels of hyperlipidemia, glucose, triglyceride, NLR, PLR, SII, and PIV, while their high-density lipoprotein cholesterol (HDL-C), was lower (p < 0.05). Logistic regression analysis demonstrated that HDL-C, glucose, triglyceride, and PIV were independent predictor factors for CSFP (p < 0.05). PIV is a strong and independent predictor factor for CSFP and superior in predicting CSFP compared to other inflammatory markers.
Literature
1.
go back to reference Beltrame, J. F. (2012). Defining the coronary slow flow phenomenon. Circulation Journal, 76, 818–820.CrossRefPubMed Beltrame, J. F. (2012). Defining the coronary slow flow phenomenon. Circulation Journal, 76, 818–820.CrossRefPubMed
2.
go back to reference Tambe, A. A., Demany, M. A., Zimmerman, H. A., & Mascarenhas, E. (1972). Angina pectoris and slow flow velocity of dye in coronary arteries—A new angiographic finding. American Heart Journal, 84, 66–71.CrossRefPubMed Tambe, A. A., Demany, M. A., Zimmerman, H. A., & Mascarenhas, E. (1972). Angina pectoris and slow flow velocity of dye in coronary arteries—A new angiographic finding. American Heart Journal, 84, 66–71.CrossRefPubMed
3.
go back to reference Askin, L. (2021). Evaluation of heart rate recovery index in patients with coronary slow flow: Preliminary results. European Review for Medical and Pharmacological Sciences, 25, 7941–7946.PubMed Askin, L. (2021). Evaluation of heart rate recovery index in patients with coronary slow flow: Preliminary results. European Review for Medical and Pharmacological Sciences, 25, 7941–7946.PubMed
4.
go back to reference Chalikias, G., & Tziakas, D. (2021). Slow coronary flow: Pathophysiology, clinical implications, and therapeutic management. Angiology, 72, 808–818.CrossRefPubMed Chalikias, G., & Tziakas, D. (2021). Slow coronary flow: Pathophysiology, clinical implications, and therapeutic management. Angiology, 72, 808–818.CrossRefPubMed
5.
go back to reference Mosseri, M., Yarom, R., Gotsman, M. S., & Hasin, Y. (1986). Histologic evidence for small-vessel coronary artery disease in patients with angina pectoris and patent large coronary arteries. Circulation, 74, 964–972.CrossRefPubMed Mosseri, M., Yarom, R., Gotsman, M. S., & Hasin, Y. (1986). Histologic evidence for small-vessel coronary artery disease in patients with angina pectoris and patent large coronary arteries. Circulation, 74, 964–972.CrossRefPubMed
7.
go back to reference Kalay, N., Aytekin, M., Kaya, M. G., Ozbek, K., Karayakalı, M., Söğüt, E., Altunkas, F., Oztürk, A., & Koç, F. (2011). The relationship between inflammation and slow coronary flow: Increased red cell distribution width and serum uric acid levels. Türk Kardiyoloji Dernegi Arsivi, 39, 463–468.CrossRefPubMed Kalay, N., Aytekin, M., Kaya, M. G., Ozbek, K., Karayakalı, M., Söğüt, E., Altunkas, F., Oztürk, A., & Koç, F. (2011). The relationship between inflammation and slow coronary flow: Increased red cell distribution width and serum uric acid levels. Türk Kardiyoloji Dernegi Arsivi, 39, 463–468.CrossRefPubMed
9.
go back to reference Pekdemir, H., Polat, G., Cin, V. G., Çamsari, A., Cicek, D., Akkus, M. N., Doven, O., Katircibası, M. T., & Muslu, N. (2004). Elevated plasma endothelin-1 levels in coronary sinus during rapid right atrial pacing in patients with slow coronary flow. International Journal of Cardiology, 97, 35–41.CrossRefPubMed Pekdemir, H., Polat, G., Cin, V. G., Çamsari, A., Cicek, D., Akkus, M. N., Doven, O., Katircibası, M. T., & Muslu, N. (2004). Elevated plasma endothelin-1 levels in coronary sinus during rapid right atrial pacing in patients with slow coronary flow. International Journal of Cardiology, 97, 35–41.CrossRefPubMed
10.
