PROGNOSTIC IMPORTANCE OF WBC COUNT IN ACUTE MYOCARDIAL INFRACTION

Abstract

Background: Coronary artery disease is a major cause of death and is a global health problem becoming an epidemic in both developed as well as in developing countries. In India there has been fourfold increase in prevalence of coronary heart disease in last 40 years.

Methods: This study was conducted between Aug 2017 to Aug 2018 in Department of Medicine at SRG Hospital, Jhalawar medical college, Jhalawar, Rajasthan. 100 patients presenting to hospital within 24hrs with Acute MI and qualifying inclusion criteria were enrolled and written consent was taken regarding participation in the study.

Results: In a total of 100 patients participated in our study 69 patients were male and 31 patients were females. Out of 100 patients 26 had LV dysfunction, among these 23 patients 17 were having elevated WBC count and 9 had normal WBC count. Among 100 patients 11 had cardiogenic shock, among these 11 patients 8 had elevated WBC count and 3 had normal WBC count.

Conclusion: Elevated WBC count within 24 hours was associated with high rate of complications after acute myocardial infarction.

Keywords: ST segment elevation myocardial infarction (STEMI), Non ST segment elevation myocardial infarction (NSTEMI), White blood cell (WBC).