Red cell and platelet distribution widths in patients with angina pectoris and acute myocardial infarction

Moriyuki Terakura1, Toshimasa Sugawara1, Daisuke Hirota1

  • 1Department of Emergency Medicine Teikyo University School of Medicine Tokyo Japan.

Acute Medicine & Surgery
|November 11, 2017
PubMed

Insights

Elevated red cell and platelet distribution widths at onset are linked to acute myocardial infarction. These markers, particularly platelet distribution width, show promise for early detection and prevention strategies.

Area of Science:

  • Cardiology
  • Hematology
  • Diagnostic Medicine

Background:

  • Acute myocardial infarction (AMI) is a leading cause of mortality worldwide.
  • Early detection and prevention of AMI are crucial for improving patient outcomes.
  • Biomarkers that can predict AMI onset are of significant clinical interest.

Purpose of the Study:

  • To investigate the relationship between red cell distribution width (RDW) and platelet distribution width (PDW) and the occurrence of AMI.
  • To assess the potential of RDW and PDW as early indicators for AMI detection.

Main Methods:

  • A retrospective analysis was conducted on 46 patients with stable angina pectoris and 140 patients with AMI.
  • RDW and PDW were measured using an automated blood cell analyzer.
  • Values obtained at onset and before onset were compared between the AMI and angina pectoris groups.

Main Results:

  • At onset, both RDW and PDW were significantly higher in the AMI group compared to the angina pectoris group.
  • Specifically, RDW was 46.4% vs 44.5% and PDW was 12.1 fL vs 11.1 fL in AMI vs angina groups, respectively.
  • While RDW before onset did not differ, PDW before onset was higher in the AMI group.

Conclusions:

  • RDW and especially PDW may serve as valuable markers for the early detection of AMI.
  • Further research could explore the integration of RDW and PDW into diagnostic algorithms for AMI.
  • These findings support the potential utility of RDW and PDW in risk stratification for cardiovascular events.
Abstract

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