Yıl: 2020 Cilt: 58 Sayı: 2 Sayfa Aralığı: 193 - 199 Metin Dili: İngilizce DOI: 10.4274/haseki.galenos.2020.5754 İndeks Tarihi: 01-11-2020

Analysis of Relationship Between Imaging Features of Aortic Dissection and Blood Parameters

Öz:
Aim: Aimed to evaluate the relationship of serum biochemicaland blood parameters with aortic rupture and dissection typesaccording to the DeBakey classification.Methods: Forty-three patients, who were admitted to theemergency department between 01.01.2011 and 01.01.2019with the diagnosis of aortic dissection, were retrospectivelyevaluated. Gender, age, symptoms at presentation, vitalparameters, creatinine and, troponin levels, and hemogramparameters were recorded after blood tests. Neutrophil-tolymphocyte ratio and monocyte-to-platelet ratio were obtainedfrom these values. These results were compared with thepresence of aortic rupture and the DeBakey classification.Results: Of the 43 patients included in the study, 30 were male(69.8%), and 13 were female (30.2%). Aortic rupture was seenin two of the 30 male patients (6.7%) and none of the females(p=1.000). There was a significant difference only in blood urinenitrogen and monocyte-to-platelet ratio between patients withand without aortic rupture (p=0.035 and p=0.015, respectively).Conclusion: Most of the routinely evaluated blood andbiochemical parameters in aortic dissection cases did not yieldsignificant results in comparison to the DeBakey classificationand the presence of rupture. Only blood urea nitrogen andmonocyte-to-platelet ratio values were lower in patients withaortic rupture.
Anahtar Kelime:

