Brief Report: Elevated Red Cell Distribution Width Identifies Elevated Cardiovascular Disease Risk in Patients With HIV Infection. (1st March 2017)

• Record Type: Journal Article
• Authors: Al-Kindi, Sadeer G.; Kim, Chang H.; Morris, Stephen R.; Freeman, Michael L.; Funderburg, Nicholas T.; Rodriguez, Benigno; McComsey, Grace A.; Dalton, Jarrod E.; Simon, Daniel I.; Lederman, Michael M.; Longenecker, Chris T.; Zidar, David A.
• Is Part Of: Journal of acquired immune deficiency syndromes. Volume 74:Number 3(2017)
• Publication Date: 2017-03-01
• Subjects: cardiovascular disease -- coronary -- peripheral -- heart failure -- RDW; AIDS (Disease) -- Periodicals; Acquired Immunodeficiency Syndrome -- Periodicals; AIDS (Disease); Periodicals; 616.9792005
• DOI: 10.1097/QAI.0000000000001231
• Languages: English
• ISSNs: 1525-4135

Abstract

Abstract : Abstract: Red cell distribution width (RDW) is linked to cardiovascular risk in the general population, an association that might be driven by inflammation. Whether this relationship holds for patients with HIV infection has not been previously studied. Using a large clinical registry, we show that elevated RDW (>14.5%) is independently associated with increased risk of coronary artery disease {odds ratio [OR] 1.39 [95% confidence interval (CI): 1.25 to 1.55]}, peripheral vascular disease [OR 1.41 (95% CI: 1.29 to 1.53)], myocardial infarction [1.43 (95% CI: 1.25 to 1.63)], heart failure [OR 2.23 (95% CI: 1.99 to 2.49)], and atrial fibrillation [OR 1.96 (95% CI: 1.64 to 2.33)]. In conclusion, in the context of the inflammatory milieu that accompanies HIV infection, RDW remains a powerful marker of cardiovascular disease.