STUDY OF PROGNOSTIC VALUE OF RATIO OF NEUTROPHIL TO LYMPHOCYTE TO PREDICT PROGNOSTIC OUTCOMES IN PATIENTS WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION.

Abstract

Introduction: Atherosclerosis is a inammatory disease of arterial wall which have multifactorial causes. So study was done to investigate the role of neutrophil lymphocyte ratio in prediction of in hospital adverse events in ST elevated myocardial infarction (STEMI) patients thrombolysed with streptokinase (SK). Material and methods: The study consisted observational retrospective longitudinal study. In this 70 patients [47 (67.1%) men, 23(32.8%) women, mean age 53.6 ± 11.16 years], diagnosed case of acute ST elevation MI. Patints were devided in two group according to NLR (High NLR and Low NLR) detected by CBC. Result: A Total of 42 cases developed complications; in high NLR groups had higher rate of complications like Arrhythmia 6(60%), cardiogenic shock 12(80%), heart failure 10(77%), Post MI Angina 2 (50%) in hospital than those in low NLR group. Conclusion: Our ndings reveal that N/L ratio, a simple marker which can be derived from a routine complete blood count test was signicantly and independently related to prognosis of Acute myocardial infarction.