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Rivista sulle Malattie del Cuore e dei Vasi
Official Journal of the Italian Society of Angiology and Vascular Pathology
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,752
Minerva Cardioangiologica 2015 Apr 17
The association of neutrophil to lymphocyte ratio and TIMI frame count in primary percutaneous coronary intervention
Kocas C. 1, Abaci O. 1, Arslan S. 1, Bostan C. 1, Coskun U. 1, Akturk F. 2, Yildiz A. 1, Ersanli M. 1 ✉
1 Department of Cardiology, Istanbul University Institute of Cardiology, Istanbul, Turkey;
2 Department of Cardiology, Mehmet Akif Ersoy State Hospital, Mehmet, Turkey
BACKGROUND: This study was sought to evaluate the relationship between admission neutrophil lymphocyte ratio (NLR) and estimated coronary flow by the TIMI frame count (TFC) method in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PPCI).
METHODS: TFC of 262 consecutive STEMI patients were evaluated after PPCI. Admission NLR were calculated and TFC was determined after PPCI. According to admission NLR value, patients were divided in to two groups. NLR levels higher than 3.5 were defined “higher NLR” whereas lower than 3.5 were accepted as “lower NLR”.
RESULTS: TFC was significantly higher in patients with higher NLR (56.6± 41.1 vs 37.9± 36.1, p <0.001). No-reflow phenomenon was more frequent in higher NLR group compared to lower NLR group (10.1% vs 5.2% , P=0.001). In multivariate linear regression analysis admission NLR was an independent predictor of high TIMI frame count (B = 2.24 95 % CI (1.17-3.31), p < 0.001).
CONCLUSION: Our findings suggest that admission NLR predicts coronary blood flow in means of TFC.