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Neutrophil to lymphocyte ratio (NLR) and cardiovascular diseases: an update
Abstract
As we know, inflammatory and oxidative stresses have a role in the pathogenesis of cardiovascular disease. This knowledge has triggered many investigations targeted to inflammatory markers. One such example, the neutrophil to lymphocyte ratio (NLR), is an inexpensive and easily accessible inflammatory marker whose role in cardiovascular disease has been studied extensively in the past few years. The neutrophil lymphocyte ratio has been shown to predict cardiac arrhythmias as well as short- and long-term mortality in patients with acute coronary syndromes (ACS). It has correlated well with ACS risk prediction models such as the GRACE and SYNTAX scores. A higher NLR has also been associated with frequent congestive heart failure decompensation and long-term mortality. The neutrophil to lymphocyte ratio also appears to have a prognostic role in patients undergoing transaortic valve replacement and the progression of valvular heart diseases. Despite the science of inflammatory biomarkers having been described decades ago, NLR appears to be enjoying a renaissance as a cost-effective biomarker with immediate clinical predictability and prognostication.
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“Neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and monocyte-to-lymphocyte ratio (MLR) are tests that can be easily measured using a complete blood count, can be used as markers of inflammatory processes in diseases such as autoimmune diseases, and have been shown to be prognostic indicators.3,4”
From Association Between Mood Disorder Severity, Treatment Response and Systemic Inflammatory Markers: Exploring the Role of NLR, PLR, MLR, and SII (2024) · cites this paper as [3]
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Items 201–300 of 396
Jiang, T., Wang, Q., Zhang, Z., Qi, J., Yang, Z.-Y., Jiang, Q., Wei, J., Cao, D.-M., & Yuan, L.-D. (2023) · Journal of International Medical Research · doi:10.1177/03000605231200266 · Cited by 7
Chen, Q., Che, M., Shen, W., Shao, L., Yu, H., & Zhou, J. W. (2023) · American Journal of Men s Health · doi:10.1177/15579883231171462 · Cited by 9
“…in patients with acute coronary syndrome (ACS) compared with the lowest quartile in a retrospective review of 2,833 patients hospitalized with ACS (average 1.82), patients in the highest NLR quartile (average 9.5) had significantly higher inhospital mortality (8.5% vs. 1.8%; Afari & Bhat, 2016).”
BackgroundInfluentialNamvar, M., Fakhrolmobasheri, M., Mazaheri‐Tehrani, S., Heidarpour, M., Emamimeybodi, M., & Shafie, D. (2023) · Emergency Medicine International · doi:10.1155/2023/6338597 · Cited by 6
“, infammatory factors such as Galectin-3, InterLeukin-1, and several other immunologic markers may be indicative for infammation in ADHF but unfortunately, in this study, we were not able to measure the above mentioned markers; however, we use NLR, PLR, and RDW as indirect markers of infammation in HF [21, 22, 24].”
MethodBekir, S. A., Sonkaya, E., Ozbaki, F., Eroğlu, S. A., Sertçelik, L., Duman, D., Kavas, M., Ağca, M., Erdem, İ., Ozmen, I., et al. (2022) · Postgraduate medicine · doi:10.1080/00325481.2022.2082805 · Cited by 7
Differential blood leukocyte populations based on individual variances and age
Kasten‐Jolly, J., & Lawrence, D. A. (2022) · Immunologic Research · doi:10.1007/s12026-021-09257-6 · Cited by 11
“A readily available indicator of systemic inflammation is the NLR, since neutrophils increase in the blood during inflammation and stress [2, 15].”
BackgroundHedbrant, A., Eklund, D., Andersson, L., Bryngelsson, I.-L., Persson, A., Westberg, H., & Särndahl, E. (2021) · Biomarkers · doi:10.1080/1354750x.2021.2013538 · Cited by 8
“An elevated NLR or reduced LMR have been proposed as markers of systemic inflammation (Afari and Bhat 2016, Huang et al. 2018).”
BackgroundDiagnostic and prognostic value of peripheral blood leucocyte ratios in sick cats.
