Assy, M., Khalil, M., Alaa Eldin, A. (2020). The Relation Between the Red Cell Distribution Width and Coronary Artery Calcium Scoring In Diabetic Patients Undergoing Coronary CT Angiography.. test, 26(1), 28-37. doi: 10.21608/zumj.2019.16165.1445
Mostafa Mohamad Assy; Marwa Fathy Khalil; AM Alaa Eldin. "The Relation Between the Red Cell Distribution Width and Coronary Artery Calcium Scoring In Diabetic Patients Undergoing Coronary CT Angiography.". test, 26, 1, 2020, 28-37. doi: 10.21608/zumj.2019.16165.1445
Assy, M., Khalil, M., Alaa Eldin, A. (2020). 'The Relation Between the Red Cell Distribution Width and Coronary Artery Calcium Scoring In Diabetic Patients Undergoing Coronary CT Angiography.', test, 26(1), pp. 28-37. doi: 10.21608/zumj.2019.16165.1445
Assy, M., Khalil, M., Alaa Eldin, A. The Relation Between the Red Cell Distribution Width and Coronary Artery Calcium Scoring In Diabetic Patients Undergoing Coronary CT Angiography.. test, 2020; 26(1): 28-37. doi: 10.21608/zumj.2019.16165.1445

The Relation Between the Red Cell Distribution Width and Coronary Artery Calcium Scoring In Diabetic Patients Undergoing Coronary CT Angiography.

Zagazig University Medical Journal
Article 4, Volume 26, Issue 1, January and February 2020, Pages 28-37    PDF (1.08 M)
Document Type: Original Article
DOI: 10.21608/zumj.2019.16165.1445
Authors
Mostafa Mohamad Assy* 1; Marwa Fathy Khalil2; AM Alaa Eldin3
1Department od Radiodiagnosis, Zagazig University, Zagazig, Egypt
2Department of Radiodiagnosis, Zagazig University, Zagazig, Egypt
3Department of Radiodiagnosis, Faculty of medicine, Zagazig University, Egypt
Abstract
Abstract
Background/Aim: This study was done to assess the relation between red cell distribution width (RDW) and coronary artery calcium score (CACS) in the diabetic patients undergoing coronary CT angiography and to assess the relation between RDW and severity of coronary artery disease. The objectives are to identify the role of red cell distribution width (RDW) in predicting coronary artery disease complexity and to evaluate the relationship between RDW and calcium score in diabetic patients.
Methods: Thirty diabetic patients were subjected to; history taking, complete physical examination, laboratory investigations including RDW (SD & CV) as a routine examination in complete blood count, erythrocyte sedimentation rate (ESR), lipid profile. Then multidetector CT was done for coronary artery examination and calcium scoring.
Results: higher RDW (SD and CV) were associated with higher calcium score and the presence of greater coronary complexity of coronary artery disease. Cut off value of RDW to presence of coronary artery disease was 11.85% and RDW (SD) cut off was 39.5 fl, while cut off value of RDW (CV) to predict high calcium score (more than 100 ) was 12,95% and RDW (SD) more than 40.5 fl.
Conclusions: a greater baseline RDW (CV and SD) value may be used as an indicator of CAD and high calcium score.
Keywords
Keywords: Coronary artery disease (CAD); Multidetector CT (MDCT); red cell distribution width (RDW); coefficient variation (CV); coronary artery calcium scoring (CACS)
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