go back to reference Kantarci, M., Gündogdu, F., Doganay, S., Duran, C., Kalkan, M. E., Sagsoz, M. E., Kucuk, O., Karakaya, A., Kucuk, A., & Akgün, M. (2011). Arterial bending angle and wall morphology correlate with slow coronary flow: Determination with multidetector CT coronary angiography. European Journal of Radiology, 77, 111–117.CrossRefPubMed Kantarci, M., Gündogdu, F., Doganay, S., Duran, C., Kalkan, M. E., Sagsoz, M. E., Kucuk, O., Karakaya, A., Kucuk, A., & Akgün, M. (2011). Arterial bending angle and wall morphology correlate with slow coronary flow: Determination with multidetector CT coronary angiography. European Journal of Radiology, 77, 111–117.CrossRefPubMed
11.
go back to reference Aşkın, L., Çetin, M., Türkmen, S., Tasolar, M. H., & Aktürk, E. (2018). Quantitative ultrasound measurements of common carotid artery blood flow velocity patterns in patients with coronary slow flow. Journal of Human Rhythm, 4, 117–125. Aşkın, L., Çetin, M., Türkmen, S., Tasolar, M. H., & Aktürk, E. (2018). Quantitative ultrasound measurements of common carotid artery blood flow velocity patterns in patients with coronary slow flow. Journal of Human Rhythm, 4, 117–125.
12.
go back to reference de Moura Monteiro Júnior, J. G., de Oliveira Cipriano Torres, D., & Filho, D. C. S. (2019). Hematological parameters as prognostic biomarkers in patients with cardiovascular diseases. Current Cardiology Reviews, 15, 274–282.CrossRef de Moura Monteiro Júnior, J. G., de Oliveira Cipriano Torres, D., & Filho, D. C. S. (2019). Hematological parameters as prognostic biomarkers in patients with cardiovascular diseases. Current Cardiology Reviews, 15, 274–282.CrossRef
13.
go back to reference Çetin, M., Kiziltunc, E., Elalmış, Ö. U., Çetin, Z. G., Demirçelik, M. B., Çiçekçioğlu, H., Kurtul, A., Özkan, S., Avan, C. M., Örnek, E., & Ulusoy, F. V. (2016). Predictive value of neutrophil lymphocyte ratio and platelet lymphocyte ratio in patients with coronary slow flow. Acta Cardiological Sinica, 32, 307–312. Çetin, M., Kiziltunc, E., Elalmış, Ö. U., Çetin, Z. G., Demirçelik, M. B., Çiçekçioğlu, H., Kurtul, A., Özkan, S., Avan, C. M., Örnek, E., & Ulusoy, F. V. (2016). Predictive value of neutrophil lymphocyte ratio and platelet lymphocyte ratio in patients with coronary slow flow. Acta Cardiological Sinica, 32, 307–312.
14.
go back to reference Kopetz, V., Kennedy, J., Heresztyn, T., Stafford, I., Willoughby, S. R., & Beltrame, J. F. (2012). Endothelial function, oxidative stress and inflammatory studies in chronic coronary slow flow phenomenon patients. Cardiology, 121, 197–203.CrossRefPubMed Kopetz, V., Kennedy, J., Heresztyn, T., Stafford, I., Willoughby, S. R., & Beltrame, J. F. (2012). Endothelial function, oxidative stress and inflammatory studies in chronic coronary slow flow phenomenon patients. Cardiology, 121, 197–203.CrossRefPubMed
17.
go back to reference Murat, B., Murat, S., Ozgeyik, M., & Bilgin, M. (2023). Comparison of pan-immune-inflammation value with other inflammation markers of long-term survival after ST-segment elevation myocardial infarction. European Journal of Clinical Investigation, 53, e13872.CrossRefPubMed Murat, B., Murat, S., Ozgeyik, M., & Bilgin, M. (2023). Comparison of pan-immune-inflammation value with other inflammation markers of long-term survival after ST-segment elevation myocardial infarction. European Journal of Clinical Investigation, 53, e13872.CrossRefPubMed
18.