Tsouloufi, T., Frezoulis, P. S., Soubasis, N., Kritsepi-Konstantinou, M., & Oikonomidis, I. L. (2021) · Acta Veterinaria Hungarica · doi:10.1556/004.2021.00042 · Cited by 7
Tang, Y.-Z., Chen, L., Li, B., Yang, L., Ouyang, W., & Li, D. (2021) · PLoS ONE · doi:10.1371/journal.pone.0270066 · Cited by 7
Bečirović, E., Bećirović, M., Šegalo, S., Bećirović, A., Hadžić, S., Ljuca, K., Papić, E., Ferhatbegović, L., Ejubović, M., Ejubović, A. J., et al. (2024) · World Journal of Methodology · doi:10.5662/wjm.v15.i2.98143 · Cited by 5
Circulating immune cells in cerebral small vessel disease: a systematic review
van der Taelen, L., Briones, A., Unger, T., Staals, J., van Oostenbrugge, R. V., & Foulquier, S. (2025) · Biogerontology (Dordrecht) · doi:10.1007/s10522-025-10250-x · Cited by 6
“Lastly, a high positive predictive effect of the NLR in the diagnosis and prognosis of many cardio-vascular diseases has been shown (Afari and Bhat 2016).”
Yang, X., Shi, Y., Zhang, H., Huang, L., Zhang, J., Min, J., & Chen, L. (2025) · Frontiers in Endocrinology · doi:10.3389/fendo.2024.1499713 · Cited by 6
Evaluation of Haematological Ratios at: Different Stages of Canine Periodontal Disease
Silva, C., Abrantes, A., Fontes, A. C., Dias, I., Domingues, R., Peixoto, F., & Viegas, C. (2024) · Veterinary Sciences · doi:10.3390/vetsci11110581 · Cited by 6
“In the specific case of MLR, there are studies that prove that its increase, together with NLR, is associated with human cardiovascular diseases such as adverse cardiac events, mitral valve disease, coronary artery disease, and stroke [53,54].”
Gu, N., Chen, P.-K., Wang, X., Shen, C.-Y., Deng, Y., Chen, J., Ma, Y., Ma, S., Hu, X.-W., Zhao, R.-Z., et al. (2024) · Journal of Cardiovascular Pharmacology · doi:10.1097/fjc.0000000000001616 · Cited by 6
“30 The NLR can be used as a biological marker for levels of in fl ammation and oxidative stress.”
MethodThe Neutrophil-to-Lymphocyte Ratio in Patients with Spinal Cord Injury: A Narrative Review Study
Alavi, S. A. N., Habibi, M. A., Alavi, S. H. N., Zamani, M., & Kobets, A. J. (2024) · Medicina · doi:10.3390/medicina60101567 · Cited by 5
“…between neutrophils and lymphocytes, representing systemic inflammation [14], and has been recognized as a clinical indicator in several inflammation-based diseases such as autoimmune diseases [15], neurodegenerative disorders [16], cancer [17], stroke [18], and cardiovascular disorders [19].”
BackgroundTemel, B., Orenay, O., & Karaosmanoglu, N. (2024) · Cureus · doi:10.7759/cureus.56034 · Cited by 6
“NLR is an inflammatory hematological marker that is associated with cardiovascular morbidity and mortality [20].”
BackgroundCianciosi, D., Díaz, Y. A., Gaddi, A. V., Capello, F., Savo, M. T., Casanova, R. D. J. P., Espinosa, J. C. M., Barrera, A. E. P., Navarro‐Hortal, M. D., Tian, L., et al. (2023) · Food Frontiers · doi:10.1002/fft2.319 · Cited by 6
Inflammatory markers in patients with hypertension.
Chen, Y.-H., & Gong, Y.-F. (2023) · British journal of hospital medicine · doi:10.12968/hmed.2022.0531 · Cited by 6
Liu, C.-J., Wu, M., Fu, M., Wang, H., & Nie, J. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-046843 · Cited by 6
“19 Studies have found that PAH exposure is associated with PLR among children and the general population, but they did not perform a sex stratification analysis.”
Sung, H.-M., Lee, S.-H., Oh, A., Kim, S., Kim, J., Gook, J., Jang, J., & Park, J. (2021) · Scientific Reports · doi:10.1038/s41598-021-00901-7 · Cited by 6
Yıldız, M. B., & Yildiz, E. (2021) · International ophtalmology · doi:10.1007/s10792-021-01999-4 · Cited by 6
Neutrophil-to-lymphocyte ratios in pregnant women with familial mediterranean fever
Keleş, A., İskender, D., CELİK, O. Y., Dağdeviren, G., İskender, C., Çağlar, A. T., & Çelen, Ş. (2021) · Bratislavské lekárske listy/Bratislava medical journal · doi:10.4149/bll_2021_041 · Cited by 8
Liu, Q., Gao, X., Xiao, Q.-M., Zhu, B.-Y., Liu, Y.-J., Han, Y.-Y., & Wang, W.-Z. (2021) · Clinical Cardiology · doi:10.1002/clc.23550 · Cited by 6
“Therefore, NLR is a balance between inflammation and stress response pathways.(10,11) Furthermore, it is an inexpensive, easy to obtain, and widely available marker.”
