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Article

RDW as A Predictor for No-Reflow Phenomenon in DM Patients with ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention

by
Ying Sun
1,2,†,
Jian Ren
2,3,†,
Li Li
1,2,
Chunsong Wang
1,2 and
Hengchen Yao
1,2,*
1
Department of Cardiology, Liaocheng People’s Hospital, Shandong University, Jinan 250012, China
2
Department of Cardiology, Liaocheng People’s Hospital Affiliated to Shandong First Medical University, Liaocheng 252000, China
3
Department of Cardiology, Liaocheng Dongchangfu People’s Hospital, The Second Affiliated Hospital of Liaocheng University, Liaocheng 252000, China
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
J. Clin. Med. 2023, 12(3), 807; https://doi.org/10.3390/jcm12030807
Submission received: 10 December 2022 / Revised: 7 January 2023 / Accepted: 17 January 2023 / Published: 19 January 2023
(This article belongs to the Special Issue Biomarkers in the Diagnosis, Treatment and Prognosis of Heart Diseases)
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Abstract

Background: No-reflow phenomenon (NRP) in ST-segment elevation myocardial infarction (STEMI) patients is not infrequent. The predictive value of red blood-cell distribution width (RDW) on NRP has not been explored. Methods: STEMI patients undergoing primary percutaneous coronary intervention (pPCI) were enrolled. Plasma samples were obtained at admission. Participants were divided into two groups according to RDW. Logistic regression and receiver operating characteristic (ROC) curve were performed to evaluate the relationship between RDW and NRP. Subgroup analysis was made between the diabetes mellitus (DM) group and the No-DM group. Results: The high RDW group had a higher NRP compared to the low group. In multivariate logistic regression analysis, DM (adjusted odds ratio [AOR]:1.847; 95% confidence interval [CI]: 1.209–2.822; p = 0.005) and hemoglobin (AOR: 0.986; 95% CI: 0.973–0.999; p < 0.05), other than RDW, were independent predictors of NRP. RDW (AOR: 2.679; 95% CI: 1.542–4.655; p < 0.001) was an independent predictor of NRP in the DM group, but not in the No-DM group. In the DM group, area under the ROC curve value for RDW predicting NRP was 0.707 (77.3% sensitivity, 56.3% specificity (p < 0.001)). Conclusions: RDW is a predictor of NRP in DM patients with STEMI, which provides further assistance in clinicians’ decision making.
Keywords: no-reflow phenomenon; red blood cell distribution width; diabetes mellitus; acute myocardial infarction no-reflow phenomenon; red blood cell distribution width; diabetes mellitus; acute myocardial infarction

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MDPI and ACS Style

Sun, Y.; Ren, J.; Li, L.; Wang, C.; Yao, H. RDW as A Predictor for No-Reflow Phenomenon in DM Patients with ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention. J. Clin. Med. 2023, 12, 807. https://doi.org/10.3390/jcm12030807

AMA Style

Sun Y, Ren J, Li L, Wang C, Yao H. RDW as A Predictor for No-Reflow Phenomenon in DM Patients with ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention. Journal of Clinical Medicine. 2023; 12(3):807. https://doi.org/10.3390/jcm12030807

Chicago/Turabian Style

Sun, Ying, Jian Ren, Li Li, Chunsong Wang, and Hengchen Yao. 2023. "RDW as A Predictor for No-Reflow Phenomenon in DM Patients with ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention" Journal of Clinical Medicine 12, no. 3: 807. https://doi.org/10.3390/jcm12030807

APA Style

Sun, Y., Ren, J., Li, L., Wang, C., & Yao, H. (2023). RDW as A Predictor for No-Reflow Phenomenon in DM Patients with ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention. Journal of Clinical Medicine, 12(3), 807. https://doi.org/10.3390/jcm12030807

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