go back to reference Bayramoğlu, A., & Hidayet, Ş. (2023). Association between pan-immune-inflammation value and no-reflow in patients with ST elevation myocardial infarction undergoing percutaneous coronary intervention. Scandinavian Journal of Clinical and Laboratory Investigation, 83, 384–389.CrossRefPubMed Bayramoğlu, A., & Hidayet, Ş. (2023). Association between pan-immune-inflammation value and no-reflow in patients with ST elevation myocardial infarction undergoing percutaneous coronary intervention. Scandinavian Journal of Clinical and Laboratory Investigation, 83, 384–389.CrossRefPubMed
19.
go back to reference Gibson, C. M., Cannon, C. P., Daley, W. L., Dodge, J. T., Alexander, B., Marble, S. J., McCabe, C. H., Raymond, L., Fortin, T., Poole, W. K., & Braunwald, E. (1996). TIMI frame count. Circulation, 93, 879–888.CrossRefPubMed Gibson, C. M., Cannon, C. P., Daley, W. L., Dodge, J. T., Alexander, B., Marble, S. J., McCabe, C. H., Raymond, L., Fortin, T., Poole, W. K., & Braunwald, E. (1996). TIMI frame count. Circulation, 93, 879–888.CrossRefPubMed
21.
go back to reference Bhat, T., Teli, S., Rijal, J., Bhat, H., Raza, M., Khoueiry, G., Meghani, M., Akhtar, M., & Costantino, T. (2013). Neutrophil to lymphocyte ratio and cardiovascular diseases: A review. Expert Review of Cardiovascular Therapy, 11, 55–59.CrossRefPubMed Bhat, T., Teli, S., Rijal, J., Bhat, H., Raza, M., Khoueiry, G., Meghani, M., Akhtar, M., & Costantino, T. (2013). Neutrophil to lymphocyte ratio and cardiovascular diseases: A review. Expert Review of Cardiovascular Therapy, 11, 55–59.CrossRefPubMed
23.
go back to reference Dai, X.-T., Kong, T.-Z., Zhang, X.-J., Luan, B., Wang, Y., & Hou, A.-J. (2022). Relationship between increased systemic immune-inflammation index and coronary slow flow phenomenon. BMC Cardiovascular Disorders, 22, 362.CrossRefPubMedPubMedCentral Dai, X.-T., Kong, T.-Z., Zhang, X.-J., Luan, B., Wang, Y., & Hou, A.-J. (2022). Relationship between increased systemic immune-inflammation index and coronary slow flow phenomenon. BMC Cardiovascular Disorders, 22, 362.CrossRefPubMedPubMedCentral
24.
go back to reference Guven, D. C., Erul, E., Yilmaz, F., Yasar, S., Yildirim, H. C., Ercan, F., Kaygusuz, Y., Cayiroz, K., Ucdal, M. T., Yesil, F., Yazici, G., Cengiz, M., Gullu, I., & Aksoy, S. (2023). The association between pan-immune-inflammation value and survival in head and neck squamous cell carcinoma. European Archives of Oto-Rhino-Laryngology, 280, 2471–2478.CrossRefPubMed Guven, D. C., Erul, E., Yilmaz, F., Yasar, S., Yildirim, H. C., Ercan, F., Kaygusuz, Y., Cayiroz, K., Ucdal, M. T., Yesil, F., Yazici, G., Cengiz, M., Gullu, I., & Aksoy, S. (2023). The association between pan-immune-inflammation value and survival in head and neck squamous cell carcinoma. European Archives of Oto-Rhino-Laryngology, 280, 2471–2478.CrossRefPubMed
26.
