National Journal of Physiology

Register      Login

VOLUME 5 , ISSUE 2 ( July-December, 2017 ) > List of Articles

ORIGINAL RESEARCH ARTICLE

A study of red cell distribution width in hypertensive individuals

Deepa Gunasekaran, Viji Devanand, Sasirekha G, Celine D, Umayal CC, Niveditha Pari

Keywords : inflammation, hypertension, red cell distribution width

Citation Information : Gunasekaran D, Devanand V, G S, D C, CC U, Pari N. A study of red cell distribution width in hypertensive individuals. 2017; 5 (2):16-20.

DOI: 10.5005/NJP-11056-05_02_04

License: CC BY-NC 4.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2017; NA


Abstract

Background: Hypertension is a global health issue and is a multifactorial disorder caused by various environmental, physiological and genetic factors. Inflammation plays a major role in the development of hypertension. Research has shown that Red cell distribution width (RDW) has significant association with cardiovascular and thrombotic disorders, and cardiac mortality in patients with coronary artery disease, acute and chronic heart failure, and stroke. Aim:: To determine RDW in hypertensive individuals and to compare this with that of normal individuals. Materials and methods: Thirty hypertensive individuals of both genders in the age group of 30 - 45 years were chosen from Department of General Medicine, Stanley Medical College and Hospital, Chennai. Thirty age- and gender-matched healthy controls were selected. Under strict aseptic conditions, venous blood sample was collected for measuring RDW. Results: The data obtained were analyzed using SPSS software version 20. From this study we found that RDW was significantly higher (p =0.000) in hypertensive individuals (15.25± 2.06) compared to controls (13.08 ± 0.6). Conclusion: RDW was significantly higher in hypertensive individuals, possibly due the presence of ongoing inflammation in hypertension. Hence RDW may be included in the routine investigations for follow up of hypertensive individuals, to identify those at risk of developing cardiovascular complications so that early intervention will be possible.


