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Increased red cell distribution width in patients with slow coronary flow
Sevket Balta
Corresponding author
drsevketb@gmail.com

Tel.: 90-312-3044281
, Ugur Kucuk, Zekeriya Arslan, Murat Unlu, Sait Demirkol, Turgay Celik
Guilhane School of Medicine, Department of Cardiology, Tevfik Saglam St., Etlik-Ankara, Turkey
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="para10" class="elsevierStylePara elsevierViewall">Dear Editor&#44;</p><p id="para20" class="elsevierStylePara elsevierViewall">We read the article &#8220;Increased red cell distribution width &#40;RDW&#41; in patients with slow coronary flow &#40;SCF&#41; syndrome&#8221; by Luo et al&#46; &#40;<a class="elsevierStyleCrossRef" href="#bib1">1</a>&#41;&#46; In this study&#44; the authors examined the relationship between RDW and SCF syndrome&#46; The authors concluded that RDW levels are strongly positively correlated with both C-reactive protein and thrombosis in the myocardial infarction frame counts of patients with SCF syndrome&#46; The authors provided important information on this clinically relevant condition&#46; The ready availability of testing for RDW at no additional cost could encourage its broader use in clinical practice&#46; We would like to thank the authors for their contribution&#46;</p><p id="para30" class="elsevierStylePara elsevierViewall">A complete blood count is a routine&#44; easy and inexpensive examination technique that provides information regarding a patient&#39;s blood contents&#44; which includes the red and white cells and platelets as well as the counts and dimensions of subgroups of parameters &#40;<a class="elsevierStyleCrossRef" href="#bib2">2</a>&#8211;<a class="elsevierStyleCrossRef" href="#bib4">4</a>&#41;&#46; RDW is a measurement of the variability in the size of circulating red blood cells and is a part of the complete blood count panel&#46; Recently&#44; a number of studies have reported that elevated RDW levels are associated with poor prognosis in the setting of coronary artery disease&#44; coronary bypass surgery&#44; heart failure&#44; stroke&#44; peripheral arterial disease and older age &#40;<a class="elsevierStyleCrossRef" href="#bib5">5</a>&#41;&#46; However&#44; RDW can also be influenced by ethnicity&#44; neurohumoral activation&#44; renal dysfunction&#44; thyroid disease&#44; hepatic dysfunction&#44; nutritional deficiencies &#40;i&#46;e&#46;&#44; iron&#44; vitamin B<span class="elsevierStyleInf">12</span> and folic acid&#41;&#44; bone marrow dysfunction&#44; inflammatory diseases and chronic or acute systemic inflammation &#40;<a class="elsevierStyleCrossRef" href="#bib6">6</a>&#41;&#46;</p><p id="para40" class="elsevierStylePara elsevierViewall">In addition to RDW&#44; the mean platelet volume&#44; neutrophil lymphocyte ratio and CRP and uric acid levels are easy methods to evaluate in a patient with cardiovascular disease &#40;<a class="elsevierStyleCrossRef" href="#bib7">7</a>&#41;&#46; These markers may be useful in clinical practice &#40;<a class="elsevierStyleCrossRef" href="#bib8">8</a>&#41;&#46; Finally&#44; it would be useful if the authors defined the timing of the RDW measurements because a delay in blood sampling can cause abnormal results in RDW measurements &#40;<a class="elsevierStyleCrossRef" href="#bib9">9</a>&#41;&#46;</p><p id="para50" class="elsevierStylePara elsevierViewall">In conclusion&#44; we do not believe that the findings obtained in the current study will lead to further studies examining the relationship between RDW and SCF&#46; It is important to note that&#44; in the absence of other inflammatory indicators&#44; RDW alone does not provide an adequate representation of a patient&#39;s inflammatory status or disease prognosis &#40;<a class="elsevierStyleCrossRef" href="#bib10">10</a>&#41;&#46; Therefore&#44; we believe that the RDW level should be evaluated along with other serum inflammatory markers&#46;</p></span>"
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Article information
ISSN: 18075932
Original language: English
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es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

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Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos