BACKGROUND: Nowadays, when the majority of patients with acute myocardial infarction (AMI) are treated with primary percutaneous coronary intervention and modern pharmacotherapy, risk stratification becomes a challenge. Simple and easily accessible parameters that would help in a better determination of prognosis are needed. The aim of the study was to estimate the prevalence of high mean corpuscular volume (MCV, defined as MCV > 92 fL) and to establish its prognostic value in non-anemic patients with AMI. METHODS: We retrospectively analyzed the data of 248 consecutive non-anemic patients hospitalized due to AMI (median age: 65 [59-76] years, men: 63%, ST segment elevation myocardial infarction: 31%, and median left ventricular ejection fraction [LVEF]: 50%). RESULTS: The prevalence of high MCV was 39 ± 6% (± 95% confidence interval) in the entire AMI population. High MCV was more prevalent in males, patients with low body mass index, non-diabetics and cigarette smokers (all p < 0.05). During the 180-day follow-up, there were 38 (15%) events, defined as another AMI or death. In a multivariable Cox proportional hazard model, female gender (p < 0.01), low LVEF (p < 0.001), previous AMI (p < 0.05), arterial hypertension (p < 0.05), and high MCV (p < 0.001) were prognosticators of pre-defined events. CONCLUSIONS: In non-anemic patients with AMI, high MCV is an independent prognostic factor of poor outcome defined as another AMI or death.
BACKGROUND: Nowadays, when the majority of patients with acute myocardial infarction (AMI) are treated with primary percutaneous coronary intervention and modern pharmacotherapy, risk stratification becomes a challenge. Simple and easily accessible parameters that would help in a better determination of prognosis are needed. The aim of the study was to estimate the prevalence of high mean corpuscular volume (MCV, defined as MCV > 92 fL) and to establish its prognostic value in non-anemicpatients with AMI. METHODS: We retrospectively analyzed the data of 248 consecutive non-anemicpatients hospitalized due to AMI (median age: 65 [59-76] years, men: 63%, ST segment elevation myocardial infarction: 31%, and median left ventricular ejection fraction [LVEF]: 50%). RESULTS: The prevalence of high MCV was 39 ± 6% (± 95% confidence interval) in the entire AMI population. High MCV was more prevalent in males, patients with low body mass index, non-diabetics and cigarette smokers (all p < 0.05). During the 180-day follow-up, there were 38 (15%) events, defined as another AMI or death. In a multivariable Cox proportional hazard model, female gender (p < 0.01), low LVEF (p < 0.001), previous AMI (p < 0.05), arterial hypertension (p < 0.05), and high MCV (p < 0.001) were prognosticators of pre-defined events. CONCLUSIONS: In non-anemicpatients with AMI, high MCV is an independent prognostic factor of poor outcome defined as another AMI or death.
Entities:
Keywords:
acute myocardial infarction; anemia; mean corpuscular volume; risk stratification
Authors: Chani Jo Hodonsky; Claudia Schurmann; Ursula M Schick; Jonathan Kocarnik; Ran Tao; Frank Ja van Rooij; Christina Wassel; Steve Buyske; Myriam Fornage; Lucia A Hindorff; James S Floyd; Santhi K Ganesh; Dan-Yu Lin; Kari E North; Alex P Reiner; Ruth Jf Loos; Charles Kooperberg; Christy L Avery Journal: Am J Hematol Date: 2018-06-15 Impact factor: 13.265
Authors: Camille Lassale; Alyscia Curtis; Itziar Abete; Yvonne T van der Schouw; W M Monique Verschuren; Yunxia Lu; H B As Bueno-de-Mesquita Journal: Sci Rep Date: 2018-02-19 Impact factor: 4.379