Evidence map›Paper›PMID 41983335›Full record

ArticleAnatolian journal of cardiology2026

Association Between Systemic Immune-Inflammation Index and Cardiac Resynchronization Therapy Response in Patients with Heart Failure.

Abdulcebbar Şipal, Şükriye Ebru Önder, Serdar Bozyel, Şadiye Nur Dalgıç, Osman Muhsin Çelik, Metin Çağdaş, Tümer Erdem Güler, Müjdat Aktaş, Tolga Aksu

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Article in Anatolian journal of cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Abdulcebbar ŞipalDepartment of Cardiology, Health Sciences University, Kocaeli City Hospital, Kocaeli, Türkiye.
Şükriye Ebru ÖnderDepartment of Cardiology, Health Sciences University, Kocaeli City Hospital, Kocaeli, Türkiye.
Serdar BozyelDepartment of Cardiology, Health Sciences University, Kocaeli City Hospital, Kocaeli, Türkiye.
Şadiye Nur DalgıçDepartment of Cardiology, Health Sciences University, Kocaeli City Hospital, Kocaeli, Türkiye.
Osman Muhsin ÇelikDepartment of Cardiology, Health Sciences University, Kocaeli City Hospital, Kocaeli, Türkiye.
Metin ÇağdaşDepartment of Cardiology, Health Sciences University, Kocaeli City Hospital, Kocaeli, Türkiye.
Tümer Erdem GülerDepartment of Cardiology, Health Sciences University, Kocaeli City Hospital, Kocaeli, Türkiye.
Müjdat AktaşDepartment of Cardiology, Health Sciences University, Prof. Dr. Cemil Taşçıoğlu City Hospital, İstanbul, Türkiye.
Tolga AksuDepartment of Cardiology, İstanbul Aydın University, Medical Park Florya Hospital, İstanbul, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac resynchronization therapy (CRT) is an established treatment for selected patients with heart failure (HF); however, a substantial proportion of patients do not derive clinical or echocardiographic benefit. Systemic inflammation has been implicated in adverse myocardial remodeling and may influence response to CRT. This study aimed to evaluate the association between the systemic immune-inflammation index (SII) and CRT response.

methodsThis retrospective, single-center study included 110 patients with HF who underwent CRT implantation. Clinical, echocardiographic, and laboratory parameters, including SII, were assessed at baseline and at 6-month follow-up. Cardiac resynchronization therapy response was defined using combined echocardiographic and clinical criteria. Associations between inflammatory markers and CRT response were analyzed.

resultsNonresponders demonstrated significantly higher baseline SII levels compared with responders. During follow-up, SII values increased significantly in nonresponders, whereas no significant change was observed in responders. Baseline C-reactive protein (CRP) levels were similar between groups. Chronic ischemic heart disease and elevated baseline SII were independently associated with CRT nonresponse. The discriminatory ability of baseline SII for CRT nonresponse was moderate.

conclusionElevated SII was associated with an increased likelihood of CRT nonresponse and persistent inflammatory activity during follow-up. These findings suggest that SII reflects an unfavorable inflammatory and biological milieu related to impaired CRT response, rather than a direct causal mechanism. Systemic immune-inflammation index may serve as a complementary biomarker for risk stratification in patients undergoing CRT.

Identifiers

PMID41983335
PMCPMC13418302

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