Abstract
Background: This study is done to know the prognostic importance of WBC count and blood glucose at admission in acute myocardial infarction
 Methods: This study was prospective study. 100 patients presenting to Department of cardiology, Sardar Patel Medical College, Bikaner within 24hrs with Acute MI.
 Results: Out of 100 patients 15 had LV dysfunction, among these 15 patients 9 were having elevated WBC count and 6 had normal WBC count. Among 100 patients 11 had cardiogenic shock, among these11 patients 7 had elevated WBC count and 4 had normal WBC count. Among 100 patients 7 patients died, among these 7 patients 5 patients had elevated WBC count and 2 patient had normal WBC count.
 Conclusion- Elevated WBC count at admission has a prognostic importance as independent and joint variables in predictors for short-term outcome in the form of in-hospital mortality in acute myocardial infarction cases.
 Keywords: ST segment elevation myocardial infarction (STEMI), Non ST segment elevation myocardial infarction(NSTEMI), White blood cell (WBC).
Highlights
Coronary artery disease is the major cause of death in most modern societies across the globe
Inclusion criteria-Patients of age of more than 18 years with ST segment elevation acute myocardial infarction (STEMI) or non-ST segment elevation acute myocardial infarction (NSTEMI) on the basis of clinical history, examination, ECG changes and biochemical markers like Troponin T, CK-MB presenting to hospital within 24 hours
Methods of data collection-100 consecutive patients presenting with acute myocardial infarction admitted to Cardiac care unit, Haldiram Moolchand Govt. center of cardiovascular Science & Research, Bikaner were studied.[100] patients presenting to hospital within 24hrs with Acute MI and qualifying inclusion criteria were enrolled and written consent was taken regarding participation in the study
Summary
Coronary artery disease is the major cause of death in most modern societies across the globe. The clinical symptoms of coronary heart disease contain a spectrum of silent ischemia to chronic stable angina, unstable angina, acute myocardial infarction, ischemic cardiomyopathy, sudden cardiac death, arrhythmias and cardiogenic shock. This study is done to know the prognostic importance of WBC count and blood glucose at admission in acute myocardial infarction Methods: This study was prospective study. Results: Out of 100 patients 15 had LV dysfunction, among these 15 patients 9 were having elevated WBC count and 6 had normal WBC count. Among 100 patients 11 had cardiogenic shock, among these[11] patients 7 had elevated WBC count and 4 had normal WBC count. Conclusion- Elevated WBC count at admission has a prognostic importance as independent and joint variables in predictors for short-term outcome in the form of in-hospital mortality in acute myocardial infarction cases.
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