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White blood cell count to mean platelet volume ratio: A novel and promising prognostic marker for st-segment elevation myocardial ınfarction.
Cardiol J. 2016 Jan 18;
Authors: Cicek G, Açıkgöz SK, Yayla Ç, Kundi H, İleri M
Abstract
BACKGROUND: Increased white blood cell (WBC) count is associated with increased mortality in patients with ST-segment elevation myocardial infarction (STEMI).We aimed to evaluate predictive value of admission WBC to mean platelet volume (MPV) ratio (WMR) on prognosis in patients with undergoing primary percutaneous coronary intervention (pPCI) for STEMI.
METHODS: A total of 2603 consecutive patients with STEMI and underwent pPCI were recruited for the study. Follow-up data were obtained from digital records, patient files or by telephone interview with patients, family members, or primary care physicians.
RESULTS: WMR has the highest area under ROC curve and pairwise comparisons of the ROC curves revealed that WMR has the highest discriminative ability for long term mortality than WBC, MPV, red blood cell distribution with (RDW), WBC-MPV combination, and PLR-NLR (platelet to lymphocyte ratio and neutrophil to lymphocyte ratio ) combination in patients with undergoing pPCI for STEMI (A WMR value of 1653.47 was also found as threshold value for mortality with 75.4% sensitivity and 87.3% specificity by ROC curve analysis).
CONCLUSIONS: Higher WMR value on admission was associated with worse outcomes in patients with STEMI and independently predicted the long-term mortality better than other complete blood count components such as MPV, RDW, PLR-NLR and WBC-MPV combinations.
PMID: 26779969 [PubMed - as supplied by publisher]