The Role of Neutrophil to Lymphocytes Ratio and It's Common Clinical Outcomes Amount the Patient with Non ST Elevation Acute Coronary Syndrome

Authors

  • Javaid Jalbani National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan
  • Khalid Iqbal Bhatti National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan
  • Tariq Sallar National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan

DOI:

https://doi.org/10.47144/phj.v56iSupplement_2.2679

Abstract

Objectives: To evaluate the admission neutrophil-to-lymphocyte ratio (NLR) for risk stratification for in-hospital out-comes and complications in non-ST-elevation acute coronary syndrome (non-ST-ACS) patients.

Methodology: Methods: We recruited consecutive patients with non-ST-ACS. The NLR was obtained and stratified as low, inter- mediate, and high-risk based on <3.0, 3.0e6.0, and >6.0, respectively. The new ST-T changes, arrhythmias, contrast-induced nephropathy (CIN), and mortality were recorded.

Results: Results: Median NLR was 3 [2.1-5.3] for 346 patients with 19.9% and 30.6% in high- and intermediate-risk group. New  ST-T changes were observed in 3.5% (12) out of which 8, 3, and 1 patient in low, intermediate, and high-risk group (p = 0.424), respectively. Arrhythmias were observed in 5.8% (20) with 7, 5, and 8 patients in low, intermediate, and high- risk group (p = 0.067), respectively. CIN was observed in 4.9% (17) with 5, 5, and 7 in low, intermediate, and high-risk group (p = 0.064), respectively. In-hospital mortality was recorded in 1.4% (5) with 2 and 3 patients in high and low-risk group (p = 0.260), respectively.

Conclusion: A significant number of non-ST-ACS patients fall in the high-risk category of NLR. Although, the association between NLR and in-hospital mortality and adverse events was not statistically significant but relatively higher rates of events were observed in high risk group.

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Published

2023-11-16

How to Cite

1.
Jalbani J, Bhatti KI, Sallar T. The Role of Neutrophil to Lymphocytes Ratio and It’s Common Clinical Outcomes Amount the Patient with Non ST Elevation Acute Coronary Syndrome. Pak Heart J [Internet]. 2023Nov.16 [cited 2024Mar.3];56(Supplement_2):S7. Available from: https://www.pakheartjournal.com/index.php/pk/article/view/2679