Pp-195 Relationship of Coronary Flow to Neutrophil/Lymphocyte Ratio in Patients Undergoing Primary Percutaneous Coronary Intervention

Soylu, Korhan; Yuksel, Selin; Gülel, Okan; Erbay, Aslihan; Meriç, Mehmet; Zengin, Halit; Museyibov, M.; Yaşar, Erdoğan; Demircan, Sabri

doi:10.1016/s0167-5273(13)70399-1

Cited by 16 publications

(19 citation statements)

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“…In addition, NLR has been shown to be an independent indicator for no-reflow development in patients who have undergone percutaneous coronary intervention for acute STEMI [21]. Furthermore, NLR has been reported to predict major adverse cardiac events in patients with diabetes [22] and to be associated with critical limb ischemia [23].…”

Section: Discussionmentioning

confidence: 99%

Racial differences in the neutrophil-to-lymphocyte ratio in patients with non-ST-segment elevation myocardial infarction

Misumida¹,

Kobayashi²,

Kanei

2015

Coronary Artery Disease

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Section: Discussionmentioning

confidence: 99%

Racial differences in the neutrophil-to-lymphocyte ratio in patients with non-ST-segment elevation myocardial infarction

Misumida¹,

Kobayashi²,

Kanei

2015

Coronary Artery Disease

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“…In another study conducted in Japan the age average was reported to be 66±1 (19). in most performed studies, acute myocardial infarction happened in 60s in majority of patients (20)(21)(22). Based on reported data it seems that acute myocardial infarction happens mostly in 60s and early 70s of age.…”

Section: Resultsmentioning

confidence: 98%

Correlation between neutrophil to lymphocyte ratio (NLR) and red cell distribution width to platelet ratio with ST segment resolution and 2 month complications in patients with acute myocardial infarction undergoing primary coronary intervention

Varastehravan¹

2019

Cardiometry

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Correlation between neutrophil to lymphocyte ratio (NLR) and red cell distribution width to platelet ratio (RPR) with ST segment resolution (STR) and 2 month complications in patients with acute myocardial infarction undergoing primary coronary intervention Abstract Acute myocardial infarction causes a great number of mortality and morbidity each year. Risk assessment and prognosis is one of the initial steps in approaching a patient with acute myocardial infarction. Neutrophil to lymphocyte ratio (NLR) and red cell distribution width to platelet ratio (RPR) are two indices that have been studied recently and their prognostic and risk assessment role is reported in various studies. In this study we aimed to investigate the relationship between NLR and RPR with ST segment resolution (STR) in patients with acute myocardial infarction. Materials and methodsThis is a cohort study with 2 months of follow up and a total of 211 patients with acute myocardial infarction were enrolled in the study.An electrocardiogram and venous blood sample was taken from all included patient and the results were recorded in a questionnaire.All patients underwent primary coronary intervention and another electrocardiogram was retrieved within 90 minute after primary angioplasty. Data was analyzed using SPSS 16. ResultOur results showed that the mean age of participants was 61.15±12.68 years. Among 211 patients, 181 (85.8%) were male and 30 (14.2%) were female. The mean RPR, NLR and SRT in the studied patients was 1.01±0.21, 4.07±3.31 and 0.418±0.32respectively. There was a significant correlation between NLR and RPR with STR along with two month complications in studied patients. ConclusionAccording to our results, NLR and RPR can be used for risk assessment and prognosis and short term complications of myocardial infarction in patients undergoing primary coronary intervention. KeywordsNeutrophil to lymphocyte ratio, Primary coronary intervention, Angioplasty, Red cell distribution width to platelet ratio, ST segment resolution, Myocardial infarction Imprint Hamidreza Varastehravan, Aryan Naghedi, Azam Yalameh Aliabadi, Seyedeh Mahdieh Namayandeh, Pardis Rezaei Shirinabadi.Correlation between neutrophil to lymphocyte ratio (NLR) and red cell distribution width to platelet ratio (RPR) with ST segment resolution (STR) and 2 month complications in patients with acute myocardial infarction undergoing primary coronary intervention.

