Predictive value of erythrocyte distribution width and platelet distribution width for no-reflow during coronary intervention for acute heart infarction
Objective To analyze the predictive value of red blood cell distribution width(RDW)and platelet distribution width(PDW)for no reflow during coronary intervention(PCI)for acute myocardial infarction.Methods A total of 297 patients with acute myocardial infarction treated with coronary intervention at Quanzhou Medical College Affiliated People's Hospital from January 2020 to June 2023 were selected as the study subjects.According to the occurrence of reflow during percutaneous coronary intervention,the patients were divided into two groups:non reflow group(n=35)and reflow group(n=262).The clinical data,laboratory results(hematocrit,plateletcrit,lymphocyte count,lymphocyte ratio monocyte count,blood glucose,triglycerides,total cholesterol,high-density lipoprotein,low-density lipprotein),red blood cell distribution width(RDW),and platelet distribution width(PDW)values between two groups were compared.The predictive significance of receiver operating characteristic(ROC)curve analysis for no reflow during coronary intervention treatment in acute myocardial infarction with RDW and PDW was analyzed.Results The lymphocyte count and lymphocyte ratio of the reflow group were lower than those in the non reflow group,and blood glucose was higher than those in the non reflow group,with significant differences(P＜0.05).There was no significant difference between the two groups in hematocrit,plateletorit,monocyte count,triglycerides,total cholesterol,high-density lipoprotein,and low-density lipoprotein(P＞0.05).The values of RDW and PDW in the reflow group were lower than those in the non reflow group,and the differences were significant(P＜0.05).The sensitivity of RDW and PDW indicators detection was 71.43％and 65.71％,respectively,which were significantly lower than that(80.00％)of the combined detection of the two;the specificity of RDW and PDW index detection was 83.59％and 84.73％,respectively,which were significantly lower than that(88.16％)of the combined detection of the two;the accuracy of RDW and PDW index detection was 81.82％and 82.49％,respectively,which were significantly lower than that(87.20％)of the combined detection of the two(P＜0.05).Conclusions RDW and PDW have a good effect on the detection of no reflow in coronary interventional therapy of acute myocardial infarction.
Red blood cell distribution widthPlatelet distribution widthAcute myocardial infarctionCoronary interventional therapy
NETL
NSTL
万方数据
