Neutrophil to lymphocyte ratio on admission: Is a predictor of cardiovascular outcome in patients with acute coronary syndrome as it predicts mortality ?
Murat Eren, Ebru Özpeli̇t, Fatih Aytemi̇z, Hasan Güngör, Sema Güneri̇
Keywords: Acute coronary syndrome, cardiovascular outcome, mortality, neutrophil to lymphocyte ratio
Introduction: It has been recently shown that inflammation may play a role in acute coronary syndrome (ACS). The risk classification of the patients with ACS is inadequite, it requires improving with new and practical parameters. The aim of this study was to invastigate the utility of admission neutrophil / lymphocyte ratio (NLR) in predicting the likelihood of poor outcomes in patients with ACS. Patients and Methods: 209 consecutive patients (mean age: 63.0+10.7, 152 men) admitted to our department with the diagnosis of ACS were included in this study. Patients were divided into three, low (4.7) according to the NLR. The admitting findings, laboratory values, GRACE and TIMI risk scores was recorded and in-hospital mortality, and the total mortality/hospitalisation due to cardiovasculary complications after discharge evaluated in three NLR groups. Results: Significant positive correlation was found between NLR and CRP (p=0.001, r=0.238) troponin I (p