Association between Systemic Inflammatory Immunity Index and Intracoronary Thrombus Burden in Acute Myocardial Infarction with ST Segment Elevation (IMA EST) Patients Undergoing Primary Percutaneous Coronary Intervention at Haji Adam Malik Hospital
Authors
Abstract
Introduction: Acute coronary syndrome (ACS) account for 30% of deaths worldwide. High peri-procedural intracoronary thrombus burden is a strong predictor of poor outcome. Inflammation plays an important role in the pathogenesis of intracoronary thrombus formation. The systemic inflammatory immunity index represents the immune responses to inflammation, which consist of neutrophilia, thrombosis and decreased lymphocytes. The previous study showed that systemic inflammatory immunity index predicted high intracoronary thrombus burden in STEMI patients. This study aimed to evaluate systemic inflammatory immunity index in predicting the incidence of high intracoronary thrombus burden in STEMI patients.
Method: This research is a retrospective analytical observational study on 95 patients diagnosed with ACS in the period 1 January 2022-31 March 2023 at H. Adam Malik General Hospital, Medan. All patients involved had undergone primary percutaneous coronary intervention. Patient characteristics, risk factors, laboratory results and coronary angiography were recorded from the patient's medical record.
Results: There was a significant relationship between the systemic inflammatory immunity index value and the incidence of high intracoronary thrombus burden in STEMI patients (P < 0.001). The systemic inflammatory immunity index cut off point value > 1108 has a sensitivity of 89.4% and a specificity of 89.7% which has a better accuracy in predicting high intracoronary thrombus burden in STEMI patients.
Conclusion: Systemic inflammatory immunity index has a good accuracy to predict high intracoronary thrombus burden in STEMI patients.
Similar Articles
- Effi Rohani Nuzul Sari, Aldy Safruddin Rambe, Irina Kemala Nasution, The Relationship between Cognitive Function and Quality of Life in Patient with Intracranial Tumors at Haji Adam Malik Hospital Medan , Journal of Society Medicine: Vol. 2 No. 8 (2023): August
- Natassya Sandra Tillasman, Putu Pradnyasanti Laksmi, Ratna Rayeni Natasha Roosseno, Agus Roy Rusly Hariantana Hamid, Literature Review for Iliaca, Scapula, and Fibula Free Flap as A Modality in Mandibular Ameloblastoma Reconstruction , Journal of Society Medicine: Vol. 3 No. 6 (2024): June
- Olivia Monica Deneuve, Andika Pradana, Amira P. Tarigan, The Relationship of Blood Eosinophils Levels with Degree of Exacerbation in COPD Patient at Usu General Hospital , Journal of Society Medicine: Vol. 3 No. 7 (2024): July
- Primta Bangun, Suwarman Suwarman, Weaning Difficulty in Patient with End Stage Renal Disease Acute with Respiratory Failure due to Pulmonary Edema and Pneumonia , Journal of Society Medicine: Vol. 2 No. 2 (2023): February
- Nelly Rosdiana, Novia Kemal , Lactate Dehydrogenase and Blast Rates in the Diagnostic Phase and the Late Remission Phase of Acute Childhood Leukaemia Patients , Journal of Society Medicine: Vol. 3 No. 8 (2024): August
- Harel Mega Serafine Simanjuntak, Haflin Soraya Hutagalung, Indri Adriztina, Sri Amelia, Relationship Between Sleep Quality and Primary Headache Among Employees of PT. Valeo Ac Indonesia , Journal of Society Medicine: Vol. 3 No. 12 (2024): December
You may also start an advanced similarity search for this article.