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Abstract
Summary and Conclusion In patients with acute coronary syndrome, management should be risk based from the time of arrival in the emergency room. Several tools have been used to risk stratify patients with this major event.
White blood cell count is simple and universally available marker of inflammation. It is also a strong and independent predictor of mortality in the first year after acute myocardial infarction. Patients with high admission WBC count had larger infarcts size as assessed by higher peak CK levels and lower baseline ejection fraction.
In addition to its diagnostic and prognostic significance at the early stages of acute coronary syndromes, troponin-T elevation in its second peak aids in risk stratification and may be predictive of infarct size and microinfarctions and it is more sensitive than CK-MB.blood cell count was done after 2 days of the onset of chest pain, another sample after one month and after 10 months.troponin-T level at the 4th day patients were followed up for one year as regard survival.