PMID- 36699111 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230802 IS - 2040-6223 (Print) IS - 2040-6231 (Electronic) IS - 2040-6223 (Linking) VI - 14 DP - 2023 TI - Hematological parameters and early-onset coronary artery disease: a retrospective case-control study based on 3366 participants. PG - 20406223221142670 LID - 10.1177/20406223221142670 [doi] LID - 20406223221142670 AB - BACKGROUND: Thrombosis and inflammation are crucial elements in the pathogenesis of cardiovascular disease. Hematological parameters elucidate information involving the inflammatory and blood coagulation processes. OBJECTIVES: The current study explored the association of hematological parameters with EOCAD to identify specific risk factors. DESIGN: A single-center retrospective case-control study was conducted with 1693 coronary artery disease patients and 1693 controls. METHODS: Hematological parameters were examined through an automated analyzer. RESULTS: The basophil percentage was significantly reduced in EOCAD (0.43 +/- 0.26, p < 0.001) and MI (0.33 +/- 0.24, p < 0.001) groups compared with controls (0.54 +/- 0.28). The eosinophil percentage was also significantly lower in EOCAD (2.21 +/- 1.71, p < 0.001) and MI (1.71 +/- 2.44, p < 0.001) groups compared with controls (2.41 +/- 1.75). The lymphocyte percentage in patients of EOCAD and MI and controls was 31.65 +/- 7.93, 25.48 +/- 9.43, and 34.82 +/- 7.28, respectively. A significant difference was observed among the groups (p < 0.001). Except for the mean corpuscular hemoglobin (MCH), other red blood cell (RBC) parameters significantly differed between EOCAD patients and controls. The red blood cell distribution width (RDW), hematocrit (HCT), RBC count, mean corpuscular hemoglobin concentration (MCHC), mean corpuscular volume (MCV), and hemoglobin level were associated with EOCAD prevalence after adjusting for baseline differences. Platelet volume distribution width (PDW) also correlated with EOCAD prevalence (OR(adjust) = 1.087, 95% CI: 1.044-1.131). CONCLUSIONS: Hematological parameters are closely associated with EOCAD. Moreover, leukocyte parameters correlated with the presence and severity of the disease. In addition, erythrocyte parameters were associated with the disease presence but not with the disease severity. Among the platelet parameters, only PDW was related to the disease presence. CI - (c) The Author(s), 2023. FAU - Wang, Huan AU - Wang H AD - Department of Clinical Laboratory, The Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Li, Hui AU - Li H AD - Department of Clinical Laboratory, The Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Wang, Yan AU - Wang Y AD - Health Management Institute, The Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Zhao, Cong AU - Zhao C AD - Department of Cardiology, The Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Tian, Qing-Wu AU - Tian QW AD - Department of Clinical Laboratory, The Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Wang, Qing AU - Wang Q AD - Department of Clinical Laboratory, The Affiliated Hospital of Qingdao University, Qingdao, China. FAU - He, Guo-Wei AU - He GW AD - Department of Cardiovascular Surgery, TEDA International Cardiovascular Hospital, Academy of Medical Sciences & Peking Union Medical College, Tianjin, China. AD - Department of Surgery, Oregon Health and Science University, Portland, OR, USA. FAU - Lun, Li-Min AU - Lun LM AD - Department of Clinical Laboratory, The Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Xuan, Chao AU - Xuan C AUID- ORCID: 0000-0001-8273-0178 AD - Department of Clinical Laboratory, The Affiliated Hospital of Qingdao University, No. 1677, Wutai Mountain Road, Qingdao 266500, China. LA - eng PT - Journal Article DEP - 20230118 PL - United States TA - Ther Adv Chronic Dis JT - Therapeutic advances in chronic disease JID - 101532140 CIN - Ther Adv Chronic Dis. 2023 Jul 26;14:20406223231185250. PMID: 37529505 CIN - Ther Adv Chronic Dis. 2023 Jul 26;14:20406223231185248. PMID: 37529506 PMC - PMC9869207 OTO - NOTNLM OT - cardiovascular diseases OT - early-onset coronary artery disease OT - hematological parameters COIS- The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2023/01/27 06:00 MHDA- 2023/01/27 06:01 PMCR- 2023/01/18 CRDT- 2023/01/26 02:42 PHST- 2022/05/23 00:00 [received] PHST- 2022/11/15 00:00 [accepted] PHST- 2023/01/26 02:42 [entrez] PHST- 2023/01/27 06:00 [pubmed] PHST- 2023/01/27 06:01 [medline] PHST- 2023/01/18 00:00 [pmc-release] AID - 10.1177_20406223221142670 [pii] AID - 10.1177/20406223221142670 [doi] PST - epublish SO - Ther Adv Chronic Dis. 2023 Jan 18;14:20406223221142670. doi: 10.1177/20406223221142670. eCollection 2023.