Neutrophil to Lymphocyte Ratio as a predictor of myocardial contractility post-ST Segment Elevation Myocardial Infarction in young and middle-aged patients
Ibraheem, S., Abdelkader Abdelwahab, M., Dardeer, A. (2025). Neutrophil to Lymphocyte Ratio as a predictor of myocardial contractility post-ST Segment Elevation Myocardial Infarction in young and middle-aged patients. EKB Journal Management System, (), -. doi: 10.21608/mjmr.2025.404322.2032
Sarah Eid Ibraheem; Mohamed Abdelkader Abdelwahab; Ahmed Mohamed Dardeer. "Neutrophil to Lymphocyte Ratio as a predictor of myocardial contractility post-ST Segment Elevation Myocardial Infarction in young and middle-aged patients". EKB Journal Management System, , , 2025, -. doi: 10.21608/mjmr.2025.404322.2032
Ibraheem, S., Abdelkader Abdelwahab, M., Dardeer, A. (2025). 'Neutrophil to Lymphocyte Ratio as a predictor of myocardial contractility post-ST Segment Elevation Myocardial Infarction in young and middle-aged patients', EKB Journal Management System, (), pp. -. doi: 10.21608/mjmr.2025.404322.2032
Ibraheem, S., Abdelkader Abdelwahab, M., Dardeer, A. Neutrophil to Lymphocyte Ratio as a predictor of myocardial contractility post-ST Segment Elevation Myocardial Infarction in young and middle-aged patients. EKB Journal Management System, 2025; (): -. doi: 10.21608/mjmr.2025.404322.2032

Neutrophil to Lymphocyte Ratio as a predictor of myocardial contractility post-ST Segment Elevation Myocardial Infarction in young and middle-aged patients

Minia Journal of Medical Research
Articles in Press, Accepted Manuscript, Available Online from 01 September 2025  XML
Document Type: Original Article
DOI: 10.21608/mjmr.2025.404322.2032
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Authors
Sarah Eid Ibraheem email 1; Mohamed Abdelkader Abdelwahab2; Ahmed Mohamed Dardeer3
1Cardiology department, Faculty of Medicine, Minia University, El-Minya
2cardiology ,faculty of medicine , minia university . Minia
3Cardiology department, Faculty of Medicine, Minia University
Abstract
Background:NLR is known to be more elevated in patient with worse LV systolic function.Aim:detect relation between NLR and GLS in young and middle-aged STEMI patients. Methods:We investigated NLR & GLS in 56 patients during CCU STEMI admission and follow up NLR & GLS were done month later. Percentage of change of follow-up NLR in relation to the baseline admission NLR is calculated in each patient. Results: Baseline NLR shows moderate positive correlation with admission GLS (p<0.001 & r= 0.593) and fair positive correlation with follow-up GLS (p<0.001 & r= 0.481). Follow-up NLR shows moderate positive correlation with follow-up GLS (p<0.001 & r= 0.613). Percentage of NLR decline was related to GLS improvement state with means being about 56.52% in the group whose GLS improved after 1 month and only about 10.16% in the group whose GLS not improved. From. NLR was significantly higher in GLS>-13.8% group 6.06 (5.43±3.45) compared to (2.39±1.05) in GLS≤-13.8% group, p<0.001. By ROC curve,the cut-off value of NLR was 2.547. Multivariate analysis showed patients with higher NLR >2.547 are more probable to develop GLS>-13.8% Conclusion:STEMI patients with high NLR have a greater chance to have worse LV systolic function at MI presentation and after one month
Keywords
STEMI; NLR; LV GLS
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