Relation of Neutrophil-to-Lymphocyte Ratio With GRACE Risk Score to In-Hospital Cardiac Events in Patients With ST-Segment Elevated Myocardial Infarction
CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS, cilt.21, sa.4, ss.383-388, 2015 (SCI-Expanded)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 4
- Basım Tarihi: 2015
- Doi Numarası: 10.1177/1076029613505763
- Dergi Adı: CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.383-388
- Anahtar Kelimeler: GRACE risk score, inflammation, neutrophil-to-lymphocyte ratio, acute myocardial infarction, LONG-TERM MORTALITY, PERCUTANEOUS CORONARY INTERVENTION, NEUTROPHIL/LYMPHOCYTE RATIO, ANGIOGRAPHIC OUTCOMES, CARDIOVASCULAR RISK, PROGNOSTIC VALUE, PREDICTIVE-VALUE, ARTERY-DISEASE, HEART-FAILURE, ASSOCIATION
- Akdeniz Üniversitesi Adresli: Evet
Özet
In this study, we aimed to investigate the association of the neutrophil-to-lymphocyte ratio (NLR) with Global Registry of Acute Coronary Events (GRACE) risk score in patients with ST-segment elevated myocardial infarction (STEMI). We analyzed 101 consecutive patients with STEMI. Patients were divided into 3 groups by use of GRACE risk score. The association between NLR and GRACE risk score was assessed. The NLR showed a proportional increase correlated with GRACE risk score (P < .001). The occurrence of in-hospital cardiac death, reinfarction, or new-onset heart failure was significantly related to NLR at admission (P < .001). Likewise, NLR and GRACE risk score showed a significant positive correlation (r = .803, P < .001). In multivariate analysis, NLR resulted as a predictor of worse in-hospital outcomes independent of GRACE risk score. Our study suggests that the NLR is significantly associated with adverse in-hospital outcomes, independent of GRACE risk score in patients with STEMI.