Prognostic implications of neutrophil lymphocyte ratio in acute myocardial infarction

Abstract

Background: Neutrophil Lymphocyte Ratio (NLR) is a readily available marker that conveys important information about the complex inflammatory activity in the vascular bed during the active phase of the syndrome. Hence it provides relevant information regarding the risk of mortality in patients who are admitted with acute myocardial infarction. Objectives: To estimate the neutrophil lymphocyte ratio in STEMI and NSTEMI of acute myocardial infarction. Materials and Methods: A total of 190 patients with acute myocardial infarction who fulfilled the inclusion criteria were selected. The neutrophil lymphocyte ratio was calculated in STEMI as well as NSTEMI and the value was compared. Patients were then categorized into three groups based on NLR . The relation of neutrophil lymphocyte ratio with the morbidity and mortality of acute myocardial infarction was then studied. Results : The mean age of patients in this study was 59.46± 15.29 years. In this study ,63.1 % were males and 37.9 % were females. The mean NLR value in acute myocardial infarction in this study was 6.175 ± 2.26.The mean NLR value among patients with STEMI is 6.49±2.30 while among patients with NSTEMI is 5.86± 2.17.