Relation of Red Cell Distribution Width And Severity Of Stemi.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 4
Abstract
Background: Higher values of RDW may show association with adverse outcomes in patients with acute coronary syndrome. The objective of study was to assess the correlation between red cell distribution width with short term outcome and left ventricular ejection fraction in patients presenting with acute STEMI. Methods: Study was conducted on 100 patients admitted at tertiary care centre with acute myocardial infarction satisfying inclusion criteria. Detailed history and clinical examination was done .RDW was noted from CBC calculated by an automatic blood counter and measurement of LVEF was done by Echocardiographer on Echocardiography machine by standardized method. Patients were followed for 1 month6 for various cardiac complications including death and the data was recorded .Patients were divided into two groups on the basis of RDW into group 1 ( RDW < 14.5 ) and group 2 ( RDW > 14.5 ) Results: Out of total 100 patients: In 53 patients of group 1 complications were present in 11 patients where as 21 out of 43 patients in group 2 experienced various cardiac complications and there was statistically significant difference in death rate between 2 groups ( p value = 0.03 ). There was statistically significant correlation between high RDW and low LVEF ( P <0.05 ). Conclusions: increase RDW can be a predictor of adverse outcome in acute STEMI patients as there is statistically significant difference for complications rate and LVEF in relation to RDW in acute STEMI patients.
Authors and Affiliations
Nitasha Sharma
Keywords
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