Evidence mapPaperPMID 41209124Full record

ArticleReviews in cardiovascular medicine2025

The Monocyte-to-Lymphocyte Ratio Exhibits A Superior Prognostic Value in Patients with Newly Diagnosed Acute Coronary Syndrome.

Mi Lao, Huiling Liu, Xiaoping Cai, Yue Zhang, Tong Liu, Guangping Li, Kangyin Chen, Meng Yuan

Abstract read
In one paragraph

Article in Reviews in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mi LaoTianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, The Second Hospital of Tianjin Medical University, 300211 Tianjin, China.ORCID https://orcid.org/0009-0009-1867-5798
Huiling LiuDepartment of Radiation Oncology, Binzhou People's Hospital, 256600 Binzhou, Shandong, China.ORCID https://orcid.org/0009-0000-1403-0831
Xiaoping CaiDepartment of Radiation Oncology, Binzhou People's Hospital, 256600 Binzhou, Shandong, China.ORCID https://orcid.org/0009-0004-9824-5467
Yue ZhangTianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, The Second Hospital of Tianjin Medical University, 300211 Tianjin, China.ORCID https://orcid.org/0009-0009-4631-1780
Tong LiuTianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, The Second Hospital of Tianjin Medical University, 300211 Tianjin, China.ORCID https://orcid.org/0009-0001-7004-6835
Guangping LiTianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, The Second Hospital of Tianjin Medical University, 300211 Tianjin, China.ORCID https://orcid.org/0000-0001-6677-3661
Kangyin ChenTianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, The Second Hospital of Tianjin Medical University, 300211 Tianjin, China.
Meng YuanTianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, The Second Hospital of Tianjin Medical University, 300211 Tianjin, China.ORCID https://orcid.org/0000-0003-0087-6152

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic inflammation critically influences atherosclerotic progression and plaque destabilization. This investigation assessed and compared six lymphocyte-derived inflammatory indices (neutrophil-to-lymphocyte ratio (NLR), monocyte-lymphocyte ratio (MLR), platelet-lymphocyte ratio (PLR), systemic immune-inflammation index (SII), systemic inflammatory response index (SIRI), systemic immune-inflammation response index (SIIRI)) for predicting major adverse cardiovascular events (MACEs) in treatment-naïve acute coronary syndrome (ACS) patients undergoing coronary angiography. Methods: This study enrolled 1120 patients with newly diagnosed ACS, in which the occurrence of MACEs was monitored. The predictive capacities of the included lymphocyte-derived inflammatory indices were evaluated through receiver operator characteristic (ROC) curve analysis with optimal cutoffs, supplemented by Cox proportional hazards modeling. Results: A total of 265 MACEs (23.66%) were recorded during the 64.20 ± 23.05-month follow-up. Multivariate Cox analyses identified an elevated MLR (hazard ratio (HR) = 2.880, 95% confidence interval (CI) 1.280-6.470; Conclusions: MLR outperformed conventional parameters and five novel lymphocyte-based inflammatory indices in predicting MACEs in ACS patients; thus, the MLR can be established as a robust predictive biomarker. The clinical utility of the MLR extends to risk stratification across key patient subgroups, suggesting potential integration into routine cardiovascular risk assessment protocols.

Indexed as

acute coronary syndromemajor adverse cardiovascular eventsmonocyte-lymphocyte rationovel inflammatory markersprognosis

Identifiers

PMID41209124
PMCPMC12593858

What Socratic holds

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Registered trials

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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 Socratic graph.