| Journal of Translational Medicine | |
| Significance of red cell distribution width measurement for the patients with isolated coronary artery ectasia | |
| Jian-Jun Li1  Li-Xin Jiang1  Cheng-Gang Zhu1  Rui-Xia Xu1  Yuan-Lin Guo1  Shao-Ping Nie3  Yan-Jun Jia1  Li-Feng Hong2  Xiao-Lin Li1  | |
| [1] Division of Dyslipidemia, State Key Laboratory of Cardiovascular Disease, Fu Wai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China;Department of Cardiology, Fifth Hospital of Wuhan City, Wuhan 430050, China;Department of Cardiology, Beijing Anzhen Hospital, Capital University of Medical Sciences, Beijing 100029, China | |
| 关键词: C-reactive protein; Coronary artery disease; Coronary artery ectasia; Red cell distribution width; | |
| Others : 817739 DOI : 10.1186/1479-5876-12-62 |
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| received in 2013-10-31, accepted in 2014-03-03, 发布年份 2014 | |
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【 摘 要 】
Background
Red cell distribution width (RDW) has been recognized as a novel marker for several cardiovascular diseases. The aim of this study was to evaluate the association between RDW levels and the presence of isolated coronary artery ectasia (CAE).
Methods
We studied 414 subjects including 113 patients with isolated CAE (Group A), 144 patients with coronary artery disease (CAD, group B) and 157 angiographically normal controls (group C). Baseline clinical characteristics and laboratory findings including RDW were compared among three groups.
Results
The levels of RDW were significantly higher in group A and B compared with that in group C (12.97 ± 1.4 and 12.88 ± 1.0 vs 12.34 ± 0.9, p = 0.020) while no difference was found between CAE and CAD (p = 0.17). Additionally, the levels of CRP were also higher in patients with CAE and CAD compared with normal controls (0.26 ± 0.14 mg/L, 0.31 ± 0.27 mg/L vs 0.20 ± 0.06 mg/L, p = 0.04). The multivariate analysis indicated that RDW and CRP were the independent variables most strongly associated with the presence of isolated CAE and CAD. There was a positive correlation between levels of RDW and CRP in patients with isolated CAE (γ=0.532, p = 0.001).
Conclusions
Our data suggested that RDW may be a useful marker and independent predictor for the presence of isolated CAE.
【 授权许可】
2014 Li et al.; licensee BioMed Central Ltd.
【 预 览 】
| Files | Size | Format | View |
|---|---|---|---|
| 20140711020819526.pdf | 294KB | ||
| Figure 2. | 35KB | Image | |
| Figure 1. | 30KB | Image |
【 图 表 】
Figure 1.
Figure 2.
【 参考文献 】
- [1]Satran A, Bart BA, Henry CR, Murad MB, Talukdar S, Satran D, Henry TD: Increased prevalence of coronary artery aneurysms among cocaine users. Circulation 2005, 111:2424-2429.
- [2]Li JJ, He JG, Nan JL, He ZX, Zhu CG, Li J: Is systemic inflammation responsible for coronary artery ectasia? Int J Cardiol 2008, 130:e69-e70.
- [3]Valente S, Lazzeri C, Giglioli C, Sani F, Romano SM, Margheri M, Comeglio M, Gensini GF: Clinical expression of coronary artery ectasia. J Cardiovasc Med (Hagerstown) 2007, 8:815-820.
- [4]Li JJ, Nie SP, Qian XW, Zeng HS, Zhang CY: Chronic inflammatory status in patients with coronary artery ectasia. Cytokine 2009, 46:61-64.
- [5]Giannoglou GD, Antoniadis AP, Chatzizisis YS, Damvopoulou E, Parcharidis GE, Louridas GE: Prevalence of ectasia in human coronary arteries in patients in northern Greece referred for coronary angiography. Am J Cardiol 2006, 98:314-318.
- [6]Saigo K, Jiang M, Tanaka C, Fujimoto K, Kobayashi A, Nozu K, Iijima K, Ryo R, Sugimoto T, Imoto S, Kumagai S: Usefulness of automatic detection of fragmented red cells using a hematology analyzer for diagnosis of thrombotic microangiopathy. Clin Lab Haematol 2002, 24:347-351.
- [7]Dabbah S, Hammerman H, Markiewicz W, Aronson D: Relation between red cell distribution width and clinical outcomes after acute myocardial infarction. Am J Cardiol 2010, 105:312-317.
- [8]Tonelli M, Sacks F, Arnold M, Moye L, Davis B, Pfeffer M, for the C, Recurrent Events Trial I: Relation Between Red Blood Cell Distribution Width and Cardiovascular Event Rate in People With Coronary Disease. Circulation 2008, 117:163-168.