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“…lower lymphocytes count and higher platelet to lymphocytes ratio), and these were in fact patients who required inotropic support. Other studies indicated that higher blood vulnerability (as indicated by higher neutrophil count and neutrophil/lymphocyte ratio) is associated with a no‐reflow phenomenon after revascularisation . This might suggest that malnutrition could be one of the determinants of the coronary no‐reflow phenomenon after revascularisation, but this hypothesis requires further studies, with cardiac magnetic resonance (CMR) validation.…”

Section: Discussionmentioning

confidence: 99%

“…Other studies indicated that higher blood vulnerability (as indicated by higher neutrophil count and neutrophil/lymphocyte ratio) is associated with a no-reflow phenomenon after revascularisation. 25 This might suggest that malnutrition could be one of the determinants of the coronary no-reflow phenomenon after 0.020 CCCU, cardiac critical care unit; CONUT, controlling nutritional status score; RDW-SD, red blood cell distribution width, standard deviation; GNRI, geriatric nutritional risk index; hs-CRP, highly sensitive C-reactive protein; PDW, platelet distribution width; RDW, red blood cell distribution width.…”

Section: Discussionmentioning

confidence: 99%

Altered nutritional status, inflammation and systemic vulnerability in patients with acute myocardial infarction undergoing percutaneous coronary revascularisation: A prospective study in a level 3 cardiac critical care unit

Rus

Chițu

Benedek

et al. 2019

Nutrition & Dietetics

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Aim The aim of the present study was to assess the influence of nutritional status, as expressed by Controlling Nutritional Status (CONUT) and Geriatric Nutritional Risk Index (GNRI) scores, on the inflammatory response following acute myocardial infarction (AMI) and the impact of an altered nutritional status and increased systemic inflammation on immediate evolution following AMI. Methods This was an observational prospective study in which we used the CONUT score and GNRI on 86 consecutive patients with AMI receiving primary revascularisation, divided into a well‐nourished group (CONUT score 0–2, n = 68) and moderate‐to‐severe nutritional deficit group (CONUT score ≥ 3, n = 18). Inflammatory status was assessed on the basis of highly sensitive C‐reactive protein (hs‐CRP) at baseline and on day 5. Results Malnourished patients presented significantly higher levels of serum hs‐CRP at baseline (33.6 ± 35.02 mg/dL vs 10.26 ± 25.93 mg/dL, P < 0.0001) and day 5 (52.8 ± 46.25 mg/dL vs 17.04 ± 24.78 mg/dL, P < 0.0001). GNRI values showed a weak but significant correlation with serum hs‐CRP at baseline (r = −0.26, P = 0.01) and day 5 (r = −0.44, P < 0.0001). Patients with altered nutritional status presented more frequent deterioration of their haemodynamical status, requiring inotropic support (P = 0.002) and longer hospitalisation in the acute cardiac care unit (4.27 ± 2.60 vs 2.85 ± 0.73 days, P = 0.005). Patients requiring intravenous inotropics had a higher CONUT score (2.31 ± 1.7 vs 1.17 ± 1.27, P = 0.01), lower GNRI (102.0 ± 5.31 vs 98.56 ± 5.2, P = 0.02) and higher hs‐CRP levels at baseline and day 5 (31.40 ± 46.57 vs 18.52 ± 32.98, P = 0.04 and 46.04 ± 51.50 vs 19.60 ± 46.05, P = 0.006). Conclusions Malnourished patients with AMI had more expressed inflammation, increased blood vulnerability and worse outcomes.

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Pp-195 Relationship of Coronary Flow to Neutrophil/Lymphocyte Ratio in Patients Undergoing Primary Percutaneous Coronary Intervention

Cited by 16 publications

References 0 publications

Racial differences in the neutrophil-to-lymphocyte ratio in patients with non-ST-segment elevation myocardial infarction

Racial differences in the neutrophil-to-lymphocyte ratio in patients with non-ST-segment elevation myocardial infarction

Correlation between neutrophil to lymphocyte ratio (NLR) and red cell distribution width to platelet ratio with ST segment resolution and 2 month complications in patients with acute myocardial infarction undergoing primary coronary intervention

Altered nutritional status, inflammation and systemic vulnerability in patients with acute myocardial infarction undergoing percutaneous coronary revascularisation: A prospective study in a level 3 cardiac critical care unit

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