Association of Neutrophil to Lymphocyte Ratio with In- hospital Outcome of Acute Heart Failure due to Acute Anterior ST-elevation Myocardial Infarction

Authors

  • Suchitra Basak Department Of Cardiology, Sir Salimullah Medical College, Dhaka, Bangladesh
  • Md Abdul Kader Akanda Department Of Cardiology, Sir Salimullah Medical College, Dhaka, Bangladesh
  • Mohammad Ullah Department of Cardiology, Dhaka Medical College, Dhaka, Bangladesh
  • Sushanta Barua Department of Cardiology, Dhaka Medical College, Dhaka, Bangladesh
  • Mehdi Hasan Department of Cardiology, NICVD, Dhaka, Bangladesh
  • Md Shazedur Rahman Department Of Cardiology, Sir Salimullah Medical College, Dhaka, Bangladesh
  • Mohammad Mamoon Islam Department of Cardiology, Mugda Medical College, Dhaka, Bangladesh
  • Md Gulam Mostafa Department Of Cardiology, Sir Salimullah Medical College, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/cardio.v15i1.61905

Keywords:

Acute heart failure, Mortality, Outcome, Neutrophil-tolymphocyte ratio

Abstract

Background: Early detection and appropriate management play a key role in reducing the morbidity and mortality of acute heart failure in patients with acute myocardial infarction. Many prognostic factors have been assessed till date. This study aimed to evaluate the prognostic effect of NLR on in-hospital outcomes in patients with acute heart failure due to acute anterior ST elevation myocardial infarction.

Methods: The present study was carried out in the Department of cardiology, Sir Salimullah Medical College & Mitford Hospital, Dhaka from January 2020 to December 2020. A total of 88 cases of acute heart failure due to acute anterior ST elevation Myocardial infarction patients are enrolled in this study. NLR was estimated and patients were divided into two groups based on the NLR (Group I NLR <6; Group II NLR ≥6). Then in-hospital outcome was observed and compared between two groups.

Results: In-hospital mortality and length of hospital stay were higher among NLR ≥6 patients with statistical significance (11.6% vs. 40.9%, p<0.001). These patients also had high incidence of cardiogenic shock (25% vs. 43%, p>0.072), Arrhythmia (18% vs. 34%, p>0.089) but without statistically significant difference.

Conclusion: In this study, we observed that in-hospital outcomes were worse in patients with acute heart failure due to acute anterior myocardial infarction with NLR ≥6. So NLR can be used as a predictor of outcome in acute heart failure patients. This association is independent of conventional cardiovascular risk factors.

Cardiovasc j 2022; 15(1): 13-19

Downloads

Download data is not yet available.
Abstract
160
PDF
127

Downloads

Published

2022-10-10

How to Cite

Basak, S. ., Akanda, M. A. K. ., Ullah, M. ., Barua, S. ., Hasan, M. ., Rahman, M. S. ., Islam, M. M. ., & Mostafa, M. G. . (2022). Association of Neutrophil to Lymphocyte Ratio with In- hospital Outcome of Acute Heart Failure due to Acute Anterior ST-elevation Myocardial Infarction. Cardiovascular Journal, 15(1), 13–19. https://doi.org/10.3329/cardio.v15i1.61905

Issue

Section

Original Articles