go back to reference Zhang, F., Li, L., Wu, X., Wen, Y., Zhan, X., Peng, F., Wang, X., Zhou, Q., & Feng, X. (2023). Pan-immune-inflammation value is associated with poor prognosis in patients undergoing peritoneal dialysis. Renal Failure, 45, 2158103.CrossRefPubMedPubMedCentral Zhang, F., Li, L., Wu, X., Wen, Y., Zhan, X., Peng, F., Wang, X., Zhou, Q., & Feng, X. (2023). Pan-immune-inflammation value is associated with poor prognosis in patients undergoing peritoneal dialysis. Renal Failure, 45, 2158103.CrossRefPubMedPubMedCentral
27.
go back to reference Ruparelia, N., Chai, J. T., Fisher, E. A., & Choudhury, R. P. (2017). Inflammatory processes in cardiovascular disease: A route to targeted therapies. Nature Reviews Cardiology, 14, 133–144.CrossRefPubMed Ruparelia, N., Chai, J. T., Fisher, E. A., & Choudhury, R. P. (2017). Inflammatory processes in cardiovascular disease: A route to targeted therapies. Nature Reviews Cardiology, 14, 133–144.CrossRefPubMed
28.
go back to reference Akkaya, S., & Cakmak, U. (2024). Association between pan-immune-inflammation value and coronary slow flow phenomenon in patients with angiographically normal coronary arteries. International Journal of Cardiology, 398, 131631.CrossRefPubMed Akkaya, S., & Cakmak, U. (2024). Association between pan-immune-inflammation value and coronary slow flow phenomenon in patients with angiographically normal coronary arteries. International Journal of Cardiology, 398, 131631.CrossRefPubMed
30.
go back to reference Afsin, A., Kaya, H., Suner, A., Uzel, K. E., Bursa, N., Hosoglu, Y., Yavuz, F., & Asoglu, R. (2021). Plasma atherogenic indices are independent predictors of slow coronary flow. BMC Cardiovascular Disorders, 21, 608.CrossRefPubMedPubMedCentral Afsin, A., Kaya, H., Suner, A., Uzel, K. E., Bursa, N., Hosoglu, Y., Yavuz, F., & Asoglu, R. (2021). Plasma atherogenic indices are independent predictors of slow coronary flow. BMC Cardiovascular Disorders, 21, 608.CrossRefPubMedPubMedCentral
31.
go back to reference Dobiášová, M., Frohlich, J., Šedová, M., Cheung, M. C., & Brown, B. G. (2011). Cholesterol esterification and atherogenic index of plasma correlate with lipoprotein size and findings on coronary angiography. Journal of Lipid Research, 52, 566–571.CrossRefPubMedPubMedCentral Dobiášová, M., Frohlich, J., Šedová, M., Cheung, M. C., & Brown, B. G. (2011). Cholesterol esterification and atherogenic index of plasma correlate with lipoprotein size and findings on coronary angiography. Journal of Lipid Research, 52, 566–571.CrossRefPubMedPubMedCentral
32.
go back to reference Aciksari, G., Cetinkal, G., Kocak, M., Atici, A., Celik, F. B., & Caliskan, M. (2022). The relationship between triglyceride/high-density lipoprotein cholesterol ratio and coronary slow-flow phenomenon. The International Journal of Cardiovascular Imaging, 38, 5–13.CrossRefPubMed Aciksari, G., Cetinkal, G., Kocak, M., Atici, A., Celik, F. B., & Caliskan, M. (2022). The relationship between triglyceride/high-density lipoprotein cholesterol ratio and coronary slow-flow phenomenon. The International Journal of Cardiovascular Imaging, 38, 5–13.CrossRefPubMed
34.
go back to reference Khalfallah, M., Maria, D. A., & Allaithy, A. (2022). Impact of stress hyperglycemia on no-reflow phenomenon in patients with ST elevation myocardial infarction undergoing primary percutaneous coronary intervention. Global Heart, 17, 23.CrossRefPubMedPubMedCentral Khalfallah, M., Maria, D. A., & Allaithy, A. (2022). Impact of stress hyperglycemia on no-reflow phenomenon in patients with ST elevation myocardial infarction undergoing primary percutaneous coronary intervention. Global Heart, 17, 23.CrossRefPubMedPubMedCentral
35.
