A Novel Index for Prompt Prediction of Severity in Patients with Unstable Angina Pectoris
Objectives. Rapid risk stratification by emergency department (ED) physicians to evaluate patients with chest pain for predicting the short-term occurrence of major adverse cardiac event (MACE) is crucial. The aim of this study was to investigate the predictive value of platelet-lymphocyte ratio (PL...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2020/7651610 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832560118458220544 |
|---|---|
| author | Mustafa Bolatkale Ahmet Cagdas Acara |
| author_facet | Mustafa Bolatkale Ahmet Cagdas Acara |
| author_sort | Mustafa Bolatkale |
| collection | DOAJ |
| description | Objectives. Rapid risk stratification by emergency department (ED) physicians to evaluate patients with chest pain for predicting the short-term occurrence of major adverse cardiac event (MACE) is crucial. The aim of this study was to investigate the predictive value of platelet-lymphocyte ratio (PLR) levels and compare with the modified heart score (m-HS) and stress testing to predict the severity of high-risk patients with unstable angina pectoris (UAP) in the ED. Methods. This study is prospective which included 316 patients with UAP and 316 control healthy subjects. The study took place from 01 April 2016, until 01 April 2017, in Medipol University. Result. The mean PLR levels in the UAP group were higher than those in the control group (p<0.001). The mean PLR of the m-HS ≥4 group was higher than that in the m-HS ≤3 group (p<0.001). The mean levels of PLR in the subgroups based on the stress testing positivity were higher than those in the stress testing negative subgroup (p<0.001). PLR levels were positively correlated with the m-HS, stress testing, and treatment decision in this study (r = 0.559; p<0.001; r = 0.582; p<0.001; r = 0.789; p<0.001, respectively). Conclusion. A positive correlation was determined with an increase in m-HS, treatment decision, and positive exercise testing as the PLR levels increased, indicating the severity of high risk of UAP in the ED. |
| format | Article |
| id | doaj-art-77b6bb818375405abbdd84a9fa2e6c07 |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-77b6bb818375405abbdd84a9fa2e6c072025-02-03T01:28:21ZengWileyEmergency Medicine International2090-28402090-28592020-01-01202010.1155/2020/76516107651610A Novel Index for Prompt Prediction of Severity in Patients with Unstable Angina PectorisMustafa Bolatkale0Ahmet Cagdas Acara1Medipol University Hospital, Department of Emergency Medicine, Istanbul, TurkeyBozyaka Research and Training Hospital, Department of Emergency Medicine, Izmir, TurkeyObjectives. Rapid risk stratification by emergency department (ED) physicians to evaluate patients with chest pain for predicting the short-term occurrence of major adverse cardiac event (MACE) is crucial. The aim of this study was to investigate the predictive value of platelet-lymphocyte ratio (PLR) levels and compare with the modified heart score (m-HS) and stress testing to predict the severity of high-risk patients with unstable angina pectoris (UAP) in the ED. Methods. This study is prospective which included 316 patients with UAP and 316 control healthy subjects. The study took place from 01 April 2016, until 01 April 2017, in Medipol University. Result. The mean PLR levels in the UAP group were higher than those in the control group (p<0.001). The mean PLR of the m-HS ≥4 group was higher than that in the m-HS ≤3 group (p<0.001). The mean levels of PLR in the subgroups based on the stress testing positivity were higher than those in the stress testing negative subgroup (p<0.001). PLR levels were positively correlated with the m-HS, stress testing, and treatment decision in this study (r = 0.559; p<0.001; r = 0.582; p<0.001; r = 0.789; p<0.001, respectively). Conclusion. A positive correlation was determined with an increase in m-HS, treatment decision, and positive exercise testing as the PLR levels increased, indicating the severity of high risk of UAP in the ED.http://dx.doi.org/10.1155/2020/7651610 |
| spellingShingle | Mustafa Bolatkale Ahmet Cagdas Acara A Novel Index for Prompt Prediction of Severity in Patients with Unstable Angina Pectoris Emergency Medicine International |
| title | A Novel Index for Prompt Prediction of Severity in Patients with Unstable Angina Pectoris |
| title_full | A Novel Index for Prompt Prediction of Severity in Patients with Unstable Angina Pectoris |
| title_fullStr | A Novel Index for Prompt Prediction of Severity in Patients with Unstable Angina Pectoris |
| title_full_unstemmed | A Novel Index for Prompt Prediction of Severity in Patients with Unstable Angina Pectoris |
| title_short | A Novel Index for Prompt Prediction of Severity in Patients with Unstable Angina Pectoris |
| title_sort | novel index for prompt prediction of severity in patients with unstable angina pectoris |
| url | http://dx.doi.org/10.1155/2020/7651610 |
| work_keys_str_mv | AT mustafabolatkale anovelindexforpromptpredictionofseverityinpatientswithunstableanginapectoris AT ahmetcagdasacara anovelindexforpromptpredictionofseverityinpatientswithunstableanginapectoris AT mustafabolatkale novelindexforpromptpredictionofseverityinpatientswithunstableanginapectoris AT ahmetcagdasacara novelindexforpromptpredictionofseverityinpatientswithunstableanginapectoris |