Inflammation is a shared mechanism in coronary artery disease (CAD) and subsequent heart failure (HF) and circulating monocyte and lymphocyte counts predict CAD severity and outcomes. We investigated whether the monocyte-to-lymphocyte ratio (MLR) correlates with biomarkers of HF and extent of CAD, as well as future HF hospitalizations in patients undergoing coronary angiography (CAG). Therefore, we studied 1754 patients undergoing CAG for stable CAD, unstable angina or myocardial infarction (MI).MLR was determined at blood draw prior to angiography and related cross-sectionally to HF biomarkers