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红细胞、白细胞和血小板计数作为区分有无当前心肌梗死的心血管疾病患者的因素

Red Blood Cell, White Blood Cell, and Platelet Counts as Differentiating Factors in Cardiovascular Patients with and Without Current Myocardial Infarction.

作者信息

Kostanek Joanna, Karolczak Kamil, Kuliczkowski Wiktor, Watala Cezary

机构信息

Department of Haemostatic Disorders, Medical University of Lodz, 6/8 Mazowiecka Street, 92-215 Lodz, Poland.

Institute for Heart Diseases, Wroclaw Medical University, 213 Borowska Street, 50-556 Wroclaw, Poland.

出版信息

Int J Mol Sci. 2025 Jun 15;26(12):5736. doi: 10.3390/ijms26125736.

Abstract

Cardiovascular diseases continue to pose a major global health burden, contributing significantly to mortality rates worldwide. This study aimed to explore the association between myocardial infarction and basic hematological parameters-red blood cells (RBCs), white blood cells (WBCs), and platelets (PLTs)-which are routinely assessed in clinical diagnostics. The analysis was conducted on a cohort of 743 adults hospitalized with diagnosed cardiovascular conditions. To identify blood parameters that distinguish patients with a history of first-time myocardial infarction from those who had never experienced such an event, we employed a dual analytic approach. Standard parametric methods were complemented with bootstrap resampling to strengthen inference and mitigate the impact of sampling variability. Patients with myocardial infarction showed decreased RBC and elevated WBC counts relative to those without infarction. These associations were non-linear, with the most pronounced group differences observed within the second and third quartiles of RBC and WBC distributions, while minimal differences appeared at the distributional extremes. No significant differences were found in platelet count (PLT) between the groups. Bootstrap validation not only corroborated findings obtained through traditional statistics, but also enhanced the robustness of the results, providing improved estimates under data conditions prone to skewness or small sample artifacts. This approach enabled the detection of nuanced patterns that might elude classical inference. Our findings emphasize the utility of resampling techniques in clinical research settings, particularly where inference stability is critical. Incorporating such methods in future investigations may advance statistical rigor, increase reproducibility, and better capture complex biological relationships in medical datasets.

摘要

心血管疾病仍然是全球主要的健康负担,在全球死亡率中占很大比例。本研究旨在探讨心肌梗死与临床诊断中常规评估的基本血液学参数——红细胞(RBC)、白细胞(WBC)和血小板(PLT)之间的关联。对743名被诊断患有心血管疾病的住院成年人进行了分析。为了确定能够区分首次心肌梗死患者和从未经历过此类事件的患者的血液参数,我们采用了双重分析方法。标准参数方法辅以自助重采样,以加强推断并减轻采样变异性的影响。与无梗死患者相比,心肌梗死患者的红细胞计数降低,白细胞计数升高。这些关联是非线性的,在红细胞和白细胞分布的第二和第三四分位数内观察到最明显的组间差异,而在分布极端处差异最小。两组之间的血小板计数(PLT)没有显著差异。自助验证不仅证实了通过传统统计获得的结果,还增强了结果的稳健性,在容易出现偏态或小样本伪像的数据条件下提供了更好的估计。这种方法能够检测到可能被经典推断忽略的细微模式。我们的研究结果强调了重采样技术在临床研究中的实用性,特别是在推断稳定性至关重要的情况下。在未来的研究中纳入此类方法可能会提高统计严谨性、增加可重复性,并更好地捕捉医学数据集中复杂的生物学关系。

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