Predictive value of platelet/lymphocyte ratio combined with mean platelet volume detection in patients with ST-segment elevation myocardial infarction with no-reflow after percutaneous coronary intervention
FAN Linglong ZHANG Yilin▲#br#
Department of Cardiovascular Medicine, Hangzhou Ninth People’s Hospital, Zhejiang Province, Hangzhou 311225, China
Abstract Objective To explore the predictive value of platelet/lymphocyte ratio (PLR) combined with mean platelet volume (MPV) detection in patients with ST-segment elevation myocardial infarction (STEMI) with no-reflow after percutaneous coronary intervention (PCI). Methods A total of 86 STEMI patients who underwent PCI in Hangzhou Ninth People’s Hospital from August 2019 to October 2021 were selected, and all patients underwent PCI. The incidence of no-reflow in STEMI patients after PCI was statistically analyzed, and they were divided into no-reflow group and reflow group. The clinical data of two groups were compared, and the risk factors of no-reflow in STEMI patients after PCI were analyzed; and the predictive efficacy of PLR combined with MPV in the occurrence of no-reflow in STEMI patients after PCI was analyzed. Results The incidence of no-reflow in STEMI patients after PCI was 24.42%. The low-density lipoprotein cholesterol, PLR, and MPV in no-reflow group were higher than those in reflow group (P < 0.05), while the left ventricular ejection fraction was lower than that in reflow group (P < 0.05). PLR and MPV were the influencing factors of no-reflow in STEMI patients after PCI (OR > 1, P < 0.05). The area under the curve of combined detection was higher than that of PLR and MPV alone. Conclusion The combination of PLR and MPV has high predictive performance for no-reflow in STEMI patients after PCI.
FAN Linglong ZHANG Yilin▲. Predictive value of platelet/lymphocyte ratio combined with mean platelet volume detection in patients with ST-segment elevation myocardial infarction with no-reflow after percutaneous coronary intervention[J]. 中国医药导报, 2022, 19(26): 67-70.
