Xian-Zhang ZHAN, Wei-Dong LIN, Fang-Zhou LIU, Yu-Mei XUE, Hong-Tao LIAO, Xin LI, Xian-Hong FANG, Hai DENG, Jun HUANG, Yang-Qiu LI, Jo-Jo HAI, Hung-Fat Tse, Shu-Lin WU. Predictive value of red cell distribution width on left atrial thrombus or left atrial spontaneous echo contrast in patients with non-valvular atrial fibrillation. J Geriatr Cardiol 2018; 15(6): 408-412. doi: 10.11909/j.issn.1671-5411.2018.06.007
Citation:
Xian-Zhang ZHAN, Wei-Dong LIN, Fang-Zhou LIU, Yu-Mei XUE, Hong-Tao LIAO, Xin LI, Xian-Hong FANG, Hai DENG, Jun HUANG, Yang-Qiu LI, Jo-Jo HAI, Hung-Fat Tse, Shu-Lin WU. Predictive value of red cell distribution width on left atrial thrombus or left atrial spontaneous echo contrast in patients with non-valvular atrial fibrillation. J Geriatr Cardiol 2018; 15(6): 408-412. doi: 10.11909/j.issn.1671-5411.2018.06.007
Xian-Zhang ZHAN, Wei-Dong LIN, Fang-Zhou LIU, Yu-Mei XUE, Hong-Tao LIAO, Xin LI, Xian-Hong FANG, Hai DENG, Jun HUANG, Yang-Qiu LI, Jo-Jo HAI, Hung-Fat Tse, Shu-Lin WU. Predictive value of red cell distribution width on left atrial thrombus or left atrial spontaneous echo contrast in patients with non-valvular atrial fibrillation. J Geriatr Cardiol 2018; 15(6): 408-412. doi: 10.11909/j.issn.1671-5411.2018.06.007
Citation:
Xian-Zhang ZHAN, Wei-Dong LIN, Fang-Zhou LIU, Yu-Mei XUE, Hong-Tao LIAO, Xin LI, Xian-Hong FANG, Hai DENG, Jun HUANG, Yang-Qiu LI, Jo-Jo HAI, Hung-Fat Tse, Shu-Lin WU. Predictive value of red cell distribution width on left atrial thrombus or left atrial spontaneous echo contrast in patients with non-valvular atrial fibrillation. J Geriatr Cardiol 2018; 15(6): 408-412. doi: 10.11909/j.issn.1671-5411.2018.06.007
Predictive value of red cell distribution width on left atrial thrombus or left atrial spontaneous echo contrast in patients with non-valvular atrial fibrillation
Department of Hematology, the First Affiliated Hospital, Jinan University, Guangzhou, China;Department of Cardiology, Atrial Fibrillation Center, Guangdong CardiovascularInstitute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
Department of Cardiology, Atrial Fibrillation Center, Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
Department of Hematology, the First Affiliated Hospital, Jinan University, Guangzhou, China
Cardiology Division, Department of Medicine, Queen Mary Hospital, the University of Hong Kong, Hong Kong, China;Division of Cardiology, Department of Medicine, the University of Hong Kong Shenzhen Hospital, Shenzhen, China
Cardiology Division, Department of Medicine, Queen Mary Hospital, the University of Hong Kong, Hong Kong, China;Division of Cardiology, Department of Medicine, the University of Hong Kong Shenzhen Hospital, Shenzhen,China
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This work was supported by National Nature Science Foundation of China (No.81370295), Science and Techno-logy Program of Guangdong Province, China (No. 2017A02 0215054), Science and Technology Planning of Guangzhou City, China (No.2014B070705005).
Objective To evaluate the predictive value of red cell distribution width (RDW) on left atrial thrombus (LAT) or left atrial spontaneous echo contrast (LASEC) in patients with non-valvular atrial fibrillation (AF). Methods We reviewed 692 patients who were diagnosed as non-valvular AF and underwent transesophageal echocardiography (TEE) in Guangdong Cardiovascular Institute from April 2014 to December 2015. The baseline clinical characteristics, laboratory test of blood routine, electrocardiograph measurements were analyzed. Results Eighty-four patients were examined with LAT/LASEC under TEE. The mean RDW level was significantly higher in LAT/LASEC patients compared with the non-LAT/LASEC patients (13.59% ± 1.07% vs. 14.34% ± 1.34%; P 13.16% could be an independent risk factor for LAT/LASEC in patients with AF. Conclusion Elevated RDW level is associated with the presence of LAT/LASEC and could be with moderate predictive value for LAT/LASEC in patients with non-valvular AF.
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