- [9]Felker GM, Allen LA, Pocock SJ, Shaw LK, McMurray JJ, Pfeffer MA, Swedberg K, Wang D, Yusuf S, Michelson EL, Granger CB, Investigators C: Red cell distribution width as a novel prognostic marker in heart failure: data from the CHARM Program and the Duke Databank. J Am Coll Cardiol 2007, 50:40-47.
- [10]Ye Z, Smith C, Kullo IJ: Usefulness of red cell distribution width to predict mortality in patients with peripheral artery disease. Am J Cardiol 2011, 107:1241-1245.
- [11]Ani C, Ovbiagele B: Elevated red blood cell distribution width predicts mortality in persons with known stroke. J Neurol Sci 2009, 277:103-108.
- [12]Karabulut A, Uyarel H, Uzunlar B, Cakmak M: Elevated red cell distribution width level predicts worse postinterventional thrombolysis in myocardial infarction flow reflecting abnormal reperfusion in acute myocardial infarction treated with a primary coronary intervention. Coron Artery Dis 2012, 23:68-72.
- [13]Qing P, Luo SH, Guo YL, Liu J, Xu RX, Zhu CG, Jia YJ, Ma FL, Wu NQ, Jiang LX, Li JJ: Evaluation of red blood cell distribution width in patients with cardiac syndrome X. Dis Markers 2013, 34:333-339.
- [14]Luo SH, Jia YJ, Nie SP, Qing P, Guo YL, Liu J, Xu RX, Zhu CG, Wu NQ, Jiang LX, Dong Q, Liu G, Li JJ: Increased red cell distribution width in patients with slow coronary flow syndrome. Clinics (Sao Paulo) 2013, 68:732-737.
- [15]Montagnana M, Cervellin G, Meschi T, Lippi G: The role of red blood cell distribution width in cardiovascular and thrombotic disorders. Clin Chem Lab Med 2012, 50:635-641.
- [16]Dogdu O, Koc F, Kalay N, Yarlioglues M, Elcik D, Karayakali M, Ozbek K, Kaya MG: Assessment of red cell distribution width (RDW) in patients with coronary artery ectasia. Clin Appl Thromb Hemost 2012, 18:211-214.
- [17]Forhecz Z, Gombos T, Borgulya G, Pozsonyi Z, Prohaszka Z, Janoskuti L: Red cell distribution width in heart failure: prediction of clinical events and relationship with markers of ineffective erythropoiesis, inflammation, renal function, and nutritional state. Am Heart J 2009, 158:659-666.
- [18]Papadaki HA, Kritikos HD, Valatas V, Boumpas DT, Eliopoulos GD: Anemia of chronic disease in rheumatoid arthritis is associated with increased apoptosis of bone marrow erythroid cells: improvement following anti-tumor necrosis factor-alpha antibody therapy. Blood 2002, 100:474-482.
- [19]Lippi G, Targher G, Montagnana M, Salvagno GL, Zoppini G, Guidi GC: Relation between red blood cell distribution width and inflammatory biomarkers in a large cohort of unselected outpatients. Arch Pathol Lab Med 2009, 133:628-632.
- [20]Cakal B, Akoz AG, Ustundag Y, Yalinkilic M, Ulker A, Ankarali H: Red cell distribution width for assessment of activity of inflammatory bowel disease. Dig Dis Sci 2009, 54:842-847.
- [21]Fatemi O, Torguson R, Chen F, Ahmad S, Badr S, Satler LF, Pichard AD, Kleiman NS, Waksman R: Red cell distribution width as a bleeding predictor after percutaneous coronary intervention. Am Heart J 2013, 166:104-109.
- [22]Douglas SW, Adamson JW: The anemia of chronic disorders: studies of marrow regulation and iron metabolism. Blood 1975, 45:55-65.
- [23]Weiss G, Goodnough LT: Anemia of chronic disease. N Engl J Med 2005, 352:1011-1023.
- [24]Voulgari PV, Kolios G, Papadopoulos GK, Katsaraki A, Seferiadis K, Drosos AA: Role of cytokines in the pathogenesis of anemia of chronic disease in rheumatoid arthritis. Clin Immunol 1999, 92:153-160.
- [25]Jongen-Lavrencic M, Peeters HR, Wognum A, Vreugdenhil G, Breedveld FC, Swaak AJ: Elevated levels of inflammatory cytokines in bone marrow of patients with rheumatoid arthritis and anemia of chronic disease. J Rheumatol 1997, 24:1504-1509.
- [26]Pierce CN, Larson DF: Inflammatory cytokine inhibition of erythropoiesis in patients implanted with a mechanical circulatory assist device. Perfusion 2005, 20:83-90.
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