Relationship Between Modifiable Risk Factors and Blood Cell Types in Acute Coronary Syndrome and Estimation of Mortality in Emergency Department

Aim: Inflammatory mediators such as leukocyte count (WBC), neutrophil / lymphocyte ratio (NLR), platelet / lymphocyte ratio(PLR), platelet distribution width (PDW) and C reactive protein (CRP) are used for the prediction of ischemic vascular events such as acute coronary syndrome (ACS).In this study, the relationship between inflammatory mediators and modifiable risk factors in the diagnosis of ACS and mortality was examined. Material and methods: A total of 100 patients with ST elevation myocardial infarction (STEMI) and non-ST elevation myocardial infarction (NSTEMI) were included in the study. Blood samples for WBC, neutrophil count, NLR, PLR, PDW and CRP and routine blood laboratory studies were taken at the time of admission of the patients. Results: Of the patients diagnosed with ACS,49% was STEMI and 51% was NSTEMI. Female gender was found to be higher in the NSTEMI group than in the STEMI group and also the hypertension ratio was found to be higher in the NSTEMI group than in the STEMI group and it was found to be statistically significant. The NLR median value between the STEMI and NSTEMI diagnostic groups was found to be higher in the NSTEMI group and statistically more significant. Conclusions: In conclusion; troponin, control troponin, lymphocyte and NLR ratio were found to be statistically significant between STEMI and NSTEMI diagnostic groups.In addition to this; age was found as an effective parameter on mortality.