中国全科医学2013，Vol.16Issue(16)：1859-1861,3.DOI:10.3969/j.issn.1007-9572.2013.06.013
红细胞分布宽度对老年慢性心力衰竭患者预后的影响研究
Impact of Red Cell Distribution Width on Prognosis in Elderly Patients with Chronic Heart Failure
衣欣 1胡奉环2
作者信息
- 1. 100054,北京市回民医院心内科
- 2. 中国医学科学院北京协和医学院阜外心血管病医院心内科
- 折叠
摘要
Abstract
Objective To explore the impact of red cell distribution width ( RDW ) to prognosis of elderly chronic heart failure ( CHF ) patients. Methods Totally 60 CHF patients were, according to the grades of cardiac function of New York Heart Association ( NYHA ), divided into three groups: NY Ⅱ ( n =20 ), NY Ⅲ ( n = 19 ) and NY Ⅳ ( n =21 ). The levels of RDW and serum NT - proBNP were compared among the 3 groups. And then the patients were again divided as normal RDW group ( n = 42 ) and abnormal RDW group ( n = 18 ), and the incidence of cardiac events was compared between the two groups. Results The difference in RDW showed significant among the 3 groups ( P < 0. 05 ), and so did between each two groups ( P <0. 05 ). The difference in NT - proBNP level showed significant among the 3 groups ( P < 0. 05 ), and so did between each two groups ( P < 0. 05 ). In the abnormal RDW group there 6 ( 33. 3% ) patients who got malignant arrhythmia, 8 (44.4% ) with repeated heart failure, and 3 ( 16.7% ) who died; while in normal RDW group there were respectively 1 ( 2. 4% ), 2(4. 8% ) and 1(2. 4% ). The incidence of cardiac events was significant higher in abnormal RDW group that in normal RDW group ( P < 0. 05 ). Conclusion The increase of serum RDW may associate with the severity of cardiac function in elderly CHF patients. The patients with increased RDW get higher incidence of cardiac events, with a unfavorable prognosis.关键词
慢性心力衰竭/老年/红细胞分布宽度/预后Key words
Chronic heart failure/ Aged/ Red cell distribution width/ Prognosis分类
医药卫生引用本文复制引用
衣欣,胡奉环..红细胞分布宽度对老年慢性心力衰竭患者预后的影响研究[J].中国全科医学,2013,16(16):1859-1861,3.
