Value of Early Risk Stratification Using Hemoglobin Level and Neutrophil-to-Lymphocyte Ratio in Patients With ST-Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention

Complete blood count is the most widely available laboratory datum in the early in-hospital period after ST-elevation myocardial infarction (STEMI). We assessed the clinical utility of the combined use of hemoglobin (Hb) level and neutrophil-to-lymphocyte ratio (N/L) for early risk stratification in...

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Bibliographic Details
Published in:The American journal of cardiology 2011-03, Vol.107 (6), p.849-856
Main Authors: Cho, Kyung Hoon, MD, Jeong, Myung Ho, MD, Ahmed, Khurshid, MD, Hachinohe, Daisuke, MD, Choi, Hong Sang, MD, Chang, Soo Young, MD, Kim, Min Chul, MD, Hwang, Seung Hwan, MD, Park, Keun-Ho, MD, Lee, Min Goo, MD, Ko, Jum Suk, MD, Sim, Doo Sun, MD, Yoon, Nam Sik, MD, Yoon, Hyun Ju, MD, Hong, Young Joon, MD, Kim, Kye Hun, MD, Kim, Ju Han, MD, Ahn, Youngkeun, MD, Cho, Jeong Gwan, MD, Park, Jong Chun, MD, Kang, Jung Chaee, MD
Format: Article
Language:English
Subjects:
Analysis of Variance
Anemia
Angioplasty
Biological and medical sciences
Biomarkers - blood
Blood clots
Blood tests
Cardiology
Cardiology. Vascular system
Cardiovascular
Cardiovascular disease
Chi-Square Distribution
Coronary heart disease
Diseases of the cardiovascular system
Female
Heart
Heart attacks
Hemoglobin
Hemoglobins - metabolism
Humans
Lymphocyte Count
Male
Medical sciences
Middle Aged
Mortality
Myocardial Infarction - blood
Myocardial Infarction - mortality
Myocardial Infarction - therapy
Myocarditis. Cardiomyopathies
Neutrophils
Proportional Hazards Models
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Registries
Risk Assessment
Risk factors
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Description
Summary:Complete blood count is the most widely available laboratory datum in the early in-hospital period after ST-elevation myocardial infarction (STEMI). We assessed the clinical utility of the combined use of hemoglobin (Hb) level and neutrophil-to-lymphocyte ratio (N/L) for early risk stratification in patients with STEMI. We analyzed 801 consecutive patients with STEMI treated with primary percutaneous coronary intervention (PCI) within 12 hours of onset of symptoms. Patients with cardiogenic shock or underlying malignancy were excluded, and 739 patients (63 ± 13 years, 74% men) were included in the final analysis. Patients were categorized into 3 groups using the median value of N/L (3.86) and the presence of anemia (Hb
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2010.10.067