Evaluation of hemogram parameters in diabetic patients with coronary artery ectasia

Aim: To compare the importance of hemogram parameters in predicting the disease in diabetic patients with coronary artery ectasia (CAE) and normal coronary artery. Methods: The records of 7287 patients who underwent coronary angiography between January 2017 and October 2019 were reviewed. After appropriate exclusions, diabetic patients were divided into coronary artery ectasia and normal coronary artery groups. A total of 248 patients were included in the study and hemogram parameters of these two groups were compared. Results: Compared to control group white blood count (WBC) [8 (4-13) vs. 7 (5-12) u/mm3, p=0.023], hemoglobin [13 (10-16) vs. 14 (10-20) gr/dL, p=0.015], red cell distribution width (RDW) [16 (14-20) vs. 15 (12-19) %, p=0.026], neutrophil [4.5 (2.1-11.4) vs. 4.0 (0.2-7.5) u/mm3, p=0.003], platelet counts (Plt) [266 (196-450) vs. 236 (163-362) k/mm3 p<0.001], platelet distribution width (PDW) (17.9 (16.2-20.4) vs. 17.7 (15.9-19.7) % p=0.011), mean platelet volume (MPV) [8.4 (6.411.2) vs. 7.9 (6.6-10.1) Fl, p=0.015], plateletcrit (PCT) [0.20 (0.14-0.32) vs. 0.19 (0.13-0.26), p<0.001], and neutrophil lymphocyte ratio (NLR) [2.1 (1.0-9.7) vs. 1.6 (0.2-5.7), p=0.002] were significantly higher in CAE patients. Conclusion: The results of this study suggest that the increased some hemogram parameters may be useful in predicting disease in diabetic patients with CAE.