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Updated: Feb 19, 2026

Microfluidics in Assessing Platelet Function
Published on: November 8, 2024
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.
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.
Aim:
We aimed to determine the relationship of red cell and platelet distribution widths with the onset of acute myocardial infarction, to enable the early detection and prevention of acute myocardial infarction.
Methods:
Red cell and platelet distribution widths were retrospectively determined in 46 patients with stable angina pectoris and 140 patients with acute myocardial infarction who were brought to the emergency department of our institution. Red cell and platelet distribution widths were determined with an automatic blood cell analyzer, and the results were compared between the acute myocardial infarction and angina pectoris groups.
Results:
Both red cell and platelet distribution width values obtained at onset were significantly higher in the acute myocardial infarction group than in the angina pectoris group (red cell distribution widths, 46.4 ± 0.51% versus 44.5 ± 0.59%; mean difference -1.91 [95% confidence interval (CI), -3.79 to -0.34]; platelet distribution widths, 12.1 ± 0.22 fL versus 11.1 ± 0.17 fL; mean difference -1.03 [95% CI, -1.58 to -0.47]). The red cell distribution widths before onset was not different between the acute myocardial infarction and angina pectoris groups; however, the platelet distribution widths before onset was higher in the acute myocardial infarction group (red cell distribution widths, 46.5 ± 0.85% versus 45.9 ± 0.59%; mean difference -0.71 [95% CI, -2.74 to 1.30]; platelet distribution widths, 11.4 ± 0.39 fL versus 10.6 ± 0.21 fL; mean difference -0.83 [95% CI, -1.66 to 0.11]).
Conclusion:
Red cell distribution widths and especially platelet distribution widths may contribute to the early detection of acute myocardial infarction.
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