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Updated: Aug 6, 2025

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
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.
Background:
Red blood cell (RBC) indices such as RBC count and RBC distribution width (RDW) are associated with heart failure and coronary artery disease, but the relationship between RBC indices and coronary artery calcification (CAC) is unclear. This study aimed to investigate RBC indices' correlation with, and predictive value for, the presence and severity of CAC.
Methods:
In this study, 1257 hospitalized patients who received a coronary computed tomography angiography examination were finally selected. Patients were classified into a control group (without CAC, n = 655) and a calcification group (with CAC, n = 602) according to their CAC score. The calcification group was further divided into a low calcification group, medium calcification group, and high calcification group.
Results:
In the calcification group, the RBC count was lower, and the RDW-standard deviation (SD) and RDW-coefficient of variation (CV) were higher, than those in the control group (P < .05). In the high calcification group, the RBC count was significantly lower, and the RDW-SD and RDW-CV were significantly higher, than those in the low calcification group (P < .05). Multivariate logistic regression analysis showed that RBC count, RDW-SD, and RDW-CV were independent predictors of CAC presence. Furthermore, multivariate logistic regression analysis also showed that RBC count and RDW-SD were independent predictors of severe CAC.
Conclusions:
RBC indices were significantly associated with the presence and severity of CAC, indicating that these RBC indices have the potential to be predictors of CAC.
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