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083, r = 0.236). Furthermore, there was an association between an increased HCC and chronic heart failure (p = 0.11 and an association to the red blood cell distribution width (RDW) concentration (p = 0.005, r = 0.293). The results of this study showed that patients with acute ST-segment elevation myocardial infarction did not have significantly higher levels of hair cortisol compared to the reference group; however, long-term metabolic changes as well as advanced chronic heart failure appear to be long-acting stress factors for the orga