Indonesian Journal of Global Health Research
Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research

The Relationship between Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio with the Severity of Acute Coronary Syndrome

Nur Isti Hasanah (Universitas Sumatera Utara)
Jelita Siregar (Universitas Sumatera Utara & Adam Malik Hospital)
Anggia Chairuddin Lubis (Universitas Sumatera Utara & Adam Malik Hospital)



Article Info

Publish Date
19 Aug 2026

Abstract

Cardiovascular diseases pose a major health problem, representing a significant threat to the global population due to their high mortality rates. According to the World Health Organization (WHO), cardiovascular diseases were the leading cause of death worldwide in 2021. This condition is caused by the accumulation of fatty deposits in the arteries, known as atherosclerosis, which obstructs blood flow and increases the risk of heart attacks. This study aimed to evaluate the relationship between the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) and the severity of acute coronary syndrome at Adam Malik General Hospital. This study was an analytical study with a retrospective design, utilizing secondary data obtained from patients’ medical records over a specific period. Patient data were collected from January 2023 to December 2024 from patients hospitalized at Adam Malik Hospital. Sampling was conducted using a total sampling technique, including all 208 patients who met the inclusion criteria during the study period. The collected data were then analyzed using the Kolmogorov–Smirnov test to assess the normality of data distribution. Among 208 patients, 76% were male, with a mean age of 62.2 years (range: 36–81). Most patients had low SYNTAX II scores (74%). The mean NLR and PLR values were 3.58 and 134.35, respectively. A significant positive correlation was observed between NLR and SYNTAX II score (r = 0.284; p < 0.001) and between PLR and SYNTAX II score (r = 0.143; p = 0.039). This study demonstrated a significant positive correlation between the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) and the severity of acute coronary syndrome based on the SYNTAX II score. NLR showed a stronger correlation than PLR, highlighting its superior potential as an inflammatory biomarker for assessing disease severity in patients with acute coronary syndrome.

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Journal Info

Abbrev

IJGHR

Publisher

Subject

Description

Indonesian Journal of Global Health Research is a open access, peer reviewed and refereed international journal. Indonesian Journal of Global Health Research aim to publish original research paper devoted to various area of all health sciences. Indonesian Journal of Global Health Research provides a ...