Relationship between red blood cell-related indices and coronary artery calcification

Fulu Jin1, Xiansong Chang1,2, Xiaozhong Wang2

  • 1Department of Cardiology, The Second Affiliated Hospital of Soochow University, Suzhou City, 215004, China.

Insights

Red blood cell (RBC) indices, including RBC count and RBC distribution width (RDW), are linked to coronary artery calcification (CAC) presence and severity. Lower RBC counts and higher RDW values predict CAC, suggesting their potential as diagnostic markers.

Area of Science:

  • Cardiology
  • Hematology
  • Medical Diagnostics

Background:

  • Red blood cell (RBC) indices are linked to cardiovascular diseases.
  • The association between RBC indices and coronary artery calcification (CAC) remains unclear.
  • This study investigates the predictive value of RBC indices for CAC.

Purpose of the Study:

  • To determine the correlation between RBC indices and the presence of CAC.
  • To assess the predictive value of RBC indices for the severity of CAC.
  • To explore RBC indices as potential biomarkers for CAC.

Main Methods:

  • 1257 hospitalized patients undergoing coronary computed tomography angiography were analyzed.
  • Patients were categorized into control (no CAC) and calcification groups (with CAC).
  • The calcification group was further stratified by CAC severity (low, medium, high).

Main Results:

  • Patients with CAC had lower RBC counts and higher RDW-SD and RDW-CV than controls.
  • Higher CAC severity correlated with significantly lower RBC counts and higher RDW-SD/CV.
  • RBC count, RDW-SD, and RDW-CV independently predicted CAC presence and severity.

Conclusions:

  • RBC indices are significantly associated with CAC presence and severity.
  • These findings suggest RBC indices can serve as potential predictors for CAC.
  • RBC count and RDW-SD are identified as independent predictors of severe CAC.
Abstract

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