Inflammatory Biomarkers in Coronary Artery Ectasia: A Systematic Review and Meta-Analysis.

biomarkers coronary artery ectasia inflammation neutrophil lymphocyte ratio

Journal

Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402

Informations de publication

Date de publication:
19 Apr 2022
Historique:
received: 26 03 2022
revised: 10 04 2022
accepted: 14 04 2022
entrez: 28 5 2022
pubmed: 29 5 2022
medline: 29 5 2022
Statut: epublish

Résumé

Isolated coronary artery ectasia (CAE) is a relatively rare clinical entity, the pathogenesis of which is poorly understood. More and more evidence is accumulating to suggest a critical inflammatory component. We aimed to elucidate any association between neutrophil to lymphocyte ratio and coronary artery ectasia. A systematic MEDLINE database, ClinicalTrials.gov, medRxiv, Scopus and Cochrane Library search was conducted: 50 studies were deemed relevant, reporting on difference in NLR levels between CAE patients and controls (primary endpoint) and/or on high-sensitive CRP, IL-6, TNF-a and RDW levels (secondary endpoint), and were included in our final analysis. (PROSPERO registration number: CRD42021224195). All inflammatory biomarkers under investigation were found higher in coronary artery ectasia patients as compared to healthy controls (NLR; SMD = 0.73; 95% CI: 0.27-1.20, hs-CRP; SMD = 0.96; 95% CI: 0.64-1.28, IL-6; SMD = 2.68; 95% CI: 0.95-4.41, TNF-a; SMD = 0.50; 95% CI: 0.24-0.75, RDW; SMD = 0.56; 95% CI: 0.26-0.87). The main limitations inherent in this analysis are small case-control studies of moderate quality and high statistical heterogeneity. Our findings underscore that inflammatory dysregulation is implicated in coronary artery ectasia and merits further investigation.

Identifiants

pubmed: 35626182
pii: diagnostics12051026
doi: 10.3390/diagnostics12051026
pmc: PMC9140118
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Dimitrios A Vrachatis (DA)

Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.

Konstantinos A Papathanasiou (KA)

Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.

Dimitrios Kazantzis (D)

Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.

Jorge Sanz-Sánchez (J)

Division of Cardiology, Hospital Universitario y Politécnico La Fe, 46026 Valencia, Spain.
Centro de Investigacion Biomédica en Red (CIBERCV), 28029 Madrid, Spain.

Sotiria G Giotaki (SG)

Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.

Konstantinos Raisakis (K)

Deparment of Cardiology, General Hospital of Athens "G.Gennimatas", 11527 Athens, Greece.

Andreas Kaoukis (A)

Deparment of Cardiology, General Hospital of Athens "G.Gennimatas", 11527 Athens, Greece.

Charalampos Kossyvakis (C)

Deparment of Cardiology, General Hospital of Athens "G.Gennimatas", 11527 Athens, Greece.

Gerasimos Deftereos (G)

Deparment of Cardiology, General Hospital of Athens "G.Gennimatas", 11527 Athens, Greece.

Bernhard Reimers (B)

Humanitas Clinical and Research Center IRCCS, 20089 Milan, Italy.

Dimitrios Avramides (D)

Deparment of Cardiology, General Hospital of Athens "G.Gennimatas", 11527 Athens, Greece.

Gerasimos Siasos (G)

Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.

Michael Cleman (M)

Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT 06510, USA.

George Giannopoulos (G)

Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

Alexandra Lansky (A)

Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT 06510, USA.

Spyridon Deftereos (S)

Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.

Classifications MeSH