title: The Relation Between No-Reflow Phenomenon and Complete Blood Count Parameters.
abstract: The no-reflow (NR) phenomenon represents an acute reduction in coronary blood flow without coronary vessel obstruction, coronary vessel dissection, spasm, or thrombosis. No reflow is an important complication among patients with acute ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (pPCI). The complete blood count (CBC) is one of the most frequently ordered laboratory tests in clinical practice. Various studies have evaluated the performance of CBC parameters to predict disease severity and mortality risk. Automated cell counters are routinely available in many clinical laboratories and can be used to determine red blood cell distrubiton width (RDW), platetecrit, platelet count, and and some ratios like the neutrophil-lymphocyte ratio and RDW-platelet ratio. These hematological markers have been reported to be independent predictors of impaired angiographic reperfusion and long-term mortality among patients with STEMI undergoing pPCI. In this context, we reviewed the role of admission CBC parameters for the prediction of NR in patients with STEMI undergoing pPCI.
authors.affiliation: 1 Department of Cardiology, School of Medicine, Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: Turgay
authors.initials: T
authors.lastname: Celik
authors.affiliation: 1 Department of Cardiology, School of Medicine, Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: Sevket
authors.initials: S
authors.lastname: Balta
authors.affiliation: 2 Department of Clinical Biochemistry, University College London Medical School, University College London, London, England.
authors.forename: Dimitri P
authors.initials: DP
authors.lastname: Mikhailidis
authors.affiliation: 1 Department of Cardiology, School of Medicine, Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Ozturk
authors.affiliation: 3 Department of Clinical Biochemistry, School of Medicine, Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Aydin
authors.affiliation: 4 Department of Infectious Diseases, Gulhane Military Medical Academy, School of Medicine, Ankara, Turkey.
authors.forename: Duran
authors.initials: D
authors.lastname: Tok
authors.affiliation: 1 Department of Cardiology, School of Medicine, Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: Ali Osman
authors.initials: AO
authors.lastname: Yildirim
authors.affiliation: 1 Department of Cardiology, School of Medicine, Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Demir
authors.affiliation: 1 Department of Cardiology, School of Medicine, Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: Atila
authors.initials: A
authors.lastname: Iyisoy
mesh_terms: D001772:Blood Cell Count; D017023:Coronary Angiography; D006801:Humans; D054318:No-Reflow Phenomenon / Q000503:physiopathology*; D062645:Percutaneous Coronary Intervention; D000072657:ST Elevation Myocardial Infarction / Q000503:physiopathology* / Q000601:surgery*
keywords: complete blood count; neutrophil–lymphocyte ratio; no-reflow phenomenon; platetecrit; primary percutaneous coronary intervention; red cell distrubiton width