PMID- 20419392 OWN - NLM STAT- MEDLINE DCOM- 20110616 LR - 20211020 IS - 1573-2576 (Electronic) IS - 0360-3997 (Linking) VI - 34 IP - 2 DP - 2011 Apr TI - White blood cell subtypes after STEMI: temporal evolution, association with cardiovascular magnetic resonance--derived infarct size and impact on outcome. PG - 73-84 LID - 10.1007/s10753-010-9209-0 [doi] AB - The evolution of white blood cells after ST elevation myocardial infarction (STEMI) and their association with infarct size and major adverse cardiac events (MACE) remains unclear. Two hundred eleven patients underwent CMR after STEMI. Infarct mass (grams) was determined. Neutrophil, lymphocyte, and monocyte counts (x1,000 cells/ml) were measured upon arrival and at 12, 24, 48, 72, and 96 h. Patients with large infarctions (3rd tertile >/= 28.5 g vs. 1st and 2nd tertiles < 28.5 g) showed a larger neutrophil count at 12 h (14.8 +/- 4.8 vs. 11.4 +/- 3.3, p < 0.0001) and an increased monocyte count (maximum at 24 h (0.65[0.50-0.91] vs. 0.55[0.42-0.71], p = 0.004)) but no difference in lymphocyte count. Neutrophil count at 12 h independently predicted large infarctions (OR 1.14, 95%CI [1.04-1.26], p = 0.008). During follow-up (median 504 days), 25 MACE occurred. Neutrophil count at 96 h independently predicted MACE (HR 1.2, 95%CI [1.1-1.4], p = 0.003). Large infarctions show a marked neutrophil peak and an increasing monocyte count. Neutrophil count independently predicts large infarctions and MACE. FAU - Husser, Oliver AU - Husser O AD - Department of Cardiology, Hospital Clinico Universitario, INCLIVA, Universidad de Valencia, Blasco Ibanez 17, Valencia, Spain. FAU - Bodi, Vicente AU - Bodi V FAU - Sanchis, Juan AU - Sanchis J FAU - Nunez, Julio AU - Nunez J FAU - Mainar, Luis AU - Mainar L FAU - Chorro, Francisco Javier AU - Chorro FJ FAU - Lopez-Lereu, Maria Pilar AU - Lopez-Lereu MP FAU - Monmeneu, Jose Vicente AU - Monmeneu JV FAU - Chaustre, Fabian AU - Chaustre F FAU - Forteza, Maria J AU - Forteza MJ FAU - Trapero, Isabel AU - Trapero I FAU - Dasi, Francisco AU - Dasi F FAU - Benet, Isabel AU - Benet I FAU - Riegger, Gunter A J AU - Riegger GA FAU - Llacer, Angel AU - Llacer A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Inflammation JT - Inflammation JID - 7600105 RN - 0 (Biomarkers) SB - IM MH - Adult MH - Aged MH - Angioplasty MH - Biomarkers MH - Cardiac Catheterization MH - Electrocardiography MH - Female MH - Humans MH - Leukocyte Count MH - Lymphocyte Count MH - Lymphocytes/physiology MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Monocytes/physiology MH - Myocardial Infarction/*blood/*pathology/physiopathology MH - Myocardium/pathology MH - Neutrophils/*physiology MH - Stents MH - Treatment Outcome EDAT- 2010/04/27 06:00 MHDA- 2011/06/17 06:00 CRDT- 2010/04/27 06:00 PHST- 2010/04/27 06:00 [entrez] PHST- 2010/04/27 06:00 [pubmed] PHST- 2011/06/17 06:00 [medline] AID - 10.1007/s10753-010-9209-0 [doi] PST - ppublish SO - Inflammation. 2011 Apr;34(2):73-84. doi: 10.1007/s10753-010-9209-0.