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Published on: January 28, 2020
Evaluation of complete blood count parameters in cardiovascular diseases: An early indicator of prognosis?
Habib Haybar1, Seyed Mohammad Sadegh Pezeshki2, Najmaldin Saki2
1Atherosclerosis research center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Insights
Complete blood count (CBC) indices like red cell distribution width (RDW) and mean platelet volume (MPV) are valuable prognostic biomarkers for cardiovascular diseases (CVDs). Inflammatory markers also aid in predicting CVD prognosis.
Area of Science:
- Hematology
- Cardiology
- Internal Medicine
Background:
- Complete blood count (CBC) indices are increasingly studied for their correlation with cardiovascular diseases (CVDs).
- Existing research on the prognostic value of CBC parameters in CVDs is dispersed.
- This review synthesizes findings on CBC indices and CVD prognosis for the first time.
Purpose of the Study:
- To review and summarize the prognostic value of CBC parameters in cardiovascular diseases.
- To consolidate dispersed research findings into a comprehensive overview.
- To highlight key CBC indices as potential biomarkers for CVD prognosis.
Main Methods:
- Literature search of English language studies from 1996-2018.
- Databases searched include Google Scholar and PubMed.
- Keywords used: "Complete blood count", "Cardiovascular disease", "Red cell distribution width", "Mean platelet volume".
Main Results:
- Red cell distribution width (RDW) is an independent prognostic biomarker for various CVDs.
- Mean platelet volume (MPV) is another significant prognostic biomarker for CVDs.
- Elevated inflammatory markers like neutrophil-to-lymphocyte ratio (NLR) indicate poor prognosis in CVD patients, particularly in myocardial infarction and heart failure.
Conclusions:
- RDW serves as a valuable independent biomarker for assessing prognosis in heart failure, atherosclerosis, and myocardial infarction.
- MPV increases are reliable prognostic and diagnostic indicators for CVDs like myocardial infarction and unstable angina.
- Inflammatory markers including white blood cell count, NLR, monocyte to HDL ratio (MHR), and platelet to lymphocyte ratio (PLR) are valuable for predicting prognosis across various CVDs.
Background:
Studies have been conducted to evaluate the correlation between complete blood count (CBC) indices and cardiovascular diseases (CVDs). Considering the dispersion of these studies as well as reports on prognostic value of CBC parameters in CVDs, we have summarized these findings as a review article for the first time.
Methods:
Relevant English language literature was searched and retrieved from Google Scholar search engine and PubMed database (1996-2018). We used "Complete blood count", "Cardiovascular disease", "Red cell distribution width", and "Mean platelet volume" as keywords.
Results:
Numerous studies indicated that red cell distribution width (RDW) is an independent prognostic biomarker in relation to CVD diseases. MPV is another considerable prognostic biomarker for CVDs. Elevations of inflammatory markers such as neutrophil to lymphocyte ratio (NLR) in CVD patients (especially in myocardial infarction and heart failure) can be considered as a factor of poor prognosis.
Conclusions:
RDW can be used as a valuable independent biomarker to investigate the prognosis of patients with heart failure (HF), atherosclerosis, myocardial infarction (MI), and other CVDs. Rapid and stable increase in MPV makes it a reliable prognostic/diagnostic parameter in CVDs such as MI and unstable angina. Among different inflammatory markers the evaluation of total white blood cell count, NLR, monocyte to high-density lipoprotein ratio (MHR) and platelet to lymphocyte ratio (PLR) may have a high value in predicting the prognosis of different CVDs including MI, HF and atherosclerosis in patients.
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