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High Values of the Leukocyte Glycemic Index Are Associated with Symptomatic Systemic Atherosclerotic Disease in Young Patients Cover

High Values of the Leukocyte Glycemic Index Are Associated with Symptomatic Systemic Atherosclerotic Disease in Young Patients

Open Access
|Jul 2025

Figures & Tables

FIGURE 1.

Graphic representation of the difference between patients with systemic atherosclerosis and without systemic atherosclerosis for NLR (A), PLR (B), MLR (C), and LGI (D)
Graphic representation of the difference between patients with systemic atherosclerosis and without systemic atherosclerosis for NLR (A), PLR (B), MLR (C), and LGI (D)

FIGURE 2.

ROC curve analysis for LGI regarding the presence of systemic atherosclerosis
ROC curve analysis for LGI regarding the presence of systemic atherosclerosis

Clinical stage of PAD among patients with systemic atherosclerosis

Leriche Fontaine classification, n (%)Systemic atherosclerosis group (n = 25)
Stage IIA6 (24%)
Stage IIB5 (20%)
Stage III3 (12%)
Stage IV5 (20%)
Carotid stenosis6 (24%)

Predictive factors of systemic atherosclerosis in the study population

VariablesSystemic atherosclerosis
OR95% CIp value
Male0.760.26–2.160.601
Age2.07*1.12–3.830.021
Hypertension2.000.53–7.510.304
Chronic renal disease1.480.09–24.840.786
Obesity0.970.15–6.290.975
Active smoking4.391.01–19.190.049
Platelets2.18*1.15–4.130.017
WBCs2.06*1.12–3.790.020
Neutrophils2.75*1.37–5.490.004
Lymphocytes2.47*1.14–5.340.021
Monocytes2.03*1.10–3.720.021
LGI2.90*1.15–7.290.024

Demographic data, comorbidities, risk factors, and laboratory data of the study population

VariableAll patients (n = 59)Without atherosclerosis (n = 34)With atherosclerosis (n = 25)p value
Age, mean ± s.d.37.19 ± 5.4935.68 ± 6.0439.24 ± 3.880.007
Male, n (%)32 (54.24%)17 (50%)15 (60%)0.446
Comorbidities and risk factors, n (%)
Hypertension11 (18.64%)4 (11.76%)7 (28%)0.114
Ischemic heart disease3 (5.08%)0 (0%)3 (12%)0.038
Atrial fibrillation1 (1.69%)0 (0%)1 (4%)0.240
Cerebrovascular events5 (8.47%)0 (0%)5 (20%)0.006
Obesity5 (8.47%)3 (8.82%)2 (8%)0.911
Active smoking27 (45.76%)7 (20.59%)20 (80%)<0.001
Dyslipidemia10 (16.95%)3 (8.82%)7 (28%)0.052
Chronic renal disease2 (3.39%)0 (0%)2 (8%)0.093
Diabetes mellitus2 (3.39%)1 (2.94%)1 (4%)0.824
Laboratory data, mean ± s.d.
Red blood cells, × 106/μl4.64 ± 0.494.72 ± 0.524.54 ± 0.450.190
Hemoglobin, g/dl13.88 ± 1.6714.00 ± 1.8713.71 ± 1.380.416
Hematocrit, %41.17 ± 4.4341.63 ± 4.9840.55 ± 3.560.244
Platelets, × 103/μl260.65 ± 74.82239.24 ± 52.44289.78 ± 90.620.038
WBCs, × 103/μl8.09 ± 2.827.31 ± 2.149.15 ± 3.300.003
Neutrophils, × 103/μl5.50 ± 2.504.61 ± 1.896.7 ± 2.750.002
Lymphocytes, × 103/μl2.15 ± 0.791.91 ± 0.532.46 ± 0.970.01
Monocytes, × 103/μl0.63 ± 0.220.57 ± 0.180.70 ± 0.250.024
Eosinophils, × 103/μl0.19 ± 0.230.16 ± 0.120.22 ± 0.320.429
Basophiles, × 103/μl0.04 ± 0.020.05 ± 0.030.04 ± 0.020.889
Na, mmol/l140.3 ± 2.34140.61 ± 2.2139.9 ± 2.50.211
K, mmol/l4.39 ± 0.434.34 ± 0.284.45 ± 0.550.568
Glucose, mg/dl98.5 ± 36.6192.86 ± 14.54105.72 ± 52.520.355
BUN, mg/dl31.44 ± 22.2128.78 ± 6.9234.73 ± 32.410.347
Creatinine, mg/dl0.99 ± 1.50.82 ± 0.131.21 ± 2.270.231
GFR, ml/min106.85 ± 23.05104.49 ± 15.99109.87 ± 29.880.228
Quick time, s12.41 ± 1.312.27 ± 1.4812.59 ± 1.030.118
Prothrombin activity, %98.5 ± 19.53100.11 ± 17.5696.4 ± 22.070.298
INR1.03 ± 0.111.02 ± 0.11.03 ± 0.120.530
GOT, U/l27.02 ± 15.0427.38 ± 13.9226.66 ± 16.320.682
GPT, U/l32.77 ± 27.9833.66 ± 30.0931.67 ± 25.80.977
DOI: https://doi.org/10.2478/jce-2025-0006 | Journal eISSN: 2457-5518 | Journal ISSN: 2457-550X
Language: English
Page range: 54 - 60
Submitted on: Nov 3, 2024
Accepted on: Apr 16, 2025
Published on: Jul 1, 2025
Published by: Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Mircea Cătălin Coșarcă, Emőke Horváth, Nicolae-Alexandru Lazăr, Cosmin Carașcă, Gergő Ráduly, Maria Constantin, Ludovic-Alexandru Szanto, Corneliu Bogdan Bandici, Réka Bartus, Suzana-Vasilica Șincaru, Adrian Vasile Mureșan, published by Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.