Abstract:

[Abstract] Objective To study the relationship between blood cell count and cardiac events in acute ST elevation myocardial infarction patients treated with reperfusion in the early stage.Methods In this study, we assigned151patients to whom reperfusion therapy had been delivered within 3hours of STEMIsymptominto two groups: primary percutaneous cor? onary intervention group and thrombolysis therapy group. Differences of cardiac events and white blood cell count in these two groups were analyzed in the first 4days. Results In the second day and the forth day, cardiac events rate and white blood cell count were significantly lower in the primary percutaneous coronary intervention group than those in the thromboly? sis therapy group (P＜0.05). In the second day, white blood cell count has a positive correlation with cardiac events rate (r= 0.226,P＜0.05). Conclusion Primary percutaneous coronary intervention decreased blood cell count and cardiac events rate. In patients with acute myocardial infarction, increasing white blood cell was related to cardiac events in the near future.

Key words: myocardial infarction, angioplasty, transluminal, percutaneous coronary, myocardial reperfusion, leukocyte count, percutaneous coronary intervention, 溶栓治疗