Research Article
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Year 2023, Volume: 13 Issue: 2, 173 - 178, 25.08.2023

Abstract

References

  • 1. Ralapanawa U, Sivakanesan R. Epidemiology and the magnitude of coronary artery disease and acute coronary syndrome: A narrative review. J Epidemiol Glob Health. 2021;11:169.
  • 2. Sanchis-Gomar F, Perez-Quilis C, Leischik R, Lucia A. Epidemiology of coronary heart disease and acute coronary syndrome. Ann Transl Med. 2016;4:256.
  • 3. Writing Group Members; Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Executive summary: Heart Disease and Stroke Statistics-2016 Update: a report from the American Heart Association. Circulation. 2016;133:44754.
  • 4. Yang H, Zhang L, Xu CH. Use of the SYNTAX Score II to predict mortality in interventional cardiology: A systematic review and meta-analysis. Medicine. 2019;98(2).
  • 5. Sivri S, Sokmen E, Celik M, Ozbek SC, Yildirim A, Boduroglu Y. Usefulness of white blood cell count to mean platelet volume ratio in the prediction of SYNTAX score in patients with non-ST elevation myocardial infarction. Pak J Med Sci. 2019;35:824–9.
  • 6. Kahraman S, Agus HZ, Avci Y, Serbest NG, Guner A, Erturk M. The neutrophil to lymphocyte ratio (NLR) is associated with residual syntax score in patients with ST-segment elevation myocardial infarction. Angiology. 2021;72:166–73
  • 7. Emre AR, Yasar KA, Atakan Y, Orhan C, Murathan K. Relationship between white blood count to mean platelet volume ratio and clinical outcomes and severity of coronary artery disease in patients undergoing primary percutaneous coronary intervention. Cardiovasc Ther. 2020;2020:9625181.
  • 8. Kamińska J, Koper OM, Siedlecka-Czykier E, MatowickaKarna J, Bychowski J, Kemona H. The utility of inflammation and platelet biomarkers in patients with acute coronary syndromes. Saudi J Biol Sci. 2018;25:1263–71.
  • 9. Vogiatzis I, Samaras A, Grigoriadis S, Sdogkos E, Koutsampasopoulos K, Bostanitis I. The mean platelet volume in the prognosis of coronary artery disease severity and risk stratification of acute coronary syndromes. Med Arch. 2019;73(2):76.
  • 10. Chen X, Shao M, Zhang T, Zhang W, Meng Y, Zhang H, et al. Prognostic value of the combination of GRACE risk score and mean platelet volume to lymphocyte count ratio in patients with ST-segment elevation myocardial infarction after percutaneous coronary intervention. Exp Ther Med. 2020;19(6):3664–3674.
  • 11. Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with STsegment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018;39:119–77.
  • 12. Adam AM, Ali MA, Shah AA, Rizvi AH, Rehan A, Godil A, et al. Efficacy of hematological and coagulation parameters in the diagnosis and prognosis of patients with acute coronary syndrome. J Tehran Heart Cent. 2018;13(3):115.
  • 13. Sahin DY, Elbasan Z, Gür M, Yıldız A, Akpınar O, Icen Y, et al. Neutrophil to lymphocyte ratio is associated with the severity of coronary artery disease in patients with ST-segment elevation myocardial infarction. Angiology. 2013;64:423–9.
  • 14. Vogiatzis I, Samaras A, Grigoriadis S, Sdogkos E, Koutsampasopoulos K, Bostanitis I. The mean platelet volume in the prognosis of coronary artery disease severity and risk stratification of acute coronary syndromes. Med Arch. 2019;73:76–80.
  • 15. Handtke S, Thiele T. Large and small platelets –(When) do they differ?. J Thromb Haemost. 2020;18(6):1256–1267.
  • 16. Barron HV, Cannon CP, Murphy SA, Braunwald E, Gibson CM. Association between white blood cell count, epicardial blood flow, myocardial perfusion, and clinical outcomes in the setting of acute myocardial infarction: a thrombolysis in myocardial infarction 10 substudy. Circulation. 2000;102:2329–34.
  • 17. Haffner SM. Diabetes, hyperlipidemia, and coronary artery disease. Am J Cardiol. 1999;83:17F–21F.
  • 18. Assmann G, Schulte H. The Prospective Cardiovascular Münster (PROCAM) study: prevalence of hyperlipidemia in persons with hypertension and/or diabetes mellitus and the relationship to coronary heart disease. Am Heart J. 1988;116:1713–24.
  • 19. Eickhoff M, Schüpke S, Khandoga A, Fabian J, Baquet M, Jochheim D, et al. Age-dependent impact of the SYNTAXscore on longer-term mortality after percutaneous coronary intervention in an all-comer population. J Geriatr Cardiol. 2018;15(9):559.
  • 20. Reiske L, Schmucker S, Pfaffinger B, Weiler U, Steuber J, Stefanski V. Intravenous infusion of cortisol, adrenaline, or noradrenaline alters porcine immune cell numbers and promotes innate over adaptive immune functionality. J Immunol. 2020;204(12):3205–3216.

