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March 1, 2018The Medical Journal of Cairo University/˜The œMedical Journal of Cairo UniversityOpen Access

Pre-intervention Platelet-to-Lymphocyte Ratio independently predicted no-reflow after primary percutaneous coronary intervention in acute STEMI (OR 1.008; 95% CI 1.002-1.014; p<0.001).

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Why the study?

Does pre-intervention Platelet-to-Lymphocyte Ratio predict angiographic no-reflow in patients with acute STEMI undergoing primary percutaneous coronary intervention?

Population

72 patients with acute ST-segment Elevation Myocardial Infarction occurring within 12 hours of the onset of…

Comparison

High pre-intervention Platelet-to-Lymphocyte Ratio vs Low pre-intervention Platelet-to-Lymphocyte Ratio

Design

Cohort

Key result

Pre-intervention Platelet-to-Lymphocyte Ratio independently predicted no-reflow after primary percutaneous coronary intervention in acute STEMI (OR 1.008; 95% CI 1.002-1.014; p<0.001).

Authors

MEM.D. MAMDOUH MAHMOUD SAFWAT A.H. EL-HAWARYMRMagda RamzyMIM.Sc. AHMED IBRAHIM

Discussion

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Overview

PLR may aid no-reflow risk stratification in STEMI PPCI; observational data leaves open prospective validation before practice change.

Study Design

Type

Observational (n=72)

Structured PICO

Does pre-intervention Platelet-to-Lymphocyte Ratio predict angiographic no-reflow in patients with acute STEMI undergoing primary percutaneous coronary intervention?

P
Population
72 patients (mean age 55, 91% male) with acute STEMI occurring within 12 hours of symptom onset undergoing primary percutaneous coronary intervention.
E
Exposure
High pre-intervention Platelet-to-Lymphocyte Ratio (PLR)
C
Comparator
Low pre-intervention Platelet-to-Lymphocyte Ratio (PLR)
O
Outcome
Angiographic no-reflow (defined as post-intervention TIMI grade 0-1 flow and slow flow defined as post-intervention TIMI grade 2 flow)surrogate

Main Result

Odds Ratio: 1.008 (95% CI 1.002–1.014)

p-value: p=<0.001

Pre-intervention platelet-to-lymphocyte ratio is a strong and independent predictor of angiographic slow flow or no-reflow in patients with acute STEMI undergoing primary PCI.

Cite This Study

EL-HAWARY et al. (2018) conducted an observational in Acute ST-Segment Elevation Myocardial Infarction (STEMI) (n=72). Platelet-to-Lymphocyte Ratio (PLR) vs. Lower PLR was evaluated on No-reflow after primary percutaneous coronary intervention (OR 1.008, 95% CI 1.002-1.014, p=<0.001). Pre-intervention Platelet-to-Lymphocyte Ratio independently predicted no-reflow after primary percutaneous coronary intervention in acute STEMI (OR 1.008; 95% CI 1.002-1.014; p<0.001).

synapsesocial.com/papers/6a98e4f552d74751e81ff27ehttps://doi.org/10.21608/mjcu.2018.55570
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Value of Platelet to Lymphocytes Ratio in Predicting Angiographic Reflow after Primary Percutaneous Coronary Intervention in STEMI Patient2019
  2. 2Platelet/ lymphocyte ratio for prediction of no reflow phenomenon in ST elevation myocardial infarction managed with primary percutanous coronary intervention2020 · 7 citations
  3. 3The Utility of the Platelet–Lymphocyte Ratio for Predicting No Reflow in Patients With ST-Segment Elevation Myocardial Infarction2014 · 101 citations
  4. 4Platelet to lymphocyte ratio as a prognostic marker in primary percutaneous coronary intervention2014 · 49 citations
  5. 5Platelet‐Lymphocyte ratio is a predictor for the development of no‐reflow phenomenon in patients with ST‐segment elevation myocardial infarction after thrombus aspiration2021 · 15 citations