Haematological indices in acute coronary syndromes: Could there be a hidden message?

Introduction and Aim: The routine markers of CAD show elevation after the development acute manifestations. There exists a need for establishment/validation biomarkers that predict preclinical atherosclerotic changes. This study assesses utility haematological indices in prediction prognostication CAD. Materials Methods: retrospective includes 830 patient reports investigated serum Troponin T retrieved from laboratory information system. Reports were grouped into positive negative categories. Relevant biochemical data retrieved. Statistical analysis was carried out to estimate group differences, correlation, sensitivity, specificity, AUC. Results: showed significantly elevated WBCs, neutrophils, CRP, NLR, PLR, SII with low lymphocytes, monocytes, basophils RBC count. None lipid profile parameters, except triglyceride, significant differences between groups. Males higher baseline but blunter CRP during coronary events. ROC maximum sensitivity (75.9%) NPV (77.9%) while PLR specificity (76.4%). Conclusion: Haematological may have better predictive value than conventional might serve as key novel cardiac risk screening panels aid stratification management artery diseases.