Akut Non-ST Elevasyonlu Miyokard Enfarktüslü Hastalarda Zayıf Koroner Koleteral Fonksiyonu İle İlişkili Klinik Ve Hematolojik Bulgular

Year 2016, Volume: 8 Issue: 1, 20 - 26, 01.03.2016

Mehmet Ileri

Abstract

Amaç: Bu çalışmanın amacı akut non-ST elevasyonlu miyokard infarktüsü NSTEMI geçirmekte olan hastalarda kötü koroner koleteral dolaşım KKD varlığıyla ilişkili klinik ve hematolojik bulguları araştırmaktır.Metod: Bu çalışma prospektif olarak, NSTEMI geçirmekte olan ve semptomların başlangıcından itibaren 24 saat içinde koroner bakım ünitesine başvurmuş ve 48 saat içinde koroner anjiyografi yapılan ardışık 224 hastayı kapsamaktadır. Koroner koleteral gelişiminin derecelendirilmesinde Cohen-Rentrop metodu kullanıldı. Bulgular: Kötü grade 0 ve 1 ve iyi grade 2 ve 3 KKD grupları sırasıyla 145 ve 79 hasta içermekteydi. Kötü KKD’I olan hastalar iyi KKD’ı olanlarla karşılaştırıldıklarında belirgin derecede yüksek WBC, nötrofil sayıları ve nötrofil/lenfosit oranına NLO sahiptiler sırasıyla 9.01±0.95 vs 7.57±0.35, p

Keywords

koroner koleteral dolaşım, non-ST elevasyonlu miyokard infarktüsü

Clinical and Hematological Parameters Associated With Poor Coronary Collateral Function In Acute Non–ST Elevation Myocardial Infarction

Abstract

Aim:The aim of this study was to investigate the clinical and hematological findings associated with poor coronary collateral circulation CCC in patients with acute non-ST elevation myocardial infarction NSTEMI .Methods: This study included prospectively 224 consecutive patients with NSTEMI admitted to coronary care unit within 24 hours of symptom onset and had coronary angiography within 48 hours of hospitalization. Coronary collateral development was graded according to the Cohen-Rentrop method. Results: Poor grade 0 and 1 and good grade 2 and 3 CCC groups consisted of 145 and 79 patients respectively. Patients with poor CCC had significantly higher WBC count, neutrophil count and neutrophil to lymphocyte ratio NLR compared to those with good CCC 9.01±0.95 vs 7.57±0.35, p

Keywords

coronary collateral circulation, non-ST elevation myocardial infarction

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