Serum ghrelin levels were significantly higher than in acyanotic and cyanotic groups compared to in the control group (P<.0001) (Table 3).Serum ghrelin levels in the acyanotic patients were significantly higher than in the cyanotic patients(P<.0001).TNF-αlevels were significantly higherthan in cyanotic and acyanotic patients with CHD compared to in the control groups (P<.001, P<.0001, resp). Here, GHRL is linked to coronary artery disorder.