چکیده مقاله
Introduction: WBC count and the platelet index MPV at the admission time of patients with STEMI, are the strong predictors for undesirable outcomes of patients The objective of the present study was to determine the relationship between the hematologic indices including MPV and WBC count at the admission time of patients with ST resolution index in patients with STEMI who were treated by thrombolytic agents Method: In this prospective study, venous blood samples of 114 patients with STEMI were taken to determine PDW, MPV and WBC count at patients' referral time and before thrombolytic therapy According to ST resolution index in 90 minutes after thrombolytic therapy, patients were classified in two groups with ST resolution less than 50% and ST resolution of 50% or more Finally, values of the laboratory indices above were compared between two ST resolution groups that this issue was carried out using the SPSS version 21 software Results: In assessing through ROC curve analysis, it was determined that measuring MPV is not considered as an accurate and effective index in predicting ST resolution after thrombolysis Area Under Curve: 0 574 WBC count was not an applicable indicator for predicting ST resolution after thrombolysis, as well Area Under Curve: 0 660 Finally, the results of multiple logistic regression model showed that the only predictor of ST resolution less than 50% is the history of using statins so that history of using statin increased the probability of ST resolution less than 50% for 7 times P: 0 028, OR: 7 306 Conclusion: There is not a relationship between the occurrence of complete ST resolution more than 50% and the values of both MPV and WBC indices So, measuring these two indicators may not have the enough validity for predicting ST resolution after thrombolysis According to our study, patients with history of using statins have a lower prevalence of complete ST resolution more than 50%
کلیدواژهها
نویسندگان
Venus ShahabiRabori
Assistant Professor, Department Of Cardiology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran
Reza Faramarz zadeh
Assistant Professor, Department Of Cardiology, Urmia University of Medical Sciences, Urmia, Iran
شیوه ارجاع
ShahabiRabori, Venus and Faramarz zadeh, Reza,1400,The relationship between the hematologic indices (PDW, WBC count, MPV) at the admission time and descending ST segment after thrombolysis in patients with myocardial infarction with ST segment elevation hospitalized in Taleghani Hospital of Urmia,Seventh International Conference on Health, Treatment and Health Promotion
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مجموعه مقالات هفتمین کنفرانس بین المللی بهداشت،درمان و ارتقای سلامت30 مهر 1400