PDF Share
PDF Share
  1. Mackay J, Mensah G. Atlas of heart disease and stroke. Geneva: World Health Organization; 2004
  2. Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet 2005; 365:217-223
  3. Higashi Y, Kihara Y, Noma K. Endothelial dysfunction and hypertension in aging. Hypertension research: Official journal of the Japanese Society of Hypertension. 2012; 35(ll):1039-47.
  4. Kaplan NM. Systemic hyertension: mechanism and diagnosis. In: Zipes DP, Libby P, Bonow RO, Braunwald E, editors. Braunwald's heart disease. Philadelphia: Elsevier Saunders, 2005: 959-987
  5. Bolivar JJ. Essential hypertension: an approach to its etiology and neurogenic pathophysiology. Int J Hypertens 2013; 2013: 547809
  6. Harrison DG. The mosaic theory revisited: common molecular mechanisms coordinating diverse organ and cellular events in hypertension. J Am Soc Hypertens 2013; 7: 68-74
  7. Gonzalez J, Valls N, Brito R, Rodrigo R. Essential hypertension and oxidative stress: New insights. World J Cardiol 2014; 6: 353-366
  8. Montezano AC, Touyz RM. Molecular mechanisms of hypertension-reactive oxygen species and antioxidants: a basic science update for the clinician. Can J Cardiol 2012; 28: 288-295
  9. Tsounis D, Bouras G, Giannopoulos G, Papadimitriou C, Alexopoulos D, Deftereos S. Inflammation markers in essential hypertension. Med Chern 2014; 10: 672-681
  10. Aulakh R, Sohi I, Singh T, Kakkar N: Red cell distribution width [RDW] in the diagnosis of iron deficiency with microcytic Hypochromic Anemia. Indian J Pediatr. 2009, 76: 265-267.
  11. Sultana GS, Haque SA, Sultana T, Rahman Q, Ahmed ANN: Role of red cell distribution width [RDW] in the detection of iron deficiency anemia in pregnancy within the first 20 weeks of gestation. Bangladesh Med Res Counc Bull. 2011, 37:102-105.
  12. Tanindi A, Topal FE, Topal F, Celik B: Red cell distribution width in patients with prehypertension and hypertension. Blood Press. 2012, 21:177-181.
  13. Montagnana M, Cervellin G, Meschi T, Lippi G: The role of red blood cell distribution width in cardiovascular and thrombotic disorders. Clin Chem Lab Med. 2011, 50: 635-641.
  14. Liu DS, Jin Y, Ma SG, Bai F, Xu W: The ratio of red cell distribution width to mean corpuscular volume in patients with diabetic ketoacidosis. Clin Lab. 2013, 59: 1099-1104.
  15. Keskin Kurt R, Aras Z, Silfeler DB, Kunt C, Islimye M, Kosar 0, Preeclampsia S o: Relationship of red cell distribution width with the presence and severity of preeclampsia. Clin Appi Thromb Hemost published online. 2013, in press.
  16. Al-Najjar Y, Goode KM, Zhang J, Cleland JG, Clark AL: Red cell distribution width: an inexpensive and powerful prognostic marker in heart failure. Eur J Heart Fail. 2009, 11: 1155-1162.
  17. Patel KV, Ferrucci L, Ershler WB, Longo DL, Guralnik JM: Red blood cell distribution width and the risk of death in middle-aged and older adults. Arch Intern Med. 2009,169: 515-523.
  18. Isik T, Kurt M, Ayhan E, Tanboga IH, Ergelen M, Uyarel H: The impact of admission red cell distribution width on the development of poor myocardial perfusion after primary percutaneous intervention. Atherosclerosis. 2012, 224: 143-149.
  19. Ozcan F, Turak O, Durak A, Işleyen A, Uçar F, Giniş Z, Uçar F, Başar FN, Aydoğdu S: Red cell distribution width and inflammation in patients with non-dipper hypertension. Blood Press. 2013, 22: 80-85.
  20. Pierce CN, Larson DF: Inflammatory cytokine inhibition of erythropoiesis in patients implanted with a mechanical circulatory assist device. Perfusion. 2005, 20: 83-90.
  21. Weiss G, Goodnough LT: Anemia of chronic disease. N Engl J Med. 2005, 352: 1011-1023.
  22. Kalay N, Aytekin M, Kaya M, et al. The relationship between inflammation and slow coronary flow: increased red cell distribution width and serum uric acid levels. Arch Turk Soc Cardiol. 2011;39(6):463-468.
  23. Tziakas D, Chalikias G, Grapsa A, Gioka T, Tentes I, Konstantinides S. Red blood cell distribution width-a strong prognostic marker in cardiovascular disease-is associated with cholesterol content of erythrocyte membrane. Clin Hemorheol Microcirc. 2012;51(4):243-254.
  24. Lippi G, Filippozzi L, Montagnana M, et al. Clinical usefulness of measuring red blood cell distribution width on admission in patients with acute coronary syndromes. ClinChem Lab Med. 2009;47(3):353-357.
  25. Briggs C, Bain BJ. Basic haematological techniques. In: Bain BJ, Bates I, Laffan M, Lewis SM, editors. Dacie and Lewis Practical Haematology. 10th ed. Philadelphia, PA: Churchill Livingstone; 2006. pp. 26-54. Chap 3.
  26. Ryan DH. Examination of blood cells. In: Lichtman MA, Kipps TJ, Seligsohn U, et al., editors. Williams Hematology. 8th ed. New York, NY: The McGraw-Hill Companies, Inc; 2010. Chap 2.
  27. Ferrucci L, Guralnik JM, Woodman RC, et al. Proinflammatory state and circulating erythropoietin in persons with and without anemia. Am J Med. 2005;118:128.
  28. Felker GM, Allen LA, Pocock SJ, et al. Red cell distribution width as a novel prognostic marker in heart failure, data from CHARM program and Duke data bank. J Am Coll Cardiol 2007;50:40-47.
  29. Tonelli M, Sacks F, Arnold M, Moye L, Davis B, Pfeffer M, The cholesterol and recurrent events (CARE) Trial Investigators Relation between red blood cells distribution width and cardiovascular event rate in people with coronary disease. Circulation. 2008;117(2):163-168.
  30. Dabbah S, Hammerman H, Markiewicz W, Aronson D. Relation between red cell distribution width and clinical outcomes after acute myocardial infarction. Am J Cardiol. 2010;105:312-317.
  31. Rhodes CJ, Wharton J, Howard LS, Gibbs JS, Wilkins MR. Red cell distribution width outperforms other potentials circulating biomarkers in predicting survival in idiopathic pulmonary arterial hypertension. Heart. 2011;97:1054-1060.
  32. Ye Z, Smith C, Kullo IJ. Usefulness of red cell distribution width to predict mortality in patients with peripheral arterial disease. Am J Cardiol. 2011;107:1241-1245.
  33. Tsuboi Shuta, Miyauchikatsumi, Kasai Takatoshi, Ogita Manabu, DoliTomotaka, et al. Impact of Red Blood Cell Distribution Width on long term mortality in Diabetic patients after percutaneous coronary intervention. Circulation Journal. 2013;77:456-461.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.