Correlation of Leukocyte and Coronary Lesion Severity of Acute Myocardial Infarction

Yunting Liang1,2, Hui Chen3,2, Ping Wang3

  • 11 Department of Pediatric Cardiovascular Center, Anzhen Hospital, Beijing, China.

Angiology
|November 14, 2017
PubMed

Insights

Higher leukocyte and neutrophil counts, along with the neutrophil-lymphocyte ratio (NLR), are linked to severe coronary lesions in acute myocardial infarction (AMI) patients. Neutrophil count may predict high thrombus burden and total coronary occlusion.

Area of Science:

  • Cardiology
  • Hematology
  • Biomedical Science

Background:

  • Leukocytes are crucial in acute myocardial infarction (AMI) development and progression.
  • Understanding the link between leukocyte counts and coronary lesion severity is vital for patient management.

Purpose of the Study:

  • To investigate the association between leukocyte count and coronary lesion severity in patients with AMI.
  • To determine if leukocyte count, neutrophil count, or neutrophil-lymphocyte ratio (NLR) predict adverse cardiovascular events during hospitalization.

Main Methods:

  • A retrospective study of 815 AMI patients undergoing primary percutaneous coronary intervention (2005-2014).
  • Analysis of risk factors, routine blood parameters, and in-hospital cardiovascular events.
  • Comparison of leukocyte counts, neutrophil counts, and NLR between thrombus burden and total occlusion groups.

Main Results:

  • Leukocyte count, neutrophil count, and NLR were significantly higher in patients with high thrombus burden and total coronary occlusion.
  • A neutrophil count ≥8.355 × 10^9/L was independently associated with high thrombus burden and total coronary occlusion.
  • No significant relationship was found between leukocyte count, neutrophil count, NLR, and in-hospital cardiovascular events.

Conclusions:

  • Neutrophil count may serve as an independent predictor of high thrombus burden and total coronary occlusion in AMI patients.
  • Leukocyte parameters are associated with coronary lesion severity but not necessarily with in-hospital cardiovascular events.

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