go back to reference Kawano, H., Motoyama, T., Hirashima, O., Hirai, N., Miyao, Y., Sakamoto, T., Kugiyama, K., Ogawa, H., & Yasue, H. (1999). Hyperglycemia rapidly suppresses flow-mediated endothelium—Dependent vasodilation of brachial artery. Journal of the American College of Cardiology, 34, 146–154.CrossRefPubMed Kawano, H., Motoyama, T., Hirashima, O., Hirai, N., Miyao, Y., Sakamoto, T., Kugiyama, K., Ogawa, H., & Yasue, H. (1999). Hyperglycemia rapidly suppresses flow-mediated endothelium—Dependent vasodilation of brachial artery. Journal of the American College of Cardiology, 34, 146–154.CrossRefPubMed
36.
go back to reference Vehkavaara, S., Seppälä-Lindroos, A., Westerbacka, J., Groop, P. H., & Yki-Järvinen, H. (1999). In vivo endothelial dysfunction characterizes patients with impaired fasting glucose. Diabetes Care, 22, 2055–2060.CrossRefPubMed Vehkavaara, S., Seppälä-Lindroos, A., Westerbacka, J., Groop, P. H., & Yki-Järvinen, H. (1999). In vivo endothelial dysfunction characterizes patients with impaired fasting glucose. Diabetes Care, 22, 2055–2060.CrossRefPubMed
37.
go back to reference Anastasiou, E., Lekakis, J. P., Alevizaki, M., Papamichael, C. M., Megas, J., Souvatzoglou, A., & Stamatelopoulos, S. F. (1998). Impaired endothelium-dependent vasodilatation in women with previous gestational diabetes. Diabetes Care, 21, 2111–2115.CrossRefPubMed Anastasiou, E., Lekakis, J. P., Alevizaki, M., Papamichael, C. M., Megas, J., Souvatzoglou, A., & Stamatelopoulos, S. F. (1998). Impaired endothelium-dependent vasodilatation in women with previous gestational diabetes. Diabetes Care, 21, 2111–2115.CrossRefPubMed
38.
go back to reference Binak, E., Gunduz, H., Sahin, M., Kurtoglu, N., & Dindar, I. (2006). The relation between impaired glucose tolerance and slow coronary flow. International Journal of Cardiology, 111, 142–146.CrossRefPubMed Binak, E., Gunduz, H., Sahin, M., Kurtoglu, N., & Dindar, I. (2006). The relation between impaired glucose tolerance and slow coronary flow. International Journal of Cardiology, 111, 142–146.CrossRefPubMed
39.
go back to reference Xia, S., Deng, S.-B., Wang, Y., Xiao, J., Du, J.-L., Zhang, Y., Wang, X.-C., Li, Y.-Q., Zhao, R., He, L., Xiang, Y.-L., & She, Q. (2011). Clinical analysis of the risk factors of slow coronary flow. Heart and Vessels, 26, 480–486.CrossRefPubMed Xia, S., Deng, S.-B., Wang, Y., Xiao, J., Du, J.-L., Zhang, Y., Wang, X.-C., Li, Y.-Q., Zhao, R., He, L., Xiang, Y.-L., & She, Q. (2011). Clinical analysis of the risk factors of slow coronary flow. Heart and Vessels, 26, 480–486.CrossRefPubMed
Metadata
Title
Could Pan-Immune-Inflammation Value be a Marker for the Diagnosis of Coronary Slow Flow Phenomenon?
Authors
Mustafa Kaplangoray
Kenan Toprak
Edhem Deveci
Cuneyt Caglayan
Ebru Şahin
Publication date
15-04-2024
Publisher
Springer US
Keyword
Angiography
Published in
Cardiovascular Toxicology / Issue 5/2024
Print ISSN: 1530-7905
Electronic ISSN: 1559-0259
DOI
https://doi.org/10.1007/s12012-024-09855-4

Other articles of this Issue 5/2024

Cardiovascular Toxicology 5/2024 Go to the issue