الفهرس 
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Abstract
Background: over the last decade, cardiovascular disease (CVD) has become the single largest cause of death worldwide. Low and middle-income countries are seeing an alarming and accelerating increase in the rate of CVD and a higher mortality rate caused by coronary heart disease
Aim of the Work: is to evaluate the possible relationship between red cell distribution width and the adverse clinical outcomes (in hospital course) in patients with acute coronary syndrome.
Patients and Methods: it was a comparative study conducted in the department of ICU in Ain Shams University Hospitals, After approval by medical committee and informed consent, 60 patients (newly admitted to the ICU), with diagnosis of acute coronary syndrome defined by (the criteria of the American College of Cardiology/European Society of cardiology), The study was conducted in the period from June 2018 to July 2018, they were divided into two groups, group A: 30 Patients have been monitored by CK-MB and, group B: 30 Patients have been monitored by RDW and CK-MB, We aimed to determine whether RDW, measured on admission and at 6, 12, 24, 48 hours may predict the adverse outcomes of ACS during hospital admission.
Results: our study demonstrated that adverse events were more likely to occur in patients with ACS during short-term follow up if they had higher RDW values.
Conclusion: RDW is independent predictor for worse adverse outcomes in patients with acute coronary syndrome during hospital stay as RDW level was found to be higher in patients whom were heart failure, serious arrhythmia, mechanical complications, Re-infarction.