BackgroundDemirci, A., Ozgur, B. C., & Tuncer, S. (2020) · Revista Internacional de Andrología · doi:10.1016/j.androl.2020.04.002 · Cited by 6
Early Venous Stent Failure Predicted by Platelet Count and Neutrophil/Lymphocyte Ratio.
Jahangiri, Y., Endo, M., Al-Hakim, R., Kaufman, J., & Farsad, K. (2019) · Circulation Journal · doi:10.1253/circj.cj-18-0592 · Cited by 6
Sahinturk, Y., & Cekin, A. (2018) · Clinical Laboratory · doi:10.7754/clin.lab.2018.180215 · Cited by 6
A New Era, New Risks: The Cardio-Oncology Perspective on Immunotherapy in Non-Small Cell Lung Cancer
Tarantini, L., Gallucci, G., Inno, A., Camerini, A., Canale, M. L., Larocca, M., Zanelli, F., Pagano, M., Alberti, G., Ciammella, P., et al. (2025) · Cancers · doi:10.3390/cancers17213443 · Cited by 8
Wang, B., Chen, W., Shi, L., Pei, M.-Y., Zhou, Y., Wei, Y.-L., Tang, Y.-T., Qiu, G., Duan, W.-L., Chen, S.-X., et al. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1529779 · Cited by 5
“Notably, NLR has been demonstrated to be a reliable biomarker of in fl ammation in the vascular wall, and it is readily accessible (26).”
Khadija, H. A., Alnees, M., Ayyad, O., Gandelman, G., Sella, G., Hamdeh, N. A., Haim, A., Hamdan, Y., Kirzhner, A., Darwish, A., et al. (2025) · Heart Rhythm O2 · doi:10.1016/j.hroo.2025.03.003 · Cited by 7
“11 In the setting of AS, the NLR has been associated with the severity of calci fi c AS, left ventricular (LV) dysfunction, and has demonstrated predictive capability for major adverse cardiac events (MACE).”
Wang, H., Li, S., Yu, J., Xu, J.-S., & Xu, Y. (2024) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2024.1397701 · Cited by 5
Li, X., Zhang, Y., Ma, W., & Li, J.-W. (2022) · BioMed Research International · doi:10.1155/2022/6141317 · Cited by 5
“For example, the pathogenesis of several diseases such as cardio-vascular diseases [50], retinal artery [51], and spinal epidural abscess [52] have been found to result in high NLR, while treatment with 25-hydroxyvitamin D 3 and smoking cessation are associated with a reduced blood NLR [53, 54],…”
Balık, A. Ö., Vural, F., Alpoğan, O., Özoğul, M., & Dönmez, E. E. (2022) · Gynecological Endocrinology · doi:10.1080/09513590.2022.2112942 · Cited by 7
“Also, it has been associated with chronic low-grade inflammation and atherogenic processes [26].”
BackgroundCsató, G., Erdei, N., Ványai, B., Balla, T., Czuriga, D., Csanádi, Z., Kőszegi, Z., Edes, I. F., & Szabo, G. T. (2022) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2022.873899 · Cited by 5
“Examination of the qualitative blood count at baseline revealed that the CV inflammation marker neutrophil to lymphocyte ratio (NLR) (19) was significantly elevated in the ISR group compared to controls (Table 3).”
BackgroundResultYi, Y., Qu, T., Shi, A., Pang, Z.-X., Zhao, Y., Li, P.-C., Xie, J., Zhi, X.-L., Zhu, Y., & Zhu, H. (2022) · Clinical and experimental hypertension · doi:10.1080/10641963.2022.2100411 · Cited by 5
“The changes in the number and composition of inflammatory cells in peripheral blood, such as leukocyte count (14), leukocytes classification (15–17), neutrophil-to-lymphocyte ratio (NLR) (18) have been widely used as the key indicators of chronic inflammation (14) and proved to be related to the morbidity (19,20) and…”
MethodFirst Admission Neutrophil–Lymphocyte Ratio May Indicate Acute Prognosis of Ischemic Stroke
Alpua, M., Say, B., Yardimci, I., Ergün, U., Kisa, U., & Ceylan, O. (2021) · Rambam Maimonides Medical Journal · doi:10.5041/rmmj.10440 · Cited by 5
Chung, B.-R., Huang, Y., & Lai, P. (2021) · Tzu Chi Medical Journal · doi:10.4103/tcmj.tcmj_249_20 · Cited by 5
“According to recent evidence, neutrophil-to-lymphocyte ratio (NLR) is a novel predictor of adverse outcomes in many cardiovascular diseases [12].”
