Bodagh, Haleh, Ghanivash, Amin, Boudagh, Shabnam, Bodagh, Mohammad bagher, Banisefid, Erfan, Sakhaei, Arshiya, Mosadeghi Khiavi, Shima, Parizad, Razieh (2024). The predictive significance of red cell distribution width in anterior ST- elevation myocardial infarction and its relationship with hospital mortality. Shahid Sadoughi University of Medical Sciences- Journal Management System, 4(2), 14-21. doi: 10.18502/cbj.v4i2.17790
Haleh Bodagh; Amin Ghanivash; Shabnam Boudagh; Mohammad bagher Bodagh; Erfan Banisefid; Arshiya Sakhaei; Shima Mosadeghi Khiavi; Razieh Parizad. "The predictive significance of red cell distribution width in anterior ST- elevation myocardial infarction and its relationship with hospital mortality". Shahid Sadoughi University of Medical Sciences- Journal Management System, 4, 2, 2024, 14-21. doi: 10.18502/cbj.v4i2.17790
Bodagh, Haleh, Ghanivash, Amin, Boudagh, Shabnam, Bodagh, Mohammad bagher, Banisefid, Erfan, Sakhaei, Arshiya, Mosadeghi Khiavi, Shima, Parizad, Razieh (2024). 'The predictive significance of red cell distribution width in anterior ST- elevation myocardial infarction and its relationship with hospital mortality', Shahid Sadoughi University of Medical Sciences- Journal Management System, 4(2), pp. 14-21. doi: 10.18502/cbj.v4i2.17790
Bodagh, Haleh, Ghanivash, Amin, Boudagh, Shabnam, Bodagh, Mohammad bagher, Banisefid, Erfan, Sakhaei, Arshiya, Mosadeghi Khiavi, Shima, Parizad, Razieh The predictive significance of red cell distribution width in anterior ST- elevation myocardial infarction and its relationship with hospital mortality. Shahid Sadoughi University of Medical Sciences- Journal Management System, 2024; 4(2): 14-21. doi: 10.18502/cbj.v4i2.17790

The predictive significance of red cell distribution width in anterior ST- elevation myocardial infarction and its relationship with hospital mortality

Cardiovascular Biomedicine
Article 3, Volume 4, Issue 2, December 2024, Pages 14-21    PDF (510.2 K)
Document Type: Original articles
DOI: 10.18502/cbj.v4i2.17790
Authors
Haleh Bodagh1; Amin Ghanivash1; Shabnam Boudagh2; Mohammad bagher Bodagh3; Erfan Banisefid1; Arshiya Sakhaei4; Shima Mosadeghi Khiavi5; Razieh Parizad* 1
1Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2Echocardiography Research Center, Rajaie Cardiovascular Institute, Tehran, Iran
3Faculty of Medicine, Tabriz Medical Sciences, Islamic Azad University, Tabriz, Iran
4School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
5Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract
Objectives: The clinical diagnosis of acute myocardial infarction (AMI) involves assessing the patient's medical history and indirect evidence of myocardial necrosis using biochemical, electrocardiogram (ECG), or imaging methods. Ischemia, hypoxia, and myocardial necrosis result from a disrupted blood supply to the coronary arteries, typically due to atherosclerosis, thrombosis, and coronary artery obstruction. Given the rising incidence and healthcare costs of ST-elevation myocardial infarction (STEMI), particularly anterior STEMI (ant-STEMI), this study examines the diagnostic value of red cell distribution width (RDW) in ant-STEMI patients and its impact on hospital and one-year mortality post-primary angioplasty.

Methods: This study focused on patients with ant-STEMI undergoing primary angioplasty at Shahid Madani Hospital, Tabriz, Iran, from 2018 to 2019. Exclusion criteria included patients receiving drug or antithrombotic treatment, undergoing coronary artery bypass grafting (CABG), not receiving primary percutaneous coronary intervention (PPCI), suffering from STEMI types other than anterior STEMI, having a history of thalassemia or anemia, and those with incomplete patient records. In-hospital complications, such as cardiogenic shock, hematoma, bleeding, and heart failure (HF), were recorded and analyzed using SPSS 23.

Results: In this retrospective and analytical study of 300 patients, there was no significant relationship between RDW levels and in-hospital (P-value=0.59) and one-year mortality (P-value=0.68). However, RDW was significantly associated with hospital complications such as HF, cardiogenic shock, angio-hematoma, gastrointestinal bleeding, and stent thrombosis (P-value<0.01).

Conclusions: Our study showed that RDW is not a reliable prognostic factor for mortality in anterior STEMI patients.
Keywords
Acute myocardial infarction; Red cell distribution width; Hospital mortality
References
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