Review Article

Mechanisms Linking Red Blood Cell Disorders and Cardiovascular Diseases

Table 2

Coronary heart disease and anemia.

Number of patientsFindingsReference

417Anemia is a significant risk factor in ischemic heart disease (IHD), and it correlates with advanced IHD, chronic heart failure, rhythm distrurbance, and higher mortality rateZeidman et al., 2004 [41]

320Abnormal hemoglobin levels are common in acute coronary syndromes. Anemia was associated with increasing age, interventional management, and adverse in-hospital outcomesBindra et al., 2006 [42]

542In high-risk acute coronary syndrome patients both the admission hemoglobin level and subsequent fall in hemoglobin level >1.8 g/dL were associated with an increased risk of all-cause mortality or cardiogenic shock González-Ferrer et al., 2008 [43]

1,497Anemia on admission in patients with acute myocardial infarction treated in the acute phase with percutaneous coronary intervention is associated with increased mortality, especially in the subgroups with incomplete revascularization and multivessel diseaseKurek et al., 2010 [45]

32,170A low baseline hemoglobin level is an independent predictor of the risk of major bleeding and death in acute coronary syndromesBassand et al., 2010 [46]

1017Inflammation-sensitive proteins are associated with lower hemoglobin concentrations in acute myocardial infarction patientsSteinvil et al., 2012 [47]

109Low hematocrit/blood viscosity ratio can be regarded as a risk factor of cardiac death in coronary heart diseaseKenyeres et al., 2008 [49]

56There was a significant reduction of plasma iron, total iron binding capacity, and plasma transferrin and a significant elevation of serum ferritin after myocardial infarction, changes, probably influenced by the extent of tissue necrosisGriffiths et al., 1985 [50]

84Serum ferritin and iron levels are increased after a myocardial infarction due to the traumatic effect of the infarction. An increased uptake of iron in the reticuloendothelial system for synthesis of ferritin may account for the lowered serum iron level and the iron saturation of transferrin van der Schouw et al., 1990 [51]

2,036Total iron binding capacity is an independent negative risk factor for myocardial infarctionMagnusson et al., 1994 [52]

2,310Anemia is a common comorbidity in patients with acute coronary syndromes and a powerful independent determinant of left ventricular failureArchbold et al., 2006 [53]

2,550Higher red cell distribution width (RDW) values correspond to higher comorbidity burdens and higher mortality in patients with stable coronary artery diseaseOsadnik et al., 2013 [56]

4,111A graded independent relation was found between higher levels of red cell distribution width and the risk of death and cardiovascular events in people with prior myocardial infarctionTonelli et al., 2008 [57]

936Lower hemoglobin levels were linked with higher risk for adverse outcomes in women with suspected ischemia in the absence of acute myocardial infarction or congestive heart failure Arant et al., 2004 [59]

24,112Blood transfusion in patients with acute coronary syndromes is associated with higher mortalityRao et al., 2004 [61]

78,974Blood transfusion is associated with a lower short-term mortality rate among elderly patients with acute myocardial infarction and a hematocrit at admission of 30%Wu et al., 2001 [62]

39,922Anemia is a powerful and independent predictor of major cardiovascular events in patients with acute coronary syndromesSabatine et al., 2005 [63]