Clinical Trials Study
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 26, 2019; 7(16): 2217-2226
Published online Aug 26, 2019. doi: 10.12998/wjcc.v7.i16.2217
R/S ratio in lead II, and the prognostic significance of red cell distribution width in acute coronary syndrome
Abuzer Coşkun, Sevki Hakan Eren
Abuzer Coşkun, Department of Emergency, Sivas Numune Hospital, Sivas 58040, Turkey
Sevki Hakan Eren, Department of Emergency Medicine, Gaziantep University School of Medicine, Gaziantep 27310, Turkey
Author contributions: All authors helped to perform the research; Coşkun A wrote the manuscript, performed the procedures, and analysed the data; Eren SH wrote the manuscript, drafted the concept and design, performed the experiments, and analysed the data; Coşkun A contributed to writing the manuscript and drafting the concept and design; Coşkun A and Eren SH contributed to writing the manuscript; Coskun A contributed to writing the manuscript and drafting the concept and design.
Institutional review board statement: The study was approved by the Institutional Review Board.
Clinical trial registration statement: This registration policy applies to prospective, randomized, controlled trials only.
Informed consent statement: Written informed consent was not necessary because the study was performed retrospectively by screening patient files.
Conflict-of-interest statement: Not declared.
Data sharing statement: All data is available on request without restriction.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Abuzer Coşkun, MD, Associate Specialist, Doctor, Department of Emergency, Sivas Numune Hospital, Yesilyurt Mah. Sifa Street, Sivas 58000, Turkey. dr.acoskun44@hotmail.com
Telephone: +90-532-1577912 Fax: +90-346-2239530
Received: February 27, 2019
Peer-review started: February 27, 2019
First decision: April 18, 2019
Revised: June 26, 2015
Accepted: July 20, 2019
Article in press: July 20, 2019
Published online: August 26, 2019
Core Tip

Core tip: This study was obtained from the data of 1,296 patients with acute coronary syndrome who presented to the emergency department with chest pain between January 2014 and December 2018. In the R to S ratio (RSR) > 1 group, the left ventricular ejection fraction was lower, while the gensini scores and troponin values in the 0, 6th, and 12nd hours were significantly higher. The RDW value was high in the group with RSR < 1. In the group with RSR > 1, complications that occur after anterior myocardial infarction, three-vessel disease and mortality were high, and the prognosis was worse. The most common acute anterior myocardial infarction was observed.