Evidence map›Paper›PMID 39834485›Full record

Observational studyVascular health and risk management2025

Impact of White Blood Cell Count After Percutaneous Coronary Intervention on Long-Term Prognosis in Patients with Unstable Angina Pectoris: A Single-Center Retrospective Observational Cohort Study.

Zhiyuan Zhang, Heyan Wang, Ruiyu Wang, Zeyu She, Xingyue Liang, Huiyi Liu, Xuemeng Kou, Shipeng Wang

Abstract readObservational Study
In one paragraph

Observational study in Vascular health and risk management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Zhiyuan Zhang *Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, People's Republic of China.
Heyan Wang *Department of Cardiology, Central Hospital of Dalian University of Technology, Dalian, Liaoning Province, People's Republic of China.
Ruiyu WangDepartment of Cardiology, the First Affiliated Hospital of Medical School, Xi'an Jiaotong University, Xi'an, Shaanxi Province, People's Republic of China.
Zeyu SheSchool of Basic Medicine, Harbin Medical university, Harbin, Heilongjiang Province, People's Republic of China.
Xingyue LiangSchool of Basic Medicine, Harbin Medical university, Harbin, Heilongjiang Province, People's Republic of China.
Huiyi LiuDepartment of Cardiology, the First Affiliated Hospital of Peking University, Beijing, People's Republic of China.
Xuemeng KouDepartment of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, People's Republic of China.
Shipeng WangDepartment of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, People's Republic of China.ORCID 0000-0003-4458-0716

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: An association between white blood cell count (WBC-C) before percutaneous coronary intervention (PCI) and prognosis has been established in patients undergoing PCI. However, the effect of WBC-C after PCI on the long-term prognosis of patients with unstable angina pectoris (UA) is unclear. Methods: A retrospective cohort study was conducted in 1811 consecutive patients with UA. The changes of WBC and subgroup counts before and in the early postoperative stages after PCI were observed by paired Wilcoxon signed-rank test. The Kaplan-Meier method and COX proportional regression model were used to evaluate the association between the incidence of 5-year endpoint events and post-PCI leukocytosis. Results: Leukocytosis and neutrocytosis within 24 hours after PCI were observed in majority of patients with UA, while lymphocyte count significantly decreased after PCI in those patients. There were no significant differences in 5-year all-cause mortality and major adverse cardiovascular and cerebrovascular events (MACCE) between patients in the post-PCI leukocytosis and the control group. However, the 5-year incidence of major adverse cardiovascular events (MACE) was significantly increased in the post-PCI leukocytosis group (p = 0.017, Log rank test). Leukocytosis after PCI was independently associated with the occurrence of MACE (hazard ratio: 1.36; 95% confidence interval: 1.06-1.75; p = 0.015). Conclusion: Peripheral WBC and neutrophil counts within 24 hours after PCI significantly increased in response to PCI in patients with UA, while lymphocyte count significantly decreased after PCI in those patients. The post-PCI leukocytosis offered predictive value for an increased risk of MACE for up to 5 years in patients with UA.

Indexed as

Angina, UnstableLeukocytosisPercutaneous Coronary InterventionAgedBiomarkersFemaleHumansIncidenceKaplan-Meier EstimateLeukocyte CountMaleMiddle AgedPredictive Value of TestsProportional Hazards ModelsRetrospective StudiesRisk AssessmentBiomarkersleukocytosismajor adverse cardiovascular eventspercutaneous coronary interventionunstable angina pectoriswhite blood cell count

Identifiers

PMID39834485
PMCPMC11745057

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.