Coronary disease & ACS

Prognostic impact of combined inflammatory markers in patients undergoing percutaneous coronary intervention

Am Heart JPublished Consecutive patients undergoing percutaneous coronary intervention (PCI) between 2012 and 2022

Authors' conclusion

In patients undergoing PCI, elevated NLR identifies a gradient of increasing risk, particularly when combined with hs-CRP ≥2 mg/L. A dual-marker inflammatory approach may improve post-PCI risk stratification beyond either biomarker alone.

Study context

Population
Consecutive patients undergoing PCI between 2012 and 2022
Participants
7,303 included patients
Comparison
Elevated neutrophil-to-lymphocyte ratio (NLR) vs NLR below the 75th percentile, within high-sensitivity C-reactive protein (hs-CRP) strata
Outcome
Major adverse cardiovascular events (MACE)
Follow-up
1 year
Methodological detailsMultivariable Cox proportional hazards models
  • Multivariable Cox proportional hazards models

Main finding

As reported in the abstract

Major adverse cardiovascular events (MACE)
Elevated NLR vs NLR <75th percentileHazard ratio (95% CI)P value
hs-CRP ≥2 mg/L
1.83(1.42–2.35)
P < 0.001
hs-CRP <2 mg/L
1.55(1.10–2.17)
P = 0.012

Original publication

Prognostic impact of combined inflammatory markers in patients undergoing percutaneous coronary intervention. Am Heart J. Published 21 June 2026. doi:10.1016/j.ahj.2026.107519

Summarised from the published abstract; every number is checked against it

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