Correlation of platelet count and acute ST-elevation in myocardial infarction.
The role of platelets in the pathogenesis of ST-elevation myocardial infarction (STEMI) has been substantiated by studies that demonstrated significant clinical benefits associated with antiplatelet therapy. Initial platelet counts in Acute Myocardial Infarction (AMI) may be a useful adjunct for identifying those patients who may or may not respond to fibrinolytic agents. Patient with acute STEMI has variable level of platelet count and with higher platelet count have poor in hospital outcome. There are many predictors of poor outcome in Acute Myocardial Infarction (AMI) like cardiac biomarkers (Troponin I, Troponin T and CK-MB), C-Reactive Protien (CRP) and WBC (White Blood Cell) counts. Platelet count on presentation of STEMI is one of them. Higher platelet count is associated with higher rate of adverse clinical outcome in ST-Elevation Myocardial Infarction (STEMI), like heart failure, arrhythmia, re-infarction & death. So, categorization of patient with STEMI on the basis of platelet counts may be helpful for risk stratification and management of these patients.
Paul
G K
GK
Department of Cardiology, Mymensingh Medical College (MMC), Mymensingh.
Sen
B
B
Bari
M A
MA
Rahman
Z
Z
Jamal
F
F
Bari
M S
MS
Sazidur
S R
SR
D004562:Electrocardiography; D006801:Humans; D009203:Myocardial Infarction / Q000097:blood* / Q000188:drug therapy* / Q000503:physiopathology; D018579:Patient Selection; D010976:Platelet Count; D015912:Thrombolytic Therapy