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White Blood Cell Subtypes Are Associated with a Greater Long-Term Risk of Death after Acute Myocardial Infarction

Shiyovich, Arthur ; Gilutz, Harel ; Plakht, Ygal

Texas Heart Institute journal, 2017-06, Vol.44 (3), p.176-188 [Periódico revisado por pares]

United States: Texas Heart® Institute, Houston

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Título:
White Blood Cell Subtypes Are Associated with a Greater Long-Term Risk of Death after Acute Myocardial Infarction
Autor: Shiyovich, Arthur ; Gilutz, Harel ; Plakht, Ygal
Assuntos: Aged ; Chi-Square Distribution ; Clinical Investigation ; Comorbidity ; Decision Support Techniques ; Eosinophils ; Female ; Humans ; Linear Models ; Logistic Models ; Lymphocyte Count ; Lymphocytes ; Male ; Middle Aged ; Multivariate Analysis ; Myocardial Infarction - blood ; Myocardial Infarction - diagnosis ; Myocardial Infarction - mortality ; Neutrophils ; Nonlinear Dynamics ; Odds Ratio ; Predictive Value of Tests ; Prognosis ; Risk Assessment ; Risk Factors ; Time Factors
É parte de: Texas Heart Institute journal, 2017-06, Vol.44 (3), p.176-188
Notas: ObjectType-Article-2
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From: Medicine E (Dr. Shiyovich), Beilinson Hospital, Rabin Medical Center, Petah Tikva 49100; and Department of Cardiology (Dr. Gilutz) and Unit of Nursing Research (Dr. Plakht), Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheba 84101; Israel
Descrição: We evaluated the association between white blood cell counts and long-term mortality rates in 2,129 patients (mean age, 65.3 ± 13.5 yr; 69% men) who had survived acute myocardial infarction. We obtained white blood cell counts and differential counts of white blood cell subtypes within the first 72 hours of hospital admission. The primary outcome was all-cause death at 1, 5, and 10 years after acute myocardial infarction. In regard to death in the long term, we found significant negative linear associations (lymphocytes), positive linear associations (neutrophils and the neutrophil-to-lymphocyte ratio), and nonlinear U-shaped associations (basophils, eosinophils, monocytes, and total white blood cell count). After multivariate adjustment for the Soroka Acute Myocardial Infarction risk score, lymphocytes (strongest association), neutrophil-to-lymphocyte ratio, and eosinophils were independently associated with death for up to 10 years after hospital discharge. The independent associations weakened over time. We conclude that lymphocyte count, neutrophil-to-lymphocyte ratio, and eosinophil count are independently and incrementally associated with death in the long term after acute myocardial infarction.
Editor: United States: Texas Heart® Institute, Houston
Idioma: Inglês

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White Blood Cell Subtypes Are Associated with a Greater Long-Term Risk of Death after Acute Myocardial Infarction

Shiyovich, Arthur ; Gilutz, Harel ; Plakht, Ygal

United States: Texas Heart® Institute, Houston

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