Relationship Between Routine Blood Test And The Severity Of Coronary Artery Lesions In Patients With Acute Myocardial Infarction

Objective: To explore the relationship between routine blood test and the severity of coronary artery lesions in patients with acute myocardial infarction by a retrospective analysis.Method: 229 consecutive patients with acute ST elevation myocardial infarction(STEMI) treated with primary percutaneous coronary intervention(PPCI) from Sep2013 to Oct 2015 were analyzed retrospectively. Sysmex SF-3000 automatic hematology analyzer was used for blood cell count and classification, and calculation of NLR, PLR, MPV/PLT. Clinical data were collected. Coronary angiography was used for quantitative assessment on major coronary artery stenosis through Gensini scoring method in the patients.Result: In the total occlusion group, the white blood cell count, neutrophil count and platelet distribution width were higher than the control group, the lymphocyte percent was lower than the non-total occlusion group( P<0.05). In the left main/three coronary artery lesions group, the eosionphil count, basophil count and percent were higher than the single/two coronary artery lesions group(P<0.05). In the high Gensini score group, the red blood cell count, hemoglobin and hematocrit were lower than the control group, the basophil count and platelet distribution width were higher than the low Gensini score group(P<0.05).Conclusion: Routine blood test was meaningful for the assessment of the severity of coronary artery lesions in patients with acute myocardial infarction.