PMID- 35387442 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220408 IS - 2297-055X (Print) IS - 2297-055X (Electronic) IS - 2297-055X (Linking) VI - 9 DP - 2022 TI - Usefulness of Platelet Distribution Width and Fibrinogen in Predicting In-stent Restenosis With Stable Angina and Type 2 Patients With Diabetes Mellitus. PG - 710804 LID - 10.3389/fcvm.2022.710804 [doi] LID - 710804 AB - AIM: The purpose of this study was to investigate the predicting value of platelet distribution width (PDW) and fibrinogen for in-stent restenosis (ISR) in patients with stable angina pectoris and type 2 diabetes mellitus (T2DM) after drug-eluting stent (DES) implantation. METHODS: We enrolled 161 patients who were readmitted with recurrent chest pain and successfully reviewed for coronary angiography and were divided into the ISR and non-ISR groups. We compared the levels of PDW and fibrinogen between the two groups. Logistic regression was used for analyzing independent predictors of ISR. The receiver operating characteristic (ROC) curve analysis was used to determine the optimum cutoff points of PDW and fibrinogen to predict ISR. The Kaplan-Meier survival curves for target lesion failure (TLF) by levels of PDW and fibrinogen. RESULTS: The multivariate logistic regression analysis showed that PDW and fibrinogen were independent predictors of ISR [odds ratio (OR) = 1.209, 95% CI: 1.024-1.427, p = 0.025; OR = 1.006, 95% CI: 1.002-1.011, p = 0.010, respectively]. The ROC analyses showed that PDW >/= 13.15% and fibrinogen >/= 333.5 mg/dl were predictive of ISR in patients with stable angina pectoris and T2DM after DES implantation. However, the Kaplan-Meier estimate for TLF showed no statistical significance. CONCLUSION: Higher levels of PDW and fibrinogen were associated with the incidence of ISR in patients with stable angina with T2DM after DES implantation, but were not independent predictors of TLF. CI - Copyright (c) 2022 Chai, Yang, Wang, Lu, Dai and Zhou. FAU - Chai, Dayang AU - Chai D AD - Department of Cardiology, The First People's Hospital of Taicang, The Affiliated Taicang Hospital of Soochow University, Taicang, China. FAU - Yang, Xi AU - Yang X AD - Department of Endocrinology, The First People's Hospital of Taicang, The Affiliated Taicang Hospital of Soochow University, Taicang, China. FAU - Wang, Aichao AU - Wang A AD - Department of Cardiology, The First People's Hospital of Taicang, The Affiliated Taicang Hospital of Soochow University, Taicang, China. FAU - Lu, Shu AU - Lu S AD - Department of Cardiology, The First People's Hospital of Taicang, The Affiliated Taicang Hospital of Soochow University, Taicang, China. FAU - Dai, Yuxiang AU - Dai Y AD - Department of Cardiology, Zhongshan Hospital Affiliated of Fudan University, Shanghai, China. FAU - Zhou, Jing AU - Zhou J AD - Department of Cardiology, The First People's Hospital of Taicang, The Affiliated Taicang Hospital of Soochow University, Taicang, China. LA - eng PT - Journal Article DEP - 20220321 PL - Switzerland TA - Front Cardiovasc Med JT - Frontiers in cardiovascular medicine JID - 101653388 PMC - PMC8977890 OTO - NOTNLM OT - drug-eluting stent implantation (DES-PCI) OT - fibrinogen OT - in-stent restenosis OT - inflammation OT - platelet distribution width (PDW) OT - stable angina pectoris (SAP) OT - type 2 diabetes mellitus COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/04/08 06:00 MHDA- 2022/04/08 06:01 PMCR- 2022/01/01 CRDT- 2022/04/07 05:25 PHST- 2021/08/11 00:00 [received] PHST- 2022/01/25 00:00 [accepted] PHST- 2022/04/07 05:25 [entrez] PHST- 2022/04/08 06:00 [pubmed] PHST- 2022/04/08 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fcvm.2022.710804 [doi] PST - epublish SO - Front Cardiovasc Med. 2022 Mar 21;9:710804. doi: 10.3389/fcvm.2022.710804. eCollection 2022.