Increased levels of red cell distribution width is correlated with presence of left atrial stasis in patients with non-valvular atrial fibrillation
dc.contributor.author | Kaya, Adnan | |
dc.contributor.author | Türkkan, Ceyhan | |
dc.contributor.author | Alper, Ahmet Taha | |
dc.contributor.author | Güngör, Barış | |
dc.contributor.author | Özcan, Kazım Serhan | |
dc.contributor.author | Tatlısu, Mustafa Adem | |
dc.contributor.author | Kayapınar, Osman | |
dc.date.accessioned | 2020-04-30T23:18:29Z | |
dc.date.available | 2020-04-30T23:18:29Z | |
dc.date.issued | 2017 | |
dc.department | DÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü | en_US |
dc.description | Gungor, Baris/0000-0002-8883-117X | en_US |
dc.description | WOS: 000408984000010 | en_US |
dc.description | PubMed: 28752145 | en_US |
dc.description.abstract | OBJECTIVE: Red cell distribution width (RDW) and neutrophil to lymphocyte ratio (NLR) have been found to be associated with non-valvular atrial fibrillation (AF) and cardiovascular diseases. However, correlation of these parameters with presence of left atrial (LA) thrombus and/or spontaneous echo contrast (SEC) in patients with non-valvular AF has not been clarified. This study was an investigation of correlation of RDW, NLR, and clinical risk factors with LA thrombus and dense SEC in patients with non-valvular AF in the Turkish population. METHODS: The demographic, laboratory, and echocardiographic properties of 619 non-valvular AF patients who underwent transesophageal echocardiography (TEE) examination before direct current cardioversion (DCCV) or AF ablation treatment were retrospectively investigated. Complete blood count (CBC) and biochemical parameters were studied 6 to 12 hours before TEE examination. Left atrial stasis (LAS) markers were noted as presence of left atrial/left atrial appendage (LA/LAA) thrombus or dense spontaneous echo contrast (DSEC). RESULTS: Total of 325 (52%) patients with LAS were compared with 294 patients (48%) without LAS. In the LAS group, there were 274 (84%) patients with LA/LAA thrombus and 51 (16%) patients with DSEC. LAS (+) group, values for RDW (14.85 +/- 1.48 vs. 13.77 +/- 1.30; p<0.01), NLR (2.38 [1.58], vs. 2.10 [1.35]; p<0.01) and C-reactive protein (0.95 [0.61] vs. 0.88 [0.60] mg/L; p<0.01) were significantly higher than seen in LAS (-) group. In multivariate regression analysis, increased level of RDW, age, male gender, heart failure, duration of AF >6 months, and international normalized ratio <2 were independently correlated with presence of LAS. CONCLUSION: Our study indicated that increased level of RDW is independently correlated with higher risk for development of LAS in patients with non-valvular AF. | en_US |
dc.identifier.doi | 10.14744/nci.2017.72324 | en_US |
dc.identifier.endpage | 72 | en_US |
dc.identifier.issn | 2148-4902 | |
dc.identifier.issue | 1 | en_US |
dc.identifier.startpage | 66 | en_US |
dc.identifier.uri | https://doi.org/10.14744/nci.2017.72324 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12684/3343 | |
dc.identifier.volume | 4 | en_US |
dc.identifier.wosquality | N/A | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.indekslendigikaynak | PubMed | en_US |
dc.indekslendigikaynak | TR-Dizin | en_US |
dc.language.iso | en | en_US |
dc.publisher | Kare Publ | en_US |
dc.relation.ispartof | Northern Clinics Of Istanbul | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Left atrial thrombus | en_US |
dc.subject | non-valvular atrial fibrillation | en_US |
dc.subject | red cell distribution width | en_US |
dc.title | Increased levels of red cell distribution width is correlated with presence of left atrial stasis in patients with non-valvular atrial fibrillation | en_US |
dc.type | Article | en_US |
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