Naslov
Correlation between red cell distribution width, systolic function and atrial fibrillation occurrence in patients with acute ST segment elevation myocardial infarction

Autori
Ćatić, Jasmina ; Jurin, Ivana ; Lucijanić, Marko ; Jakšić Jurinjak, Sandra ; Bodrožić Džakić Poljak, Tomislava ; Blažeković, Robert

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Cardiologia croatica // 5th Dubrovnik Cardiology Highlights / Ivanuša, Mario ; Čikeš, Maja ; Miličić, Davor - Zagreb : Hrvatsko kardiološko društvo, 2017

Skup
5th Dubrovnik Cardiology Highlights

Mjesto i datum
Dubrovnik, Hrvatska, 19.10.2017. - 22.10.2017

Vrsta sudjelovanja
Poster

Vrsta recenzije
Nije recenziran

Ključne riječi
Red Cell Distribution Width, Systolic Function, ST Segment Elevation Myocardial Infarction

Sažetak
Aim: Red cell distribution width as an indicator of inflammation has been shown as a predictive and prognostic factor in coronary artery disease as well as in heart failure1, 2. The aim of this study was to evaluate correlation between red cell distribution width (RDW) and echocardiographic parameters of systolic function and atrial fibrillation occurrence in patients with acute ST segment elevation myocardial infarction (STEMI). Patients and Methods: We recruited 89 patients with acute myocardial infarction with ST elevation who were hospitalized in the Department of Cardiovascular Diseases, University Hospital Dubrava, Zagreb. Complete blood count was determined from blood samples prior to percutaneous coronary intervention (PCI). Echocardiographic exam was performed by two independent experts after PCI. Results: RDW was negatively correlated with ejection fraction (p=0.026, Rho=-0.24), patients with EF <50% had higher RDW values (14.35 vs 13.8%, p=0.009) as well as patients with EF <40% (15.8% vs 13.9%, p=0.008). As expected, TIMI score was correlated with systolic function and RDW values. Patients with higher values of RDW had higher risk of developing atrial fibrillation in the follow- up period (>14.5%, P=0.00, HR=3.99). Conclusion: Increased RDW values on admission in STEMI patients treated with PCI are associated with systolic dysfunction and atrial fibrillation occurrence in the follow -up period. These findings can guide further clinical practice but must be confirmed in future studies with more patients.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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