The White Blood Cell Count to Mean Platelet Volume Ratio (WMR) is Associated With Syntax Score in Patients With ST-Segment Elevation Myocardial Infarction

Year 2023, Volume: 13 Issue: 2, 173 - 178, 25.08.2023

Abstract

Background: ST-segment elevation myocardial infarction (STEMI) is the most common reason for mortality worldwide. Scoring systems such as Syntax score plays a significant role in risk stratification in these patients. Besides, as a simple and easily applicable marker, white blood cell count to mean platelet volume ratio (WMR), which could play a vital role in identifying risky patients, has emerged as an indicator of inflammation in atherosclerotic disease. In the current study, we aimed to investigate the predictive role of WMR for Syntax score in patients with STEMI.
Material and Method: Demographics, comorbidities, and laboratory results on the admission of hospitalized 335 patients with STEMI were analyzed. The study population was divided into two groups according to the syntax score median of the study population (Syntax score median=19). Findings were compared between Syntax score <19 and Syntax score ≥19 groups.
Results: The Pearson correlation value between WMR and Syntax score was 0.415 (p<0.001). One hundred and sixty four patients were assigned to the Syntax score <19 group, 171 patients were designated as Syntax score ≥19 group. White blood cell count to mean platelet volume ratio was significantly higher in the Syntax score ≥19 group than the Syntax score <19 group [median (IQR), 1.56 (1.28–1.81) vs 1.32 (1.16–1.5), p<0.001]. White blood cell count to mean platelet volume ratio was an independent predictor according to multivariate analysis [Odds ratio (95% CI), 1.26 (1.08–1.47), p=0.002].
Conclusion: In patients with STEMI, WMR is significantly correlated with high syntax score. It could provide supportive data for early risk stratification and optimized approach. Consequently, therapeutic methods may be wellplanned to avoid a poor outcome in these patients.

