Evaluation of the relationship between WBC, HS.CRP and secondary pulmonary hypertension in patients with COPD

Evaluation of the relationship between WBC, HS.CRP and secondary pulmonary hypertension in patients with COPD


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نویسندگان: خلیل انصارین , فرید رشیدی , حسین نامدار , اکبر شریفی , محمدرضا غفاری باویل

کلمات کلیدی: COPD, pulmonary hypertension, HS.CRP, WBC

نشریه: 0 , 10 , 17 , 2014

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نویسنده ثبت کننده مقاله حسین نامدار
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه مرکز تحقیقات قلب وعروق
کد مقاله 70368
عنوان فارسی مقاله Evaluation of the relationship between WBC, HS.CRP and secondary pulmonary hypertension in patients with COPD
عنوان لاتین مقاله Evaluation of the relationship between WBC, HS.CRP and secondary pulmonary hypertension in patients with COPD
ناشر 5
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ خیر
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح چهار – Embase
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Inflammatory mechanisms appear to play a major role in pathogenesis of various types of pulmonary hypertension such as idiopatic PAH (iPAH). Although inflammatory factors such as IL6 and TNFa play an important role in IPAH, there is limited information about the relationship between acute phase reactants and pulmonary hypertension occurring secondary to pulmonary diseases such as chronic obstructive pulmonary diseases (COPD). Methods: This cross-sectional study was carried out on 94 patients with COPD. Patients with a recent history of systemic corticosteroid use, infection, trauma or surgery, and gastrointestinal bleeding were excluded. Body plethysmography and transthoracic echocardiography were performed. Blood samples were taken from all patients and sent for complete blood count (CBC) and hsCRP tests. Results: Twenty patients (28.6%) had pulmonary hypertension. There was a significant difference between the mean of WBC in patients with and without pulmonary hypertension (8505 mic/lit vs. 7044 mic/lit) (p=0.04). There was also a significant difference between the hs.CRP in patients with and without pulmonary hypertension (8.8pg/ml vs. 4.07pg/ml) (p=0.032). After adjustment of age, sex, serum hemoglobin, hematocrit, O2sat, FEV1 and FVC, the relationship between the IL6, white blood cell count, HS.CRP and pulmonary hypertension remained significant (p=0.018, p=0.022). Conclusion: Inflammatory factors such as white blood cell and HS.CRP are independent risk factors of pulmonary hypertension in COPD patients.

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نویسنده نفر چندم مقاله
خلیل انصاریناول
فرید رشیدیدوم
حسین نامدارچهارم
اکبر شریفیپنجم
محمدرضا غفاری باویلسوم

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