The Significance of Hematologic Indices in Patients with Heart Failure

Abstract

The leading cause of death worldwide is coronary heart disease (CHD). In patients with chronic heart failure, hemographic markers have been associated with clinical outcomes. Hemographic indices, or measures of white blood cells, are easy and useful, clear and simple predictors of both subclinical and systemic inflammation. Methods:A retrospective study was conducted on the hospitalized patient for HF from April 2019- May 2020. Total 170 patients were enrolled in current study. The inclusion criteria of the study was patients above 18 years, hospitalized patient for HF, having an EF< 40% and having two or more symptoms of HF as well as be discharged alive from the hospital. The hemograhic indices were taken for each patient at the time of admission. The hemographic indices were defined as WBC count, neutrophil count, RL, NLR, and PLR. The neutrophil-platelet ratio (NLR) and the platelet-lymphocyte ratio (PLR) were derived as the ratios of neutrophil and platelet counts to lymphocyte counts, respectively. The entire test was performed by the hospital biochemistry lab under standard protocol. Patients were followed till six months. At the time of admission complete medical history and hemographic indices was recorded. Data was entered and analyzed using SPSS 25.0. The quantitative variables were presented by mean and standard deviation and qualitative with frequency/percentages. All the qualitative variables were compared among both by using Chi-square test and all quantitative variables by independent sample t test. The p-value less than 5% were considered as significant. Results:Total 170 patients were enrolled in current study among which 123(72.3%) survived and 47(27.64%) were died during 6 month follow up. The mean age among survived were 57.55+7.5 and dead was 59.96+7.9 (P-value= 0.06). According to gender male have dominance, in survived patients there were 98(79.7%) and in dead 38(80.9%) males (P-value= 0.86). 53(43.1%) patients were smokers in survived patients and 27(57.4%) in dead (P-value= 0.09). Status of comorbidities showed that the diabetes mellitus showed quite common among groups. The neutrophil count, WBC, lymphocyte count and NLR were elevated in deceased patients. The Platelet counts and hemoglobin levels were low in deceased. Conclusion: It was concluded from current study that the increased neutrophil count, WBC, lymphocyte count and NLR were associated with the mortality of HF patients