BackgroundOnur, D., Neslihan, A., & Samet, K. (2020) · Early Intervention in Psychiatry · doi:10.1111/eip.13089 · Cited by 5
Neutrophil-lymphocyte ratio in catatonia
Şahin, Ş., Yaşamali, C., Özyürek, M. B., Elboğa, G., Altındağ, A., & Şahin, A. (2020) · Archives of Clinical Psychiatry · doi:10.1590/0101-60830000000232 · Cited by 5
Razão Neutrófilo-Linfócito e Aterosclerose da Aorta Abdominal entre Indivíduos Assintomáticos
Stangenhaus, C., Laurinavicius, A., Cesena, F., Conceição, R., Santos, R. D., & Bittencourt, M. (2017) · Atherosclerosis · doi:10.36660/abc.20201163 · Cited by 5
McIntosh, R. C. (2024) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2024.100940 · Cited by 1
“On the other hand, MLR tends to be elevated in chronic inflammatory conditions (e.g., chronic infections, rheumatic conditions, and certain cancers where monocytes play a prominent role (Afari and Bhat, 2016; Gu et al., 2016; Nishijima et al., 2015; Quan et al., 2020; Stefaniuk et al., 2020).”
Hou, L., Su, K., He, T., Zhao, J.-B., & Li, Y. (2024) · International Journal of General Medicine · doi:10.2147/ijgm.s477053 · Cited by 4
He, J., Li, C., Ge, J., Li, Z., Cao, L., Fan, W., Peng, Y., & Li, Q. (2024) · Frontiers in Molecular Biosciences · doi:10.3389/fmolb.2024.1366753 · Cited by 4
Garganeeva, A., Kuzheleva, E., Tukish, O., Kondratiev, M., Vitt, K., Andreev, S., & Ogurkova, O. (2024) · Kardiologiia · doi:10.18087/cardio.2024.2.n2465 · Cited by 4
Sławiński, G., Hawryszko, M., Dyda-Kristowska, J., Królak, T., Kempa, M., Świetlik, D., Kozłowski, D., Daniłowicz-Szymanowicz, L., & Lewicka, E. (2024) · Journal of interventional cardiology · doi:10.1155/2024/5524668 · Cited by 4
“Te prognostic value of NLR in valvular disease and in patients undergoing valve replacement procedures has been indicated [49].”
BackgroundTuna, G. (2024) · Egyptian Journal of Veterinary Sciences · doi:10.21608/ejvs.2023.224789.1546 · Cited by 4
Lee, S. H., Oh, J. S., Choi, Y. H., & Lim, J.-Y.-O. (2023) · Emergency Medicine International · doi:10.1155/2023/8456427 · Cited by 4
“In addition, the usefulness of NLR as a prognostic factor for cardiovascular disease and cancer has been studied, and a study analyzed the relationship between mortality and NLR in older patients [11, 22].”
BackgroundLi, C., Wan, S., Li, W., Wang, Y., Li, B., Chen, Y., Sun, P., & Lyu, J. (2022) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s387582 · Cited by 9
Might female patients benefit more from bariatric surgery with respect to inflammation
Zhou, Q., Yan, P., Shi, H.-M., & Yan, P. (2022) · Frontiers in Surgery · doi:10.3389/fsurg.2022.890116 · Cited by 4
Oh, H., Lee, M., Lee, Y.-C., & Shin, H. (2022) · Medicine · doi:10.1097/md.0000000000029602 · Cited by 4
Li, S., Luo, Y., Wang, W., Lu, J., Hu, M., Sun, Q.-J., Yang, X., Han, J., & Zhong, L. (2021) · Clinical and Translational Gastroenterology · doi:10.14309/ctg.0000000000000370 · Cited by 6
“A high NLR has been shown to be an independent predictor of death from coronary artery disease, acute coronary syndrome, and congestiveheart failure (23).”
BackgroundRiewruja, K., Amarase, C., Osateerakun, P., Weerasopone, S., Limpaphayom, N., & Honsawek, S. (2020) · Biomedical Reports · doi:10.3892/br.2020.1370 · Cited by 4
“Several studies have reported that the neutrophil‐to‐lympho‐ cyte ratio (NLR) and lymphocyte‐to‐monocyte ratio (LMR) may serve as biomarkers of an inflammatory response, and may be used as prognostic factors to predict the outcome or the severity of various malignancies (9), cardiovascular disease (10), systemic lupus…”
BackgroundHashimoto, N., Arimoto, T., Narumi, T., Iwayama, T., Kutsuzawa, D., Ishigaki, D., Kumagai, Y., Tamura, H., Nishiyama, S., Takahashi, H., et al. (2017) · Pacing and clinical electrophysiology : PACE · doi:10.1111/pace.13003 · Cited by 4
Schneller-Pavelescu, L., Sánchez-Pujol, M., Caparros-Cayuela, E., Francés-Guarinos, R., Ramos-Rincón, J., & Belinchón-Romero, I. (2026) · Health Science Reports · doi:10.1002/hsr2.71966 · Cited by 3
“While these indices have been proposed as markers of subclinical inflammation in other chronic diseases, our data provide preliminary, hypothesis‐generating evidence of their association with key inflammatory cytokines in psoriasis [44–46].”
