La relación entre los índices hematológicos (PDW, recuento de GB, MPV) en el momento de la admisión y el segmento ST descendente después de la trombolisis en pacientes con infarto de miocardio

Autores/as

  • Venus Shahabi Raberi Department Of Cardiology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran
  • Ebrahim Ezati Urmia University of Medical Sciences, Urmia, Iran
  • Reza Faramrza Zadeh Department Of Cardiology, Urmia University of Medical Sciences, Urmia, Iran

Palabras clave:

Índices hematológicos, trombólisis, infarto de miocardio, segmento ST.

Resumen

El recuento de glóbulos blancos y el índice de plaquetas (MPV) en el momento de la admisión de los pacientes con STEMI, son los factores predictivos fuertes para los resultados no deseados de los pacientes. El objetivo del presente estudio fue determinar la relación entre los índices hematológicos, incluido el recuento de MPV y WBC en el momento de la admisión de los pacientes con índice de resolución de ST en pacientes con STEMI que fueron tratados con agentes trombolíticos.
En este estudio prospectivo, se tomaron muestras de sangre venosa de 114 pacientes con STEMI para determinar el recuento de PDW, MPV y WBC en el tiempo de referencia de los pacientes y antes de la terapia trombolítica. Según el índice de resolución de ST en 90 minutos después de la terapia trombolítica, los pacientes se clasificaron en dos grupos con resolución de ST inferior al 50% y resolución de ST del 50% o más. Finalmente, los valores de los índices de laboratorio anteriores se compararon entre dos grupos de resolución de ST que este problema se llevó a cabo utilizando el software SPSS versión 21.
Al evaluar a través del análisis de la curva ROC, se determinó que la medición de MPV no se considera como un índice preciso y eficaz para predecir la resolución de ST después de la trombólisis (área bajo la curva: 0.574). El recuento de WBC tampoco fue un indicador aplicable para predecir la resolución de ST después de la trombolisis (Área bajo la curva: 0.660). Finalmente, los resultados del modelo de regresión logística múltiple mostraron que el único predictor de resolución de ST inferior al 50% es el historial de uso de estatinas, de modo que el historial de uso de estatinas aumentó la probabilidad de resolución de ST inferior al 50% en 7 veces (P: 0,028), O: 7.306).
No existe una relación entre la aparición de una resolución completa de ST (más del 50%) y los valores de los índices de MPV y WBC. Por lo tanto, la medición de estos dos indicadores puede no tener la suficiente validez para predecir la resolución del ST después de la trombólisis. Según nuestro estudio, los pacientes con antecedentes de uso de estatinas tienen una prevalencia más baja de resolución completa de ST (más del 50%).

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Biografía del autor/a

Venus Shahabi Raberi, Department Of Cardiology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran

Assistant Professor, Department Of Cardiology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran

Ebrahim Ezati, Urmia University of Medical Sciences, Urmia, Iran

Urmia University of Medical Sciences, Urmia, Iran

Reza Faramrza Zadeh, Department Of Cardiology, Urmia University of Medical Sciences, Urmia, Iran

Assistant Professor, Department Of Cardiology, Urmia University of Medical Sciences, Urmia, Iran

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2019-02-27

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Raberi, V. S., Ezati, E., & Zadeh, R. F. (2019). La relación entre los índices hematológicos (PDW, recuento de GB, MPV) en el momento de la admisión y el segmento ST descendente después de la trombolisis en pacientes con infarto de miocardio. Amazonia Investiga, 8(18), 139–149. Recuperado a partir de https://amazoniainvestiga.info/index.php/amazonia/article/view/290

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