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121015

Neutrophils-to-Lymphocytes Ratio in Children with Acute Heart Failure

Article

Last updated: 03 Jan 2025

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Abstract

Background: Heart failure is a common cause of morbidity and mortality in pediatric patients in the third world. Heart failure in children occurs due to heart lesions that cause volume overload as in large ventricular septal defect or due to lesions that causes obstruction to flow as in aortic stenosis.
Objective: This study aimed to evaluate the neutrophils to lymphocytes ratio in children with heart failure & to investigate if this ratio is helpful in predicting mortality and adverse outcome in those patients. Patients and methods: Our study was performed over a number of 80 children 40 of them were having CHD with acute heart failure, 20 of them were congenital heart disease (CHD) without failure and 20 of them were normal. The was conducted in Pediatric Cardiology Unit and Pediatric ICU, Zagazig University Children Hospitals during the period from February 2017 till May 2018. Results: Our present work showed that neutrophils, CRP and NLR were statistically higher in the Heart failure group compared to cardiac group and control group. While lymphocytes and oxygen saturation (SO2) were statistically lower in the heart failure group. The echocardiographic findings showed that compared to cardiac group, the heart failure group was significantly higher regarding PAP and LVEDD but significantly lower regarding EF and FS. Conclusion: Elevated NLR seems to be a predictor of short-term mortality in patients with acute heart failure.

DOI

10.21608/ejhm.2020.121015

Keywords

Neutrophils-to-lymphocytes ratio, children, Acute heart failure

Authors

First Name

Mohamed Salah Mousa

Last Name

Ibrahim

MiddleName

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Affiliation

Department of Pediatrics, Faculty of Medicine - Zagazig University

Email

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City

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Orcid

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First Name

Azza Ali

Last Name

Khalil

MiddleName

-

Affiliation

Department of Pediatrics, Faculty of Medicine - Zagazig University

Email

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City

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Orcid

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First Name

Al-Shaymaa Ahmed Ahmed

Last Name

Ali

MiddleName

-

Affiliation

Department of Pediatrics, Faculty of Medicine - Zagazig University

Email

-

City

-

Orcid

-

Volume

81

Article Issue

4

Related Issue

18005

Issue Date

2020-10-01

Receive Date

2020-11-01

Publish Date

2020-10-01

Page Start

1,878

Page End

1,883

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 4_Pages 1878-1883.pdf

PDF . 237.0kB

Link

https://ejhm.journals.ekb.eg/article_121015.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=121015

Order

25

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Neutrophils-to-Lymphocytes Ratio in Children with Acute Heart Failure

Details

Type

Article

Created At

22 Jan 2023