Chen, Y., Lv, T., Lin, W., Meng, T., Sui, Y., & Chen, S. (2025) · Frontiers in Neurology · doi:10.3389/fneur.2025.1473802 · Cited by 5
Kim, H. K., Jun, H.-M., & Ko, S.-M. (2025) · BMC Nephrology · doi:10.1186/s12882-024-03924-0 · Cited by 3
“[7 , 8] The neutrophil-to-lymphocyte ratio is accessible through routine blood tests and has gained attention for its cost-effectiveness and widespread availability and has emerged as a prognostic marker in various chronic diseases [9].”
Polewczyk, M., Jacheć, W., Szczesniak-Stanczyk, D., Polewczyk, A., Tomaszewski, A., Brzozowski, W., Nowosielecka, D., & Kutarski, A. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12237498 · Cited by 3
“Currently, more and more studies suggest that NLR and NPR are inexpensive and easily accessible markers of inflammation in various infectious processes [17–19] and cardiovascular diseases [20,21].”
BackgroundHematologic Parameters as Predictors of Long-Term Mortality in Infective Endocarditis Patients
Gülaştı, S., Zencir, C., Çayırlı, S., Mutlu, B., & Ozturk, B. (2023) · Medical Science Monitor · doi:10.12659/msm.941758 · Cited by 3
“However, the causes of lymphocyto-penia include increased catecholamine and cortisol levels, re-distribution of lymphocytes to lymphatic organs, and apoptosis [18,19].”
BackgroundZivkovic, V. G., Cvetković, T., Dinić, B. R. , & Jurišić, V. (2023) · Egyptian Rheumatology and Rehabilitation · doi:10.1186/s43166-023-00222-9 · Cited by 5
Mo, D.-G., Wang, L., Han, Q.-F., Yu, K., Liu, J.-H., & Yao, H.-C. (2022) · Journal of Inflammation Research · doi:10.2147/jir.s383903 · Cited by 3
An objective correlation of specific haematological parameters with ED severity
Zhang, W., Zhang, Y., Liu, G., Wu, X., Huang, H., Jiang, H., & Zhang, X.-S. (2022) · Andrologia · doi:10.1111/and.14448 · Cited by 3
“2022;54:e14448. wileyonlinelibrary.com/journal/and © 2022 Wiley-VCH GmbH. 1 of 8 https://doi.org/10.1111/and.14448 atherosclerosis (Afari & Bhat, 2016; Sambel et al., 2018).”
InfluentialFlorian, M., Li, B., Patry, D., Truong, J., Caldwell, D., Coughlan, M. C., Woodworth, R., Yan, J., Chen, Q.-X., Petrov, I., et al. (2022) · Cardiovascular Toxicology · doi:10.1007/s12012-022-09738-6 · Cited by 3
de Albuquerque, F. V. D. S. C., Dias-Neto, M., da Rocha-Neves, J. M. P., & Reis, P. J. V. D. V. (2022) · World Journal of Surgery · doi:10.1007/s00268-022-06441-z · Cited by 3
“Recent studies have demonstrated that NLR is related to the severity and long-term prognosis of cardiovascular diseases, as in acute coronary syndrome, heart failure, or valvular heart disease [1].”
BackgroundInfluentialPerera, N., Silva, A. D., Kumbukage, M., Rambukwella, R., & Indrakumar, J. (2022) · Clinical Pathology · doi:10.1177/2632010x221090898 · Cited by 3
Caltekin, I., & Demirtaş, E. (2020) · Disaster and Emergency Medicine Journal · doi:10.5603/demj.a2020.0045 · Cited by 3
“com INTRODUCTION ST-segment elevation myocardial infarction (STEMI) manifests as acute thrombotic coronary artery occlusion caused by atherosclerotic plaque rupture, plaque erosion or calcific plaque and is the leading cause of death worldwide [1, 2].”
