Predictive value of RDW in prognosis of patients with Ant STEMI and its relationship with one-year and in-hospital mortality

Abstract

Clinical diagnosis of acute myocardial infarction requires a consistent evaluation of the patient's history along with evidence of myocardial necrosis indirectly obtained with the help of biochemical, electrocardiographic, or imaging methods. Usually, the disorder in the blood supply of the coronary arteries and its disproportion with the needs of the myocardium causes ischemia, hypoxia and finally necrosis of the myocardium. In almost all patients, the vascular pathology is atherosclerosis, which is usually associated with thrombosis and blockage of one of the coronary arteries, and considering the increasing prevalence of STE-MI and the costs of healthcare and its clinical consequences, as well as the involvement of various factors in the diagnosis of Ant patients STEMI In this study, we intend to investigate the diagnostic value of RDW in Ant STEMI patients and also the effect of RDW level on hospital and one-year mortality of patients diagnosed with Ant STEMI who underwent primary angioplasty in Shahid Madani Hospital of Tabriz University of Medical Sciences so that we can evaluate It determined the effect of RDW level on the clinical outcome of these patients and made the necessary treatment decisions to improve the treatment outcome of these patients. Materials and Methods: By referring to the archive of Shahid Madani Tabriz Hospital heart center, the list of patients who were diagnosed with Ant STEMI in Tabriz University of Medical Sciences Shahid Madani Hospital and underwent primary angioplasty during the years 1397 to 1398 was prepared and taken into consideration. Taking the inclusion and exclusion criteria were included in the study and reviewed. Results: In the research conducted, the amount of RDW with one-year mortality and non-hospital. There was no significant relationship, but with hospital complications of heart failure and cardiogenic shock. Angio hematoma, gastrointestinal bleeding and stent thrombosis had a significant relationship.