Predictive value of white blood cells count to mean platelets volume ratio in patients with ST segment elevation myocardial infarction undergoing primary percutaneous coronary intervention

Abstract

Background: The SYNTAX score (SS) is a scale utilized in angiography to assess the complexity of lesions in the coronary arteries. A greater SS is indicative of a more complicated situation and a worse prognosis among individuals who are undergoing contemporary revascularization procedures, particularly percutaneous coronary intervention (PCI). The purpose of this work was to evaluate predictive value of white blood cells count to mean platelets volume ratio (WMR) among individuals with ST-segment elevation myocardial infarction (STEMI) whom undergone primary PCI and correlate WMR in STEMI patients with its predictive value on SS. Methods: This prospective work was performed on 100 participants, both genders, with STEMI within 12 hours and managed with primary PCI. The work cases had been split in to three groups according to SS: [Group I (29 patients): Low SS ≤22, Group II (45 patients): Intermediate SS (23 – 32) and Group III (26 patients): High SS (≥33)]. Results: A statistically significant positive correlation was existed among WBCs/MPV ratio and the SS (r=0.755 and p1537.6 predicted a SS ≥33 with 73.08% sensitivity and 60.81% specificity. Conclusions: WMR could offer supporting proof for estimating the degree of CAD among individuals with STEMI.