Open Access e-Journal Cardiometry - No.15 November 2019

STR. They concluded that higher NLR at the time of
admission in patients with acute myocardial infarction
undergoing primary coronary intervention is
correlated with coronary no reflow phenomenon and
poor long term prognosis. The results of their study
matches our results as well (10).
Conclusion
In our study we evaluated the relationship between
neutrophil count, lymphocyte count, NLR, RDW,
PDW and RPR with STR. There was only a significant
correlation between NLR and STR. NLR was significantly
lower in patients with STR>70%.
On the other hand, there was a significant relationship
observed between all mentioned indexed except
RDW and PDW with 2 month complications.
It can be concluded that it is possible to use NLR
and RPR to predict STR and short term complications
in patients with acute myocardial infarction undergoing
primary coronary intervention.
Based on our results, it seems that applying mentioned
cheap, fast and accessible markers along with
other prognostic markers and clinical conditions in
daily practice, can be helpful in prognosis prediction
and choosing the best treatment strategy (using anti-inflammatory
agents such as Canakinumab) in future
to prevent recurrence of acute coronary infarction
(56,63).
Statement on ethical issues
Research involving people and/or animals is in full
compliance with current national and international
ethical standards.
Conflict of interest
None declared.
Author contributions
The authors read the ICMJE criteria for authorship
and approved the final manuscript.
References
1. Buchanan GL, Chieffo A, Colombo A. Is there still a
survival advantage to bypass surgery over percutaneous
intervention in the modern era? Progress in cardiovascular
diseases. 2015;58(3):335-41.
2. Schwartz BG, Kloner RA. Coronary no reflow.
Journal of molecular and cellular cardiology. 2012;
52(4):873-82.
3. Oncel RC, Ucar M, Karakas MS, Akdemir B,
Yanikoglu A, Gulcan AR, et al. 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. 2015;21(4):383-8.
4. Akpek M, Kaya MG, Lam YY, Sahin O, Elcik D, Celik
T, et al. Relation of neutrophil/lymphocyte ratio
to coronary flow to in-hospital major adverse cardiac
events in patients with ST-elevated myocardial infarction
undergoing primary coronary intervention. The
American journal of cardiology. 2012;110(5):621-7.
5. Cho KH, Jeong MH, Ahmed K, Hachinohe D, Choi
HS, Chang SY, et al. 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. The
American journal of cardiology. 2011;107(6):849-56.
6. Park JJ, Jang H-J, Oh I-Y, Yoon C-H, Suh J-W, Cho
Y-S, et al. Prognostic value of neutrophil to lymphocyte
ratio in patients presenting with ST-elevation
myocardial infarction undergoing primary percutaneous
coronary intervention. The American journal
of cardiology. 2013;111(5):636-42.
7. Pellizzon GG, Dixon SR, Stone GW, Cox DA. Relation
of admission white blood cell count to longterm
outcomes after primary coronary angioplasty for
acute myocardial infarction (The Stent PAMI Trial).
The American journal of cardiology. 2003;91(6):729-.
8. Furman MI, Gore JM, Anderson FA, Budaj A,
Goodman SG, Avezum Á, et al. Elevated leukocyte
count and adverse hospital events in patients with
acute coronary syndromes: findings from the Global
Registry of Acute Coronary Events (GRACE). American
heart journal. 2004;147(1):42-8.
9. Uğur M, Ayhan E, Bozbay M, Çiçek G, Ergelen M,
Işık T, et al. The independent association of plateletcrit
with long-term outcomes in patients undergoing
primary percutaneous coronary intervention. Journal
of critical care. 2014;29(6):978-81.
10. Sen N, Afsar B, Ozcan F, Buyukkaya E, Isleyen A,
Akcay AB, et al. The neutrophil to lymphocyte ratio
was associated with impaired myocardial perfusion and
long term adverse outcome in patients with ST-elevated
myocardial infarction undergoing primary coronary
intervention. Atherosclerosis. 2013;228(1):203-10.
11. Varastehravan H, Naghedi A, Nough H, Pourmirafzali
H. The relationship between severity of coronary
artery disease and mean platelet volume2019.
54 | Cardiometry | Issue 15. November 2019