Heart failure & cardiomyopathies

Relationship Between Haemodynamic Indicators and Haemogram in Patients with Heart Failure

ESC Heart FailPublished Cross-sectional study

Authors' conclusion

LVEDP, CI, plasma Nor concentration, and eGFR were related to WBC count, Hb level, and Plt count in patients with heart failure. There was a strong relationship between elevated LVEDP and decreased Plt count, suggesting that pressure overload on the lungs may interfere with the function of the lung as a site of Plt biosynthesis.

Study context

Population
Patients with HF undergoing cardiac catheterization for evaluation of cardiac function, 2015–2020251 (73%) men
Participants
345 patients
Outcome
Relationship between haemodynamic indicators (LVEDP, cardiac index), plasma noradrenaline, eGFR and haemogram (WBC count, Hb level, Plt count)
Methodological detailsstructural equation modelling, Bayesian inference, Mean age 66.0 ± 13.2 years
  • Structural equation modelling
  • Bayesian inference
  • Mean age 66.0 ± 13.2 years

Main finding

As reported in the abstract

SEM relationships between haemodynamic indicators and haemogram
Left ventricular end-diastolic pressure (LVEDP) vs platelet (Plt) count: significant negative relationship (standardized estimate)
−0.129, P = 0.015
Cardiac index vs haemoglobin (Hb) level: significant negative relationship (standardized estimate)
−0.263, P < 0.001
Plasma noradrenaline vs white blood cell (WBC) count: significant positive relationship (standardized estimate)
0.165, P = 0.003
Plasma noradrenaline vs Plt count: significant positive relationship (standardized estimate)
0.198, P < 0.001
Estimated glomerular filtration rate (eGFR) vs Hb level: significant positive relationship (standardized estimate)
0.274, P < 0.001

Observational data: associations, not effects.

Further findings

Bayesian inference using structural equation modelling (SEM)

No relationship between LVEDP and Hb level or WBC count; significant negative relationship between LVEDP and Plt count

Original publication

Relationship Between Haemodynamic Indicators and Haemogram in Patients with Heart Failure. ESC Heart Fail. Published 7 December 2022. doi:10.1002/ehf2.14258

Composed by AI from the published abstract and checked against it. How Briefs are made →

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