Internal Medicine and Medical Investigation Journal

ISSN: 2474-7750

Evaluating the Prognosis Value of White Blood Cell Count in Congestive Heart

Abstract

Author(s): Hamraz Pazoki, Abdollah Amirfarhangi, Ghazaleh Salehabadi

Introduction: Congestive heart failure (CHF) is a condition of heart muscle weakness and ventricular dysfunction that leads to fatigue and dyspnea. Currently, more than 5 million people are suffering from CHF worldwide. There are so many prognostic factors for identifying high-risk patients but lately, researchers have focused on some new factors such as inflammatory markers, natriuretic peptide, and leukocytosis. So in this study, we aimed to evaluate prognostic effects of complete blood count (CBC) findings especially white blood cell (WBC) on the prognosis of CHF during hospitalization and 6 months after discharge in CHF patients. Materials/Methods: This retrospective cohort study was done in Rasoul Akram Hospital of Tehran September 2017 until September 2019. Information such as demographic ones, CBC, blood sugar, triacylglycerol & cholesterol, sodium, and potassium in the first test after hospitalization were collected. Complications after 6 months of discharge were defined as death, readmitting to the hospital because of myocardial infarction, angina, or heart attack, and Need a kind of mechanical therapy such as a pacemaker. Statistical significance was considered at p < 0.05. Results: The means and SD of age were 70±14. 65 patients (55.6%) of 117 ones suffered from hypertension and 48 patients (41%) had diabetes mellitus. The means and SD of hemoglobin and hematocrit of patients were 11.6±2.1 and 36.1±6., the amount of WBC, hemoglobin, hematocrits, and platelets has no significant differences between short term and long term events. Conclusion: WBC count has no correlation with CHF outcomes and it can not be used as a prognostic value.

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