References

  • 1. Ralapanawa U, Sivakanesan R. Epidemiology and the magnitude of coronary artery disease and acute coronary syndrome: A narrative review. J Epidemiol Glob Health. 2021;11:169.
  • 2. Sanchis-Gomar F, Perez-Quilis C, Leischik R, Lucia A. Epidemiology of coronary heart disease and acute coronary syndrome. Ann Transl Med. 2016;4:256.
  • 3. Writing Group Members; Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Executive summary: Heart Disease and Stroke Statistics-2016 Update: a report from the American Heart Association. Circulation. 2016;133:44754.
  • 4. Yang H, Zhang L, Xu CH. Use of the SYNTAX Score II to predict mortality in interventional cardiology: A systematic review and meta-analysis. Medicine. 2019;98(2).
  • 5. Sivri S, Sokmen E, Celik M, Ozbek SC, Yildirim A, Boduroglu Y. Usefulness of white blood cell count to mean platelet volume ratio in the prediction of SYNTAX score in patients with non-ST elevation myocardial infarction. Pak J Med Sci. 2019;35:824–9.
  • 6. Kahraman S, Agus HZ, Avci Y, Serbest NG, Guner A, Erturk M. The neutrophil to lymphocyte ratio (NLR) is associated with residual syntax score in patients with ST-segment elevation myocardial infarction. Angiology. 2021;72:166–73
  • 7. Emre AR, Yasar KA, Atakan Y, Orhan C, Murathan K. Relationship between white blood count to mean platelet volume ratio and clinical outcomes and severity of coronary artery disease in patients undergoing primary percutaneous coronary intervention. Cardiovasc Ther. 2020;2020:9625181.
  • 8. Kamińska J, Koper OM, Siedlecka-Czykier E, MatowickaKarna J, Bychowski J, Kemona H. The utility of inflammation and platelet biomarkers in patients with acute coronary syndromes. Saudi J Biol Sci. 2018;25:1263–71.
  • 9. Vogiatzis I, Samaras A, Grigoriadis S, Sdogkos E, Koutsampasopoulos K, Bostanitis I. The mean platelet volume in the prognosis of coronary artery disease severity and risk stratification of acute coronary syndromes. Med Arch. 2019;73(2):76.
  • 10. Chen X, Shao M, Zhang T, Zhang W, Meng Y, Zhang H, et al. Prognostic value of the combination of GRACE risk score and mean platelet volume to lymphocyte count ratio in patients with ST-segment elevation myocardial infarction after percutaneous coronary intervention. Exp Ther Med. 2020;19(6):3664–3674.
  • 11. Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with STsegment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018;39:119–77.
  • 12. Adam AM, Ali MA, Shah AA, Rizvi AH, Rehan A, Godil A, et al. Efficacy of hematological and coagulation parameters in the diagnosis and prognosis of patients with acute coronary syndrome. J Tehran Heart Cent. 2018;13(3):115.
  • 13. Sahin DY, Elbasan Z, Gür M, Yıldız A, Akpınar O, Icen Y, et al. Neutrophil to lymphocyte ratio is associated with the severity of coronary artery disease in patients with ST-segment elevation myocardial infarction. Angiology. 2013;64:423–9.
  • 14. Vogiatzis I, Samaras A, Grigoriadis S, Sdogkos E, Koutsampasopoulos K, Bostanitis I. The mean platelet volume in the prognosis of coronary artery disease severity and risk stratification of acute coronary syndromes. Med Arch. 2019;73:76–80.
  • 15. Handtke S, Thiele T. Large and small platelets –(When) do they differ?. J Thromb Haemost. 2020;18(6):1256–1267.
  • 16. Barron HV, Cannon CP, Murphy SA, Braunwald E, Gibson CM. Association between white blood cell count, epicardial blood flow, myocardial perfusion, and clinical outcomes in the setting of acute myocardial infarction: a thrombolysis in myocardial infarction 10 substudy. Circulation. 2000;102:2329–34.
  • 17. Haffner SM. Diabetes, hyperlipidemia, and coronary artery disease. Am J Cardiol. 1999;83:17F–21F.
  • 18. Assmann G, Schulte H. The Prospective Cardiovascular Münster (PROCAM) study: prevalence of hyperlipidemia in persons with hypertension and/or diabetes mellitus and the relationship to coronary heart disease. Am Heart J. 1988;116:1713–24.
  • 19. Eickhoff M, Schüpke S, Khandoga A, Fabian J, Baquet M, Jochheim D, et al. Age-dependent impact of the SYNTAXscore on longer-term mortality after percutaneous coronary intervention in an all-comer population. J Geriatr Cardiol. 2018;15(9):559.
  • 20. Reiske L, Schmucker S, Pfaffinger B, Weiler U, Steuber J, Stefanski V. Intravenous infusion of cortisol, adrenaline, or noradrenaline alters porcine immune cell numbers and promotes innate over adaptive immune functionality. J Immunol. 2020;204(12):3205–3216.
There are 20 citations in total.

