Prognostic Importance of White Blood Cell Count and Plasma Glucose Levels at Admission in Acute Myocardial Infarction

Introduction: An increase in white blood cell (WBC) count and a high plasma glucose level are frequently observed in patients with acute myocardial infarction. WBC count is a simple marker of inflammation, which plays an important role in acute coronary syndrome. It is seen that WBC count plays a potential role in promoting blood coagulation, mediating microvascular reflow, and causing myocyte dysfunction. Materials and Methods: About 100 consecutive patients presenting with acute myocardial infarction admitted to New Civil Hospital, Surat, from September 2014 to September 2015 were studied. The study were carried out on patients presenting with complains suggestive of acute myocardial infarction presenting within 48 h in Emergency Department of New Civil Hospital, Surat. After the patient was stabilized, qualifying patients underwent detailed history and clinical examination. The WBC count and plasma glucose levels were measured at the time of admission. Results: In present study, 36 (36%) out of 100 patients were found to be dyslipidemic and prior ischemic heart disease about 12 (12%) out of 100. Conclusion: WBC count and plasma glucose level at admission has a prognostic importance as independent and joint variables in predictors for short-term outcome in the form of in-hospital mortality in acute myocardial infarction cases.