Prognostic Value of Ratio of Neutrophil to Lymphocyte to Predict Prognostic Outcomes in Patients with Acute ST Segment Elevation Myocardial Infarction
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 4
Abstract
Introduction: Atherosclerosis is a inflammatory disease of arterial wall which have multifactorial causes. So study was done to investigate the role of neutrophil lymphocyte ratio in prediction of in hospital adverse events and mortality in ST elevated myocardial infarction (STEMI) patients thrombolysed with streptokinase (SK). Material and methods: A prospective comparative observational study is done in between April 2016 and october 2016, The study consisted of 200 patients [150 (75%) men, 50(25%) women, mean age 53 ± 10.6 years], diagnosed case of acute ST elevation MI. Patints were devided in two group according to NLR (High NLR and Low NLR) detected by CBC. Result: A Total of 120 cases developed complications;40 (20%) died in hospital.patients in high NLR groups had higher rate of complications (75% vs 25% p value .002) and death (80% vs 20%), p value.0004), in hospital than those in low NLR group. Conclusion: Our findings reveal that N/L ratio, a simple marker which can be derived from a routine complete blood count test was significantly and independently related to prognosis of Acute myocardial infarction.
Authors and Affiliations
Punit Gupta, O. P. Patidar, Deepak Gupta
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