Details

Primary Language English
Subjects Clinical Sciences (Other)
Journal Section Research Article
Authors

Muammer Karakayalı This is me

Timor Omar This is me

İnanç Artaç This is me

İbrahim Rencüzoğulları This is me

Yavuz Karabağ This is me

Şerif Hamideyin This is me

Mehmet Altunova This is me

Early Pub Date September 15, 2023
Publication Date August 25, 2023
Published in Issue Year 2023 Volume: 13 Issue: 2

Cite

APA Karakayalı, M., Omar, T., Artaç, İ., Rencüzoğulları, İ., et al. (2023). The White Blood Cell Count to Mean Platelet Volume Ratio (WMR) is Associated With Syntax Score in Patients With ST-Segment Elevation Myocardial Infarction. Kafkas Journal of Medical Sciences, 13(2), 173-178.
AMA Karakayalı M, Omar T, Artaç İ, Rencüzoğulları İ, Karabağ Y, Hamideyin Ş, Altunova M. The White Blood Cell Count to Mean Platelet Volume Ratio (WMR) is Associated With Syntax Score in Patients With ST-Segment Elevation Myocardial Infarction. KAFKAS TIP BİL DERG. August 2023;13(2):173-178.
Chicago Karakayalı, Muammer, Timor Omar, İnanç Artaç, İbrahim Rencüzoğulları, Yavuz Karabağ, Şerif Hamideyin, and Mehmet Altunova. “The White Blood Cell Count to Mean Platelet Volume Ratio (WMR) Is Associated With Syntax Score in Patients With ST-Segment Elevation Myocardial Infarction”. Kafkas Journal of Medical Sciences 13, no. 2 (August 2023): 173-78.
EndNote Karakayalı M, Omar T, Artaç İ, Rencüzoğulları İ, Karabağ Y, Hamideyin Ş, Altunova M (August 1, 2023) The White Blood Cell Count to Mean Platelet Volume Ratio (WMR) is Associated With Syntax Score in Patients With ST-Segment Elevation Myocardial Infarction. Kafkas Journal of Medical Sciences 13 2 173–178.
IEEE M. Karakayalı, “The White Blood Cell Count to Mean Platelet Volume Ratio (WMR) is Associated With Syntax Score in Patients With ST-Segment Elevation Myocardial Infarction”, KAFKAS TIP BİL DERG, vol. 13, no. 2, pp. 173–178, 2023.
ISNAD Karakayalı, Muammer et al. “The White Blood Cell Count to Mean Platelet Volume Ratio (WMR) Is Associated With Syntax Score in Patients With ST-Segment Elevation Myocardial Infarction”. Kafkas Journal of Medical Sciences 13/2 (August 2023), 173-178.
JAMA Karakayalı M, Omar T, Artaç İ, Rencüzoğulları İ, Karabağ Y, Hamideyin Ş, Altunova M. The White Blood Cell Count to Mean Platelet Volume Ratio (WMR) is Associated With Syntax Score in Patients With ST-Segment Elevation Myocardial Infarction. KAFKAS TIP BİL DERG. 2023;13:173–178.
MLA Karakayalı, Muammer et al. “The White Blood Cell Count to Mean Platelet Volume Ratio (WMR) Is Associated With Syntax Score in Patients With ST-Segment Elevation Myocardial Infarction”. Kafkas Journal of Medical Sciences, vol. 13, no. 2, 2023, pp. 173-8.
Vancouver Karakayalı M, Omar T, Artaç İ, Rencüzoğulları İ, Karabağ Y, Hamideyin Ş, Altunova M. The White Blood Cell Count to Mean Platelet Volume Ratio (WMR) is Associated With Syntax Score in Patients With ST-Segment Elevation Myocardial Infarction. KAFKAS TIP BİL DERG. 2023;13(2):173-8.