Evidence map›Paper›PMID 39962499›Full record

ArticleLipids in health and disease2025

Sex differences of neutrophil to high-density lipoprotein cholesterol ratio in predicting the severity of coronary lesions in acute coronary syndrome patients.

Chuntian Wang, Kun Shang, Lina Cao, Jiangying Kuang, Xiang Ning, Huiqiang Chen

Abstract read
In one paragraph

Article in Lipids in health and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Chuntian WangDepartment of Pediatric Surgery, The Second Hospital, Shandong University, Jinan, Shandong, China.
Kun ShangDepartment of Pediatric Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, Jinan, Shandong, China.
Lina CaoDepartment of Cardiology, The Second Hospital, Shandong University, Jinan, Shandong, China.
Jiangying KuangDepartment of Cardiology, The Second Hospital, Shandong University, Jinan, Shandong, China.
Xiang NingDepartment of Cardiology, The Second Hospital, Shandong University, Jinan, Shandong, China.
Huiqiang ChenDepartment of Cardiology, The Second Hospital, Shandong University, Jinan, Shandong, China. hqchen361@sdu.edu.cn.

Funding

Jinan City-School Integration Development Strategic Project JNSX2023009Shandong Provincial Natural Science Foundation ZR2014HQ001
6 · The paper itself

Abstract

backgroundThe neutrophil-to-high-density lipoprotein cholesterol ratio (NHR) is closely related to the occurrence and severeness of coronary stenosis in subjects with acute coronary syndrome (ACS). Men have higher NHR levels than women. The study was designed to examine the usefulness of NHR for predicting severe coronary stenosis in male and female ACS subjects.

methodsWe enrolled 165 ACS patients (105 males and 60 females) who underwent coronary angiography. Clinical parameters; fasting glucose, creatinine, and uric acid levels; lipid profiles; and routine blood indices were measured. The NHR was computed by dividing the neutrophil numbers by the concentration of high-density lipoprotein cholesterol. Coronary stenosis severity was assessed using the Gensini score (GS). A GS˃41 points was regarded as a high GS.

resultsThe NHR was clearly greater in male ACS individuals than in their female counterparts (P = 0.001). The NHR was positively linked to the GS (r = 0.330, P = 0.001) in men, whereas there was no association between NHR and the GS in women (r=-0.0.032, P = 0.805). Univariate logistic regression analyses indicated that the NHR predicted a high GS in male ACS patients but not in their female counterparts. Multivariate logistic regression analyses indicated that a high NHR was an independent marker of severe coronary lesions in men (P = 0.001) but not in women (P = 0.274). The areas under the receiver operating characteristic curve of the NHR for the prediction of severe atherosclerosis were 0.681 (P = 0.001) and 0.560 (P = 0.431) in male and female subjects, respectively. An NHR value > 3.99 had a specificity and a sensitivity of 68% and 64%, respectively, for forecasting severe atherosclerosis in male subjects.

conclusionsThe NHR could be utilised to independently predict the severeness of coronary lesions in male ACS subjects but not in their female counterparts. Therefore, the NHR should be used with caution when screening female ACS patients for severe coronary restrictions.

Indexed as

Acute Coronary SyndromeCholesterol, HDLCoronary StenosisNeutrophilsAgedCoronary AngiographyFemaleHumansMaleMiddle AgedROC CurveSeverity of Illness IndexSex CharacteristicsSex FactorsCholesterol, HDLAcute coronary syndromeCoronary stenosisHigh density lipoprotein cholesterolNeutrophilsSex characteristics

Identifiers

PMID39962499
PMCPMC11831777

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.