JOURNAL OF EVIDENCE BASED MEDICINE AND HEALTHCARE

Table of Contents

2020 Month : February Volume : 7 Issue : 5 Page : 224-227

To Study the Red Cell Distribution Width in Patients of Acute Myocardial Infraction and Its Relationship with Ejection Fraction

Sanjay Neeralagi1, Anil Kumar2, Chethan T.L.3

Corresponding Author:
Dr. Sanjay Neeralagi,
Professor,
Department of General Medicine,
Karnataka Institute of Medical Sciences, Vidyanagar, Hubli- 58002, Karnataka.
E-mail: sanjay.neeralagi@gmail.com
DOI: 10.18410/jebmh/2020/47

abstract
BACKGROUND
Red cell distribution width (RDW) is an important parameter that has a critical impact on the severity of coronary artery disease, especially on that of acute myocardial infarction (AMI). We wanted to asses red cell distribution width in patients presenting with acute myocardial infarction and it’s relationships with ejection fraction.

METHODS
Study was conducted on 110 patients with acute myocardial infarction, admitted at a tertiary care centre. Detailed history was obtained, and clinical examination was done. RDW and other CBC parameters were calculated by an automatic blood counter and measurement of LVEF done by 2D-echocardiography.

RESULTS
Out of 110 patients of acute myocardial infarction, 86 were male and 24 were female. In our study, there was statistically significant negative correlation between RDW and left ventricular ejection fraction in patients of acute myocardial infraction (p<0.01).

CONCLUSIONS
It is observed that increase in RDW was associated with decrease in left ventricular ejection fraction in patients of CAD which is statistically significant. So, RDW can be used to assess the severity in patients with acute myocardial infraction.

KEYWORDS
Red Cell Distribution Width, Ejection Fraction, Acute Myocardial Infraction