Complete Blood Count Parameters for Prediction of non-ST Segment Elevation Myocardial Infarction

To evaluate whether the complete blood count parameters can be used to predict patients who will have positive troponin levels during emergency department observation, and to establish whether any single parameter or combination of parameters has sufficiently good diagnostic test criteria results to...

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Veröffentlicht in:Journal of the College of Physicians and Surgeons--Pakistan 2019-08, Vol.29 (8), p.710-714
Hauptverfasser: Gunes, Harun, Saritas, Ayhan, Cangur, Sengul, Kayapinar, Osman
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container_issue 8
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container_title Journal of the College of Physicians and Surgeons--Pakistan
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creator Gunes, Harun
Saritas, Ayhan
Cangur, Sengul
Kayapinar, Osman
description To evaluate whether the complete blood count parameters can be used to predict patients who will have positive troponin levels during emergency department observation, and to establish whether any single parameter or combination of parameters has sufficiently good diagnostic test criteria results to be recommended for use in daily clinical practice. An observational study. Department of Emergency Medicine, Duzce University School of Medicine, Duzce, Turkey, from October 2015 to October 2016. Study group had patients with positive troponin levels during observation in the emergency department. The control group had normal troponin levels. Their complete blood count parameters were compared individually and in combination. Total white blood cell count, neutrophil count, red cell distribution width, neutrophil-to-lymphocyte ratio, and some combinations of these parameters were found to be predictive of troponin elevation. The best one was combination of white blood cell count, red cell distribution width and neutrophil-to-lymphocyte ratio. Some of the complete blood count parameters may provide some clues when predicting troponin elevation in patients with chest pain. However, none of these parameters or no combination of them have sufficiently good diagnostic test criteria results to safely predict non-ST segment elevation myocardial infarction.
doi_str_mv 10.29271/jcpsp.2019.08.710
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Biomarkers - blood
Blood Cell Count
Complete blood count
Emergency medicine
Emergency Service, Hospital
Erythrocyte Indices
Female
Heart attack
Humans
Male
Medical research
Medical schools
Middle Aged
Myocardial Infarction - blood
Myocardial Infarction - diagnosis
Predictive Value of Tests
Prospective Studies
Troponin
Troponin I - blood
White blood cell count
title Complete Blood Count Parameters for Prediction of non-ST Segment Elevation Myocardial Infarction
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