BackgroundKiani, R., Pouraliakbar, H., Alemzadeh-Ansari, M., Khademi, A., Peighambari, M., Mohebbi, B., Firouzi, A., Zahedmehr, A., Shakerian, F., Hosseini, Z., et al. (2020) · Journal of Cardiovascular and Thoracic Research · doi:10.34172/jcvtr.2020.34 · Cited by 3
Seeking predictors for paroxysmal atrial fibrillation in stroke with an online clinical database
Erdener, Ş. E. (2019) · Northern Clinics of Istanbul · doi:10.14744/nci.2019.91668 · Cited by 2
“A number of predictors, such as advanced age and female sex [11] or blood parameters like anemia [11, 12], iron deficiency [13], hyperuricemia [14–16], serum potassium and magnesium [17, 18], leukocyte count [19], neutrophil-to-lymphocyte ratio [20, 21] and vitamin-D level [22] have been associated with AF previously.”
BackgroundTony, A. A., Tony, E. A. E., Mohammed, W. S., & Kholef, E. (2018) · doi:10.21608/mjcu.2018.62792 · Cited by 3
Naphatthalung, J., Lian, S.-C., Kanokwiroon, K., Radenahmad, N., & Jansakul, C. (2018) · Functional Foods in Health and Disease · doi:10.31989/ffhd.v8i6.521 · Cited by 3
“Finally, the finding of increased neutrophil-to-lymphocyte ratio suggests that the LO-fed animals are in lipid-driven inflammatory state [43-45].”
BackgroundAkgül, E., Bircan, N., Yümün, G., & Vural, A. (2016) · doi:10.18621/eurj.2017.5000199818 · Cited by 3
“Recently, the NLR has become an emerging marker of inflammation, and a useful marker of cardiovascular disease as well as an independent predictor of cardiac or non-cardiac mortality [5].”
Backgroundİştar, H., Harmandar, B., Toker, M. K., & Türkiş, F. C. (2025) · Congenital Heart Disease · doi:10.32604/chd.2025.068540 · Cited by 4
“Afari et al. [12] examined the NLR in adults in relation to cardiac valvular surgery, acute coronary syndrome, and atrial fibrillation.”
Tao, Y., Liu, W., Yin, J.-Y., Chen, Z.-X., Shen, Q., & Chen, L. (2026) · International Journal of General Medicine · doi:10.2147/ijgm.s572612 · Cited by 2
“22,23 Thus, higher IBI signifies a more prominent systemic proinflammatory–prothrombotic–prospastic milieu, thereby driving MACE risk.”
Taşkıran, D., & Ay, O. (2025) · Journal of clinical laboratory analysis (Print) · doi:10.1002/jcla.70129 · Cited by 2
“It has been reported that the use of NLR as an inflammatory marker in acute coronary syndrome is a cost effective marker and may provide information about the clinical predictability and prognosis of patients [15].”
Liao, J., Zhang, A., Cong, Y., Peng, W., Tang, X., Zhu, Q., Li, L., Li, Y., Liu, Y., Jiang, H., et al. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07198-0 · Cited by 2
“Meanwhile, NLR can also predict the prognosis of cardiovascular diseases [39, 40].”
Blood Leukocyte Ratios as Predictive Markers of Chronic Enteropathy Phenotypes in Cats
Konstantinidis, A., Adamama-Moraitou, K. K., Griggs, A., Musser, M. L., Nenninger, A. S., Soubasis, N., Pardali, D., Mylonakis, M., & Jergens, A. (2025) · Veterinary Sciences · doi:10.3390/vetsci12070613 · Cited by 2
Balla, T., Maros, T., Csató, G., Erdei, N., Ványai, B., Nellamkuzhi, N. J., Shima, R., Czuriga, D., Csanádi, Z., Molnár, A., et al. (2025) · GeroScience · doi:10.1007/s11357-025-01688-5 · Cited by 2
“The focus was on the CV inflammation marker neutrophil to lymphocyte ratio (NLR) [9].”
Kartal, S. B., Başkurt, O., Yavuz, A., & Aydın, M. V. (2025) · Bratislava Medical Journal · doi:10.1007/s44411-025-00120-w · Cited by 2
Factors Influencing Early Diagnosis of Ruptured Abdominal Aortic Aneurysms: The Role of Neutrophils
Zhang, J., He, Z., Zheng, L., He, X., Li, J., & Zhang, L. (2025) · Journal of Inflammation Research · doi:10.2147/jir.s512895 · Cited by 2
“23,24 In the context of abdominal aortic aneurysm (AAA), elevated NLR has been consistently associated with ruptured AAA (rAAA) and adverse clinical outcomes, including higher 30-day mortality rates.”
Li, C., Wang, J., Han, X., Li, Y., Liu, K., Zhao, M., Gong, T., Hou, T., Wang, Y., Cong, L., et al. (2024) · Frontiers in Neurology · doi:10.3389/fneur.2024.1388653 · Cited by 2
Kikuchi, T., Kudo, T., & Yamamoto, Y. (2024) · Annals of Vascular Diseases · doi:10.3400/avd.oa.24-00016 · Cited by 2
“In cardiovascular disease, high NLR has been reported to be a predictor of prognosis for patients with acute coronary syndromes 9) and peripheral arterial disease.”
