Assessment of Blood Ferritin and Vitamin D Levels in Patients Suffering from Myocardial Infarction to Determine Their Clinical Significance and Prognostic Value of Hematological Markers in Acute Myocardial Infarction: A Meta-analysis

Ashna P J, K. Vaidya
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Abstract

Acute myocardial infarction (AMI) is a major cardiovascular illness that causes death as well as disability on a global scale. Understanding how vitamin D contributes to the pathophysiology, epidemiology, and prevention of cardiovascular disease (CVD) is still of interest. Although vitamin D has been recognised as a potentially significant CVD marker, it is still unclear how vitamin D deficiency causes endothelial dysfunction, which in turn causes myocardial infarction and stroke. This review's objective is to present an updated analysis of the research on the fundamental science underlying vitamin D's potential effects on the cardiovascular system. Ferritin is associated with unfavourable outcomes in individuals with a variety of clinical diseases, assessment for ferritin may be beneficial. Our goal was to carry out the first comprehensive analysis of the correlation between elevated ferritin levels and worse cardiovascular outcomes in individuals suffering from acute myocardial infarction (AMI).In patients with AMI, both low and high ferritin levels were linked to how long they spent in the hospital during their hospital stay and at longer follow-up. Ferritin assessment is a straightforward test that may be used to identify AMI patients at high risk who may benefit from more frequent follow-up and specific therapy. Regarding the state of modern treatments for AMI and heart failure, these findings ought to be validated by extensive clinical trials. This review also discuss the role of hematological indices: Total white blood cells (WBC) count, neutrophil to lymphocyte ratio (NLR),eosinophil leucocyte ratio, diffrential lecocyte count, absolute values of WBCs, red cell distribution width (RDW), and platelet indices, such as , mean platelet volume (MPV),platelet to lymphocyte ratio (PLR) and platelet distribution width (PDW) etc and its diagnostic and prognostic value in MI and its complications which may shed fresh light on developing new treatment plans on MI patients and help doctors in the diagnosis and prognosis  with or without complications.
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评估心肌梗死患者的血铁蛋白和维生素 D 水平以确定其临床意义和急性心肌梗死血液标志物的预后价值:一项 Meta 分析
急性心肌梗塞(AMI)是一种主要的心血管疾病,在全球范围内造成死亡和残疾。了解维生素 D 如何促进心血管疾病(CVD)的病理生理学、流行病学和预防仍然是人们感兴趣的问题。虽然维生素 D 被认为是潜在的重要心血管疾病标志物,但目前仍不清楚维生素 D 缺乏如何导致内皮功能障碍,进而引发心肌梗死和中风。本综述旨在对维生素 D 对心血管系统潜在影响的基础科学研究进行最新分析。铁蛋白与多种临床疾病的不良预后有关,因此对铁蛋白进行评估可能是有益的。我们的目标是首次全面分析急性心肌梗塞(AMI)患者铁蛋白水平升高与心血管预后恶化之间的相关性。在急性心肌梗塞患者中,铁蛋白水平低和高都与他们住院期间和长期随访时的住院时间有关。铁蛋白评估是一种简单易行的检测方法,可用于识别高风险急性心肌梗死患者,这些患者可能受益于更频繁的随访和特殊治疗。就急性心肌梗死和心力衰竭的现代治疗方法而言,这些发现应该通过广泛的临床试验来验证。本综述还讨论了血液学指标的作用:白细胞总数(WBC)、中性粒细胞与淋巴细胞比值(NLR)、嗜酸性粒细胞与白细胞比值、弥漫性白细胞计数、白细胞绝对值、红细胞分布宽度(RDW)和血小板指数,如平均血小板体积(MPV)、血小板与淋巴细胞比值(PLR)和血小板分布宽度(PDW)等血小板指数及其在心肌梗死及其并发症中的诊断和预后价值,可为制定新的心肌梗死患者治疗方案提供新的启示,并帮助医生诊断和预后有无并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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