Increased neutrophil to lymphocyte ratio predicts myocardial injury in patients undergoing non-cardiac surgery

被引：12

作者：

Durmus, Gunduz ^{[1
]}

Belen, Erdal ^{[1
]}

Can, Mehmet Mustafa ^{[1
]}

机构：

[1] Haseki Educ & Res Hosp, Dept Cardiol, Istanbul, Turkey

来源：

HEART & LUNG | 2018年 / 47卷 / 03期

关键词：

Electrocardiograph; High sensitive troponin T; Myocardial injury; Neutrophil to lymphocyte ratio; Non-cardiac surgery; CORONARY-ARTERY-DISEASE; INFARCTION; OUTCOMES; ASSOCIATION; COHORT; PATHOPHYSIOLOGY; ATHEROSCLEROSIS; INFLAMMATION; MORTALITY; SEVERITY;

D O I：

10.1016/j.hrtlng.2018.01.005

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: The neutrophil to lymphocyte ratio (NLR), has been proposed as potential indicator of cardiovascular events. Our aim was to determine the relationship between NLR and development of myocardial injury after non-cardiac surgery (MINS). Methods: This observational cohort study included 255 consecutive noncardiac surgery patients aged >= 45 years. Electrocardiography recordings and high sensitivity cardiac troponin T (hscTnT) levels of the patients were obtained for a period of 3 days postoperatively. Results: MINS was detected in 30 (11.8%) patients using the cut-off level of >= 14 ng/L for hscTnT. In the MINS group NLR (3.79 +/- 0.7 vs. 2.69 +/- 0.6, p < 0.000) values were higher than non-NLR group. The NLR to be independently associated with the development of MINS (OR: 11.690; CI: 4.619-29.585, p < 0.000). Conclusions: NLR seems to be a simple, easy and cheap tool to predict the development of MINS in patient undergoing non-cardiac surgery. (C) 2018 Elsevier Inc. All rights reserved.

引用

页码：243 / 247

页数：5

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