BackgroundThe role of neutrophil to lymphocyte ratio with wound healing in open tibial fracture grade IIIA
Johan, M. P., Putra, L. T., Yurianto, H., Usman, M. A., Arifin, J., Abidin, M. A., Putro, Y. A. P., Kennedy, D., & Singjie, L. C. (2024) · International Journal of Surgery Open · doi:10.1097/io9.0000000000000010 · Cited by 3
Platelet-to-Lymphocyte Ratio as an Independent Factor Associated With Atrial Tachyarrhythmia
Chen, C., Tang, X., & Fan, P. (2023) · Cureus · doi:10.7759/cureus.46775 · Cited by 2
“Many studies have reported that NLR is associated with cardiovascular diseases, such as acute coronary syndromes, cardiac arrhythmias, and atherosclerosis [27,28].”
BackgroundMathavan, A., Mathavan, A., Krekora, U., Mathavan, M., Rodriguez, V., Altshuler, E., Nguyen, B., & Ruzieh, M. (2023) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2023.1222179 · Cited by 2
Çelik, M., Işık, Ç., Arikan, E., Kurtboğan, M., & Boz, M. (2023) · Acta orthopaedica Belgica · doi:10.52628/89.3.10621 · Cited by 2
Kara, F., Özderya, A., Uzun, G., Kalaycıoğlu, E., Sayın, M., & Turan, T. (2023) · Cor et Vasa · doi:10.33678/cor.2022.081 · Cited by 2
“04 highly predicted the presence of CAD.(15) In our study the N/L ratio was 2.”
BackgroundShirasaki, K., Minai, K., Kawai, M., Tanaka, T. D., Ogawa, K., Inoue, Y., Morimoto, S., Nagoshi, T., Ogawa, T., Komukai, K., et al. (2022) · Medicine · doi:10.1097/md.0000000000032439 · Cited by 3
“Although it is difficult to prove this phenomenon directly, many studies suggest that these cell count ratios (PLR and NLR) are prognostic indicators of ACS.[4,5,9,10] Receiver operating characteristic curve analysis also revealed that high values of these blood cell types correlated with a PLR above 128 and an NLR ab…”
Backgroundde Araújo, N. A., Sampaio, H. A. D. C., Carioca, A. A. F., Barros, A. Q. S., Neto, C. C., Leal, A. L. F., & Silva, B. Y. D. C. (2022) · Archivos Latinoamericanos de Nutrición · doi:10.37527/2022.72.4.003 · Cited by 1
“Os biomarcadores já conhecidos, como PCR, e os mais recentemente propostos, como a RNL, são exemplos utilizados na estimativa de prognóstico em situações como câncer, DM2, doenças inflamatórias, eventos cardiovasculares, entre outros (30-33).”
Qiu, Z.-Y., Guo, T.-T., Sheng, X.-H., Tang, Y., & Du, H. (2022) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s384512 · Cited by 2
Neutrophil-to-Lymphocyte Ratio and Outpatient Management of Low-Risk Acute Pulmonary Embolism
Ranhbar, A., Sohrabi, B., Hajizadeh, R., Shoar, M., Kavandi, H., Ghodratizadeh, S., Sakha, H., & Mohammadi, K. (2022) · Heart and Mind · doi:10.4103/hm.hm_20_21 · Cited by 2
Ríos, C., Cabrera, O. G., Whaley, J. J., Sosa, M. D., Palacios, V. H., González, G., & López, J. (2022) · Biomarkers in Medicine · doi:10.2217/bmm-2022-0056 · Cited by 2
Ustohal, L., Mayerová, M., Horska, K., Obdržálková, M., Crhova, H., Kucerova, H. P., Češková, E., & Kašpárek, T. (2021) · International journal of psychiatry in clinical practice · doi:10.1080/13651501.2021.1962357 · Cited by 2
“related mortality (Afari and Bhat 2016; Balta et al. 2016), and a similar prognostic value of the monocyte-to-lymphocyte ratio (MLR) is being discussed (Si et al.”
BackgroundBai, Z., Ma, Y., Shi, Z., Li, T., Hu, S., & Shi, B. (2021) · Therapeutics and Clinical Risk Management · doi:10.2147/tcrm.s320533 · Cited by 7
“Prior-Stroke, n (%) 26 (6) 4 (6) 1 CKD, n (%) 85 (20) 22 (32) 0.”
