Relationship between red cell distribution width and echocardiographic parameters in patients with diastolic heart failure
Yazarlar (8)
Prof. Dr. Ataç ÇELİK Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Fatih Koç Akdeniz Üniversitesi, Türkiye
Hasan Kadı
Balıkesir Üniversitesi, Türkiye
Köksal Ceyhan
Gaziosmanpaşa Üniversitesi, Türkiye
Prof. Dr. Ünal Erkorkmaz Sakarya Üniversitesi, Türkiye
Turgay Burucu Gaziosmanpaşa Üniversitesi, Türkiye
Dr. Öğr. Üyesi Metin KARAYAKALI Gaziosmanpaşa Üniversitesi, Türkiye
Orhan Önalan Karabük Üniversitesi, Türkiye
Makale Türü Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı KAOHSIUNG JOURNAL OF MEDICAL SCIENCES (Q4)
Dergi ISSN 1607-551X Dergi Bilgileri (2012)
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce Basım Tarihi 03-2012
Cilt / Sayı / Sayfa 28 / 3 / 165–172 DOI 10.1016/j.kjms.2011.06.024
Makale Linki https://onlinelibrary.wiley.com/doi/10.1016/j.kjms.2011.06.024
UAK Araştırma Alanları
Kardiyoloji
Özet
Red cell distribution width (RDW) was found to be a prognostic marker in heart failure patients. The aim of the study was to investigate the relationship between RDW and echocardiographic parameters in diastolic heart failure (DHF). Seventy-one consecutive DHF patients (26 men) and 50 controls (21 men) were included in the study. All of the study population underwent echocardiographic evaluation, and blood samples were obtained. RDW and N-terminal pro-B-type natriuretic peptide (NT-proBNP) values were significantly higher, whereas there was an increasing trend for high-sensitivity C-reactive protein levels in DHF patients than those in controls (p<0.001, p<0.001, and p=0.064, respectively). All of the echocardiographic parameters evaluating diastolic function were more deteriorated in the DHF group. Patients who had an RDW value greater than the cutoff point also had higher NT-proBNP levels, an elevated ratio of mitral peak velocity of early diastolic filling to early diastolic mitral annular velocity, and increased estimated pulmonary capillary wedge pressures by tissue Doppler parameters, but lower creatinine clearance (p<0.05 for all). According to the cutoff values calculated using receiver operating characteristic analysis, RDW>13.6% and NT-proBNP>125pg/mL have high diagnostic accuracy for predicting DHF. RDW values were increased in the DHF population. Our results suggest that the high RDW levels in patients with DHF may be related to increased neurohormonal activity, impaired renal functions, and elevated filling pressure, but not to increased inflammation.
Anahtar Kelimeler
Diastolic heart failure N-terminal pro-B-type natriuretic peptide | Red cell distribution width | Tissue Doppler echocardiography
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
Yöksis 10
Web of Science 14
Relationship between red cell distribution width and echocardiographic parameters in patients with diastolic heart failure