Key result
Raised white blood cell count was associated with poorer outcomes, as 76.6% of patients with worse LV function on follow-up and 80% of those with NYHA class III/IV symptoms had elevated WBC counts.
Why the study?
To evaluate the correlation between white blood cell count and clinical outcomes in patients with acute myocardial infarction undergoing primary percutaneous coronary intervention.
Does a raised white blood cell count predict worse clinical outcomes in patients with acute myocardial infarction undergoing primary percutaneous coronary intervention?
Observational (n=100)
No
Does a raised white blood cell count predict worse clinical outcomes in patients with acute myocardial infarction undergoing primary percutaneous coronary intervention?
A raised white blood cell count at presentation in patients with acute myocardial infarction undergoing primary PCI is associated with worse LV function and higher NYHA class, suggesting its utility as a prognostic marker.
Elevated WBC count was associated with worse outcomes after primary PCI in AMI; hypothesis-generating and needs prospective validation.
BACKGROUND wanted to study the correlation between white blood cell count and clinical of patients with acute myocardial infarction who underwent primary coronary intervention. retrospective study (100 cases) was conducted at a higher cardiac center (Metromed International Cardiac Center) over a period of six months among who underwent PCI, to see the influence of a raised WBC count on their . The study was conducted based on a Proforma that assessed the on various levels and stages to derive a conclusion. statistically confirmed result showed that 78.5 % patients with moderate and LV function at presentation had raised WBC count, and on follow up 76.6 % patients with worse LV function had raised WBC count. Also 80 % of the patients class III and class IV symptoms (NYHA) had raised WBC count. majority of patients who underwent Primary Percutaneous Coronary for Acute Myocardial Infarction who had comparatively poor outcome follow-up had raised WBC count. The WBC count at the time of presentation be used as an independent predictor for in-hospital mortality /morbidity and PCI outcome and may be a useful tool in assessing the prognosis of patients acute Myocardial Infarction undergoing Primary Percutaneous Coronary in conjunction with other risk stratification factors. In this study, of the comorbidities, prognostic importance of WBC count remains not only in the presentation of the patients, but also in the discharge and up.
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Purayil et al. (2020) conducted an observational in Acute Myocardial Infarction (n=100). Raised white blood cell count vs. Normal white blood cell count was evaluated on Clinical outcome (LV function and NYHA class). Raised white blood cell count was associated with poorer outcomes, as 76.6% of patients with worse LV function on follow-up and 80% of those with NYHA class III/IV symptoms had elevated WBC counts.
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