Chen, L., Qi, L., Zhang, J., Ma, Q., & Chai, X. (2021) · Medicine · doi:10.1097/md.0000000000026292 · Cited by 2
“The neutrophil–lymphocyte ratio (NLR) is the ratio of the neutrophil to lymphocyte count.([11]) In recent years, a number of advances have been made in making use of the predictive value of the NLR.”
BackgroundNeutrophil-lymphocyte ratio across psychiatric diagnoses: An electronic health record investigation
Brinn, A., & Stone, J. (2020) · doi:10.1101/2020.01.07.20016790 · Cited by 2
Ash, J. (2017) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2017.08.066 · Cited by 2
Increased inflammatory status in chronic venous insufficiency patients
Ozturk, S., & Yetkın, E. (2017) · Phlebology · doi:10.1177/0268355517714354 · Cited by 2
“NLR is a useful, cost-effective and easy-to-calculate inflammatory marker, which was shown to be associated various cardiovascular and valvular disorders.(5) Besides, there are also other biomarkers such as lymphocyte-to-monocyte ratio (LMR) and platelet-tolymphocyte ratio (PLR), which can be calculated easily from a…”
BackgroundZnaczenie wskaźnika neutrofilowo-limfocytowego w chorobach układu sercowo-naczyniowego
Kuźniar-Placek, J., Pacyna, M., & Jaroszyński, A. (2017) · doi:10.5603/fc.2016.0109 · Cited by 2
“Mimo dobrej znajomości markerów zapalnych to właśnie NLR wydaje się przeżywać renesans jako wartościowy biomarker o dużym znaczeniu prognostycznym [7].”
zcan, S., & nmez, E. (2023) · Annals of Medical Research · doi:10.5455/annalsmedres.2022.08.266 · Cited by 2
“com ( Esra Donmez) trophil/lymphocyte ratio (NLr) and red cell distribution width (RDW) are components of complete blood count and have been studied to assess prognosis in various cardiovascular diseases [6-10].”
BackgroundSu, X.-Y., Rong, J.-Z., Chen, J.-H., Zhong, H.-W., Chen, L.-Q., Cao, A.-Q., Liang, Y.-S., Chen, Y.-S., Yin, L.-H., & Li, S.-H. (2026) · BMC Nephrology · doi:10.1186/s12882-026-05190-8 · Cited by 1
Damarlapally, N., Vempati, R., Mourad, D., Vasudevan, S. S., Mathur, G., Khan, A., Banda, P., Polamarasetty, H., Chauhan, S., Manjappachar, N. K., et al. (2026) · World Journal of Methodology · doi:10.5662/wjm.v16.i1.106277
Liu, H., Chen, L., Zhu, J., Zhang, Z., Nie, H., Tan, C., Gong, W., Ai, Y., Yuan, X., Zhang, S., et al. (2026) · Scientific Reports · doi:10.1038/s41598-025-30680-4 · Cited by 3
Lukoschewitz, J. D., Olesen, A. S. O., Taraldsen, I. A., Miger, K. C., Thune, J. J., Nielsen, O. W., & Grand, J. (2026) · International Journal of Cardiology · doi:10.1016/j.ijcard.2025.134141 · Cited by 1
Metadata
- Authors
- Afari, M. E., & Bhat, T.
- Affiliations
- Tufts University (US)
- Corresponding author
- Bhat, Tariq
- ORCID
- Afari, Maxwell E.
- Venue
- Expert Review of Cardiovascular Therapy
- Publisher
- Informa UK Limited
- Published
- 2016-03-04
- Volume
- 14
- Issue
- 5
- Pages
- 573-577
- ISSN
- 1477-9072 (ISSN-L)
- 1744-8344
- OpenAlex
- W2285799691
- Cited by
- 439
- References
- 0
- Citations by year
- 2026: 31 · 2025: 48 · 2024: 55 · 2023: 63 · 2022: 72 · 2021: 63 · 2020: 46 · 2019: 26 · 2018: 19 · 2017: 10 · 2016: 6
- FWCI
- 2.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Expert Review of Cardiovascular Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Inflammatory Biomarkers in Disease Prognosis
- Life Sciences › Immunology and Microbiology › Immunology › Inflammation biomarkers and pathways
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Sepsis Diagnosis and Treatment
- Keywords
- neutrophil-to-lymphocyte ratio, inflammatory markers, cardiovascular disease, acute coronary syndrome, cardiac arrhythmias, mortality prediction, congestive heart failure, aortic valve replacement, valvular heart disease, oxidative stress, GRACE risk score, SYNTAX score
- MeSH terms
- Cardiovascular Diseases, Heart Failure, Humans, Lymphocytes, Neutrophils, Prognosis, Risk, Biomarkers, Disease Progression, Acute Coronary Syndrome
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