دورية أكاديمية

Usefulness of white blood cell count to mean platelet volume ratio in the prediction of SYNTAX score in patients with non-ST elevation myocardial infarction

التفاصيل البيبلوغرافية
العنوان: Usefulness of white blood cell count to mean platelet volume ratio in the prediction of SYNTAX score in patients with non-ST elevation myocardial infarction
المؤلفون: Sivri, Serkan, Sokmen, Erdogan, Celik, Mustafa, Ozbek, Sinan Cemgil, Yildirim, Alp, Boduroglu, Yalcin
المساهمون: Kırşehir Ahi Evran Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri, Kardiyoloji ABD
بيانات النشر: PROFESSIONAL MEDICAL PUBLICATIONS
سنة النشر: 2019
المجموعة: Kırşehir Ahi Evran University Institutional Repository (DSpace@Kırşehir)
مصطلحات موضوعية: Acute coronary syndrome, Coronary atherosclerosis, SYNTAX score, White blood cell count to mean platelet volume ratio
الوصف: WOS: 000475428100045 ; PubMed ID: 31258602 ; Objective: White blood cell (WBC) count to mean platelet volume (MPV) ratio (WMR) is associated with major adverse cardiovascular events in patients with non-ST elevation myocardial infarction (NSTEMI). We aimed to compare WMR between NSTEMI patients and matched-controls and to evaluate its predictive value on SYNTAX score. Methods: Total 175 patients with NSTEMI and 160 age and co-morbidity matched subjects were recruited in our study. WMR was compared between the patient and control groups. The patient group was further subdivided into 3 tertiles according to SYNTAX scores as follows: low SYNTAX score tertile (score <= 22, 141 patients); intermediate SYNTAX score tertile (score between 23 and 32, 20 patients); and, high SYNTAX score tertile (score >= 33 14 patients). WMR was further assessed among the tertiles. Results: WMR was significantly greater in the patient group compared to the control group (p<0,001). WMR among low, intermediate and high score tertiles were calculated to be 890 +/- 26, 1090 +/- 042 and 1500 +/- 65, respectively (p <0,001). In receiver operating characteristics (ROC) analysis, WMR >960 predicted a SYNTAX score >= 23 with 80.6% sensitivity and 67.6% specificity (AUC: 0.756; 95% CI: 0.685 - 0.818; p <0.0001) and a WMR >1360 predicted a SYNTAX score >= 33 with 71.4% sensitivity and 93% specificity (AUC: 0.840; 95% CI: 0.777 - 0.892; p <0.0001). Conclusions: WMR value was significantly elevated in NSTEMI patients, compared to controls. Higher WMR was associated with greater SYNTAX score in patients with NSTEMI. WMR may be used to predict severity of the CAD and to implement risk stratification in patients with NSTEMI.
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 1682-024X
العلاقة: PAKISTAN JOURNAL OF MEDICAL SCIENCES; Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı; https://dx.doi.org/10.12669/pjms.35.3.1017Test; https://hdl.handle.net/20.500.12513/3724Test; 35; 824; 829
DOI: 10.12669/pjms.35.3.1017
الإتاحة: https://doi.org/20.500.12513/3724Test
https://doi.org/10.12669/pjms.35.3.1017Test
https://hdl.handle.net/20.500.12513/3724Test
حقوق: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.9FB4476C
قاعدة البيانات: BASE
الوصف
تدمد:1682024X
DOI:10.12669/pjms.35.3.1017