Assessment of red cell distribution width (RDW) in patients with coronary artery ectasia

Orhan Dogdu1, Fatih Koc, Nihat Kalay

  • 1Department of Cardiology, Erciyes University School of Medicine, Kayseri, Turkey.

Insights

Red cell distribution width (RDW) is elevated in patients with coronary artery ectasia (CAE). This simple blood test may serve as a reliable marker for diagnosing CAE.

Area of Science:

  • Cardiology
  • Hematology

Background:

  • Coronary artery ectasia (CAE) involves abnormal coronary artery dilation.
  • Red cell distribution width (RDW) quantifies red blood cell size heterogeneity.

Purpose of the Study:

  • To investigate red cell distribution width (RDW) levels in patients diagnosed with coronary artery ectasia (CAE).

Main Methods:

  • The study included 54 patients with CAE and 40 controls with normal coronary arteries.
  • Red cell distribution width (RDW) was measured using automated complete blood count on admission.

Main Results:

  • Patients with coronary artery ectasia (CAE) exhibited significantly higher red cell distribution width (RDW) compared to controls (P < .001).
  • High-sensitive C-reactive protein (hs-CRP) levels were also significantly elevated in the CAE group versus controls (P < .001).

Conclusions:

  • Red cell distribution width (RDW) and hs-CRP levels are significantly higher in patients with coronary artery ectasia (CAE).
  • RDW presents a reliable, simple, and inexpensive biomarker for identifying patients with coronary artery ectasia (CAE).
Abstract

Related Concept Videos

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Cardiomyopathy IV: Restrictive Cardiomyopathy01:29

Cardiomyopathy IV: Restrictive Cardiomyopathy

Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...