Prognostic Value of Electrocardiogram Combined with Neutrophil/Lymphocyte Ratio in Patients with Acute Anterior Myocardial Infarction after PCI

doi:10.7517/issn.1674-0475.200706

Abstract

Abstract: This paper analyzed the predictive value of electrocardiogram combined with neutrophil/lymphocyte ratio (NLR) on the prognosis of patients with acute anterior myocardial infarction after PCI. 180 patients with acute anterior wall AMI who underwent PCI were selected to observe the changes of ECG and NLR levels. Cox regression analysis was used to analyze the correlation between ECG changes, NLR levels and prognosis. The incidence of adverse cardiovascular events was 17.78% in 180 patients; 113 patients had NLR level >3; ECG changes such as ventricular premature beat, atrial premature beat, fragmented QRS complex, ST segment elevation, ST segment depression, QRS interval ≥ 110 ms, QT dispersion ≥ 80 ms and other ECG changes.NLR level >3, ventricular premature contraction, fragmented QRS complex, QRS interval ≥ 110 ms, QT dispersion ≥ 80 ms were predictive independent risk factors of adverse cardiovascular events.The incidence of adverse cardiovascular events in patients with cardiovascular risk score ≥ 2 was significantly lower than that in patients with ECG risk score <2 (P<0.05). The maximum Youden index (0.36) was obtained when the NLR level was 2.98 at admission, with a sensitivity of 88.54% and a specificity of 73.12%. When NLR >3 or ECG risk score ≥ 2, the risk of adverse cardiovascular events is great, which has a certain predictive value for the prognosis of patients.

Key words: electrocardiogram, PCI, acute anterior myocardial infarction, predictive value

LI Jie, LYU Xijun, WANG Hong. Prognostic Value of Electrocardiogram Combined with Neutrophil/Lymphocyte Ratio in Patients with Acute Anterior Myocardial Infarction after PCI[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(1): 91-95.

References

[1] 陆亚萍,张晓明,顾伟峰.氯吡格雷联合尿激酶静脉溶栓治疗对急性心肌梗死患者血流动力学及预后的影响[J].实用心脑肺血管病杂志,2017,13(9):66-67.
[2] 刘辉,张少利,张永春.自制微导管冠状动脉内应用硝普钠及替罗非班对经皮冠状动脉介入术中无复流现象的影响[J].中国医药,2016,11(10):1434-1438.
[3] 夏向阳.硝普钠联合替罗非班冠脉内注射对PCI术中无复流患者心肌损伤程度的影响[J].海南医学院学报,2018,9(4):163-164.
[4] 马小花,陈诚,李畅,等.红细胞分布宽度及中性粒细胞/淋巴细胞比值与急性前壁心肌梗死患者左心室收缩功能的关系[J].岭南心血管病杂志,2018,24(1):22-26.
[5] 翟萌萌,王建平,余列,等.中性粒细胞与淋巴细胞比值对急性脑梗死患者预后的预测价值[J].中国脑血管病杂志,2017,14(2):82-86.
[6] 邓学军,谭震,余冬梅,等.地尔硫卓联合肾上腺素对急性ST段抬高型心肌梗死患者冠状动脉介入无复流的作用[J].心脑血管病防治,2018,18(1):32-34.
[7] 金丹丹,王华伟,唐关敏,等.急性前壁心肌梗死患者血清视黄醇结合蛋白4与心功能的关系[J].心脑血管病防治,2018,18(6):480-482.
[8] 周莹峰.阿托伐他汀对急性ST段抬高型心肌梗死患者急诊经皮冠状动脉介入治疗术后无复流现象的作用[J].实用临床医药杂志, 2019,23(2):46-49.
[9] 陈少敏,王文亮,马贵洲,等.主动脉内球囊反搏联合前列地尔对急诊PCI术后无复流急性心梗患者的疗效评价[J].医学临床研究,2016,33(8)1619-1621.
[10] 孙飞,王久琴,张千江.急性冠脉综合征PCI术前后中性粒细胞/淋巴细胞比值对近期预后的价值[J].标记免疫分析与临床,2018,25(6):886-888.
[11] 薛兆利,王美荣.急性下壁心肌梗死患者心电图与预后的关系[J].临床内科杂志,2001,18(3):220-221.
[12] Shah M, Maludum O, Bhalla V, et al. QRS duration and left ventricular ejection fraction (LVEF) in non-ST segment elevationmyocardial infarction(NSTEMI)[J].International Journal of Cardiology,2016,22(1):524-528.
[13] 陆娟,谭兴普,冯砚瑜,等.心电图avR导联ST段改变对急性心肌梗死患者预后的判断价值[J].海南医学,2016,27(7):1145-1146.
[14] Akbarzadeh F, Pourafkari L, Ghaffari S, et al.Predictive valueof the fragmented QRS complex in 6 month mortality and morbidity following acutecoronary syndrome[J].International Journal of Cardiology,2013,6(4):399-404.
[15] 刘功来,崔勇,王云霞,等.碎裂QRS波群与急性前壁心肌梗死的关系及其对预后的评估价值[J].医学临床研究,2018,35(5):931-933.
[16] 周萌,孙林,李波,等.心电图碎裂QRS波与急性心肌梗死患者室性心律失常及左心室收缩功能的相关性[J].中国心血管杂志,2014,19(1):24-27.
[17] 高德全,贾文芳,谢亚闯,等.心电图特征在经皮冠状动脉介入治疗急性前壁心肌梗死患者中的预测价值[J].中国急救医学,2017,37(5):439-442.
[18] 史力生,孔强,许骥,等.冠状动脉内心电图对急性心肌梗死患者近期预后的预测价值[J].中国循证心血管医学杂志,2017,9(5):597-599.
[19] 王学忠,王岳松,邵旭武,等.碎裂QRS波在急性心肌梗死经皮冠状动脉介入治疗术后再发主要心脏不良事件中的预后价值[J].中华急诊医学杂志,2014,23(7):746-751.
[20] Li M,Wang X,Mi S H,et al.Short-term prognosis of fragmented QRS complex in patients with non-ST elevated acutemyocardial infarction[J].Chinese Medical Journal,2016,129(5):518-522.