الفهرس 
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Abstract
ABSTRACT
Background; A well-known fact about acute myocardial infarction is its association with leukocytosis. The differential analysis of white blood cells gives additional benefit of assessing ACS severity by clinical outcomes. Obtaining peripheral leukocyte count is a cheap and widely available mode.
Aim and objectives: The aim of the study was to test the value of neutrophil to lymphocyte ratio in risk stratifying patients with acute coronary syndromes and its early outcomes.
Subjects and methods: The present study is a prospective observational study that included one hundred patients with acute coronary syndromes visited Ain shams University Hospital for six months (63% unstable angina and 37% NSTEMI).
Result: There was highly statistically significant difference between risk groups as regard Neutrophil, Lymphocyte, PLTs, NLR, PLR and CK-MB. there was statistically significant difference between risk groups as regard WBCs.
Conclusion: Admission NLR is the strong and independent predictor of cardiovascular outcomes in patients with NSTEMI and UAP. Consequently, given the advantages of NLR, it may be the ideal marker for risk stratification in patients with NSTEMI and UAP. Despite the science of inflammatory biomarkers having been described decades ago, NLR appears to be enjoying a renaissance as a cost-effective biomarker with immediate clinical predictability and prognostication. The ease and rapidity of performing these tests make them an independent, simple, inexpensive and accurate early predictor of high-risk TIMI score patients in ACS.