Background: Transcatheter aortic valve replacement (TAVR) is widely used in patients with severe aortic stenosis. The HALP (hemoglobin, albumin, lymphocyte, and platelet) score is an easily obtainable composite index that reflects nutritional status and systemic inflammation. Methods: In this single-center retrospective study, 140 patients who underwent TAVR between 1 April 2021, and 31 October 2024, were included. Patients were stratified according to the median HALP score (32.65) into low (5 units of red blood cells, acute kidney injury (AKI), need for mechanical ventilation >24 h, and length of hospital stay. Associations between the HALP score and clinical outcomes were evaluated using multivariable regression analyses, and the discriminatory performance of HALP was assessed using receiver operating characteristic (ROC) curves. Results: Patients with low HALP scores had higher rates of in-hospital mortality (11.4% vs. 4.2%; p = 0.002), bleeding (28.6% vs. 5.7%; p < 0.001), AKI (11.4% vs. 2.9%; p < 0.001), and need for mechanical ventilation >24 h (25.7% vs. 14.4%; p = 0.002), as well as longer hospital stay (4.82 ± 1.50 vs. 3.62 ± 1.94 days; p = 0.001) compared with the high-HALP group. In multivariable models, a lower HALP score remained independently associated with all adverse in-hospital outcomes. ROC analysis showed good discriminatory ability of the HALP score for mortality (area under the curve [AUC] = 0.816; cut-off = 20.16), bleeding (AUC = 0.798; cut-off = 24.94), AKI (AUC = 0.737; cut-off = 26.21), and need for mechanical ventilation (AUC = 0.735; cut-off = 27.36). Conclusions: The HALP score is independently associated with adverse in-hospital clinical outcomes in patients undergoing TAVR and may serve as a simple and practical tool for early risk stratification in this population.

Background: Coronary artery disease (CAD) is a chronic inflammatory disorder characterized by atherosclerotic plaque formation and progression. Identifying reliable, inexpensive biomarkers to predict its presence and severity remains clinically important. This study aimed to evaluate the role of the neutrophil-to-albumin ratio (NAR), a novel inflammatory index, in predicting CAD and its severity. Methods: A total of 987 patients who underwent coronary angiography (CAG) due to suspected CAD were retrospectively analyzed. The severity of coronary atherosclerosis was quantified using the Gensini score. Patients were divided into three groups: normal (score 0), mild (1–24), and severe (≥25). NAR was calculated by dividing the neutrophil count by serum albumin concentration. Statistical analyses included ANOVA, receiver operating characteristic (ROC) analysis, and multivariate ordinal logistic regression. Results: Higher NAR levels were significantly associated with increased Gensini scores (p < 0.001). ROC analysis identified an optimal NAR cut-off value of 0.1138 for predicting CAD severity (AUC = 0.735, p < 0.001). In the multivariate model, NAR remained the strongest independent predictor of ischemia severity (OR 1.82, 95% CI 1.48–2.24, p < 0.001), followed by diabetes mellitus and hypertension. Conclusions: NAR is an easily obtainable, inexpensive, and independent biomarker that may predict both the presence and severity of CAD. These findings suggest that NAR could be a practical parameter for early risk stratification before invasive coronary evaluation.

Objective: This study aimed to investigate the association between the neutrophil-to-albumin ratio (NAR) and coronary atherosclerotic burden, assessed using the Gensini score, in patients referred for coronary angiography (CAG). Methods: A total of 987 patients who underwent CAG at Sanliurfa Mehmet Akif Inan Training and Research Hospital between January 2020 and June 2023 were retrospectively analyzed. Demographic, clinical, and laboratory data, including complete blood count, albumin, lipid profile, and creatinine, were collected prior to angiography. The NAR was calculated as the ratio of absolute neutrophil count to serum albumin. Coronary atherosclerotic burden was assessed using the Gensini scoring system and analyzed across predefined score categories representing increasing anatomical disease extent: normal (score 0), mild (1–24), and severe (≥25). Statistical analyses included group comparisons and multivariable regression analyses appropriate to the study design. Results: Higher NAR values were associated with increased angiographic coronary atherosclerosis severity at the group level across Gensini score categories. This association remained statistically significant after prespecified multivariable adjustment for established cardiovascular risk factors. Conclusions: Higher NAR values were associated with greater angiographic coronary atherosclerotic burden, as quantified by the Gensini score, in an angiography-referred population.

Background and Objectives: Chronic kidney disease (CKD) is frequently observed among patients with non–ST elevation myocardial infarction (NSTEMI) and is associated with increased morbidity and mortality. Evidence comparing long-term outcomes after percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) in this high-risk population remains limited. The objective was to compare long-term major adverse cardiac event (MACE) outcomes between PCI and CABG in NSTEMI patients with CKD and multivessel disease. Materials and Methods: A total of 150 consecutive NSTEMI patients with CKD who underwent PCI or CABG were included in this retrospective observational cohort study. Patients were classified as having mild or moderate-to-severe CKD based on eGFR. Long-term outcomes included MACE (death, myocardial infarction, or ischemia-driven revascularization). Kaplan–Meier analysis was used to compare long-term MACE-free survival between groups. Results: PCI (n = 68) and CABG (n = 82) groups demonstrated comparable long-term MACE-free survival (log-rank p = 0.41). One-year MACE-free survival rates were 78% and 82%, respectively. Ischemia-driven revascularization was more frequent after PCI (p = 0.028), whereas major bleeding occurred more commonly after CABG (p = 0.003). Conclusions: In NSTEMI patients with CKD and multivessel disease, PCI and CABG provide comparable long-term MACE-free survival. Despite higher rates of repeat revascularization after PCI and greater bleeding risk after CABG, overall long-term outcomes were similar. CKD severity did not significantly modify treatment-related differences.