Aort Diseksiyon Görüntü Özellikleri ile Kan Parametreleri Arasındaki İlişki

Öz:
Amaç: Acil servise başvuran ve aort diseksiyonu tanısı alan hastalarda serum biyokimya ve kan parametrelerinin aort rüptür varlığı ile DeBakey sınıflaması diseksiyon tipleriyle ilişkisinin değerlendirilmesi amaçlandı. Yöntemler: Acil servise 01.01.2011 ve 01.01.2019 tarihleri arasında aort diseksiyonu tanısı ile başvuran 43 hasta retrospektif olarak değerlendirildi. Cinsiyet, yaş, başvuru anındaki semptomlar, sistolik ve diyastolik kan basıncı, nabız, kan üre azotu, kreatinin, troponin, hemoglobin, hematokrit, beyaz kan hücresi sayımı, monosit, nötrofil, lenfosit, trombosit sayısı, ortalama trombosit hacmi ve kırmızı hücre dağılımı kaydedildi. Bu değerlerden nötrofil-lenfosit oranı ve monosit-trombosit oranı elde edildi. Bu sonuçlar aort rüptürü varlığı ve DeBakey sınıflandırması ile karşılaştırıldı. Bulgular: Çalışmaya alınan 43 hastanın 30’u erkek (%69,8), 13’ü kadındı (%30,2). Aort rüptüründe 30 erkek olgunun ikisinde (%6,7) rüptür görüldü ve kadın olguların hiçbirinde rüptür gözlenmedi (p=1,000). Sadece kan üre azotu ve monosittrombosit oranı değerleri aort rüptüründe anlamlı farklılık gösterdi (sırasıyla p=0,035 ve p=0,015). Sonuç: Aort diseksiyonu olgularında rutin olarak değerlendirilen kan ve biyokimya parametrelerinin çoğu DeBakey sınıflandırması ve rüptür varlığı ile karşılaştırıldığında anlamlı sonuç vermedi. Aort rüptürü olan hastalarda düşük olan kan üre azotu ve monosit-trombosit oranı değerleri anlamlıydı.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Suzuki T, Katoh H, Nagai R. Biochemical diagnosis of aortic dissection: from bench to bedside. Japanese heart journal 1999;40:527-34.
  • 2. Liu X, Su X, Zeng H. Impact of admission serum total cholesterol level on in-hospital mortality in patients with acute aortic dissection. Pakistan journal of medical sciences 2016;32:939.
  • 3. Suzuki T, Bossone E, Sawaki D, et al. Biomarkers of aortic diseases. American Heart Journal 2013;165:15-25.
  • 4. Bossone E, Suzuki T, Eagle K, Weinsaft J. Diagnosis of acute aortic syndromes. Herz 2013;38:269-76.
  • 5. Suzuki T, Katoh H, Watanabe M, et al. Novel biochemical diagnostic method for aortic dissection: results of a prospective study using an immunoassay of smooth muscle myosin heavy chain. Circulation 1996;93:1244-9.
  • 6. Sariaydin M, Algin A, Bilge Z. A case of Acute Pancreatitis and Acute Renal Failure Due to Aortic Dissection. Journal of Turgut Ozal Medical Center 2017;24.
  • 7. Velavan P, Huan Loh P, Clark A, Cleland JG. The cholesterol paradox in heart failure. Congestive Heart Failure 2007;13:336-41.
  • 8. Cho KH, Jeong MH, Ahn Y, et al. Low-density lipoprotein cholesterol level in patients with acute myocardial infarction having percutaneous coronary intervention (the cholesterol paradox). The American journal of cardiology 2010;106:1061-8.
  • 9. Levčík M, Kettner J, Jabor A, Kautzner J. Utility of plasma D-dimer levels in the diagnosis of acute aortic dissection. Cor et Vasa 2013;55:e510-4.
  • 10. Flanagan L, Bancroft R, Rittoo D. The value of d-dimer in the diagnosis of acute aortic dissection. International journal of cardiology 2007;118:e70-1.
  • 11. Guan X, Gong M, Wang X, et al. Low preoperative fibrinogen level is risk factor for neurological complications in acute aortic dissection. Medicine 2018;97:e10830.
  • 12. Meng CR, Zhang Q, Wang JL, Gu T, Zhang ZX. The role of fructosamine and hemoglobin levels in non-diabetic patients with thoracica cute aortic dissection. Int J Clin Exp Med 2016;9:8248-52.
  • 13. Liu XT, He XW, Tan R, et al. High-density lipoprotein cholesterol and in-hospital mortality in patients with acute aortic dissection. Journal of Huazhong University of Science and Technology [Medical Sciences] 2016;36:364-7.
  • 14. Sbarouni E, Georgiadou P, Marathias A, Panagiotakos D, Geroulanos S, Voudris V. Ischemia-modified albumin in acute aortic dissection. Journal of clinical laboratory analysis 2010;24:399-402.
  • 15. Kalkan ME, Kalkan AK, Gündeş A, et al. Neutrophil to lymphocyte ratio: a novel marker for predicting hospital mortality of patients with acute type A aortic dissection. Perfusion 2017;32:321-7.
  • 16. Lafçı G, Çiçek ÖF, Uzun HA, et al. Relationship of admission neutrophil-to-lymphocyte ratio with in-hospital mortality in patients with acute type-I aortic dissection. Turkish journal of medical sciences 2014;44:186-92.
  • 17. Li G, Zhao L, Ma Y, et al. Platelet count to lymphocyte count ratio may predict mortality in Stanford type B acute aortic dissection. Int J Clin Exp Med 2019;12:1922-8
APA Algın A, Akça H, Özdemir S, afacan m, Eroğlu S (2020). Analysis of Relationship Between Imaging Features of Aortic Dissection and Blood Parameters. , 193 - 199. 10.4274/haseki.galenos.2020.5754
Chicago Algın Abdullah,Akça Hatice Şeyma,Özdemir Serdar,afacan mustafa ahmet,Eroğlu Serkan Emre Analysis of Relationship Between Imaging Features of Aortic Dissection and Blood Parameters. (2020): 193 - 199. 10.4274/haseki.galenos.2020.5754
MLA Algın Abdullah,Akça Hatice Şeyma,Özdemir Serdar,afacan mustafa ahmet,Eroğlu Serkan Emre Analysis of Relationship Between Imaging Features of Aortic Dissection and Blood Parameters. , 2020, ss.193 - 199. 10.4274/haseki.galenos.2020.5754
AMA Algın A,Akça H,Özdemir S,afacan m,Eroğlu S Analysis of Relationship Between Imaging Features of Aortic Dissection and Blood Parameters. . 2020; 193 - 199. 10.4274/haseki.galenos.2020.5754
Vancouver Algın A,Akça H,Özdemir S,afacan m,Eroğlu S Analysis of Relationship Between Imaging Features of Aortic Dissection and Blood Parameters. . 2020; 193 - 199. 10.4274/haseki.galenos.2020.5754
IEEE Algın A,Akça H,Özdemir S,afacan m,Eroğlu S "Analysis of Relationship Between Imaging Features of Aortic Dissection and Blood Parameters." , ss.193 - 199, 2020. 10.4274/haseki.galenos.2020.5754
ISNAD Algın, Abdullah vd. "Analysis of Relationship Between Imaging Features of Aortic Dissection and Blood Parameters". (2020), 193-199. https://doi.org/10.4274/haseki.galenos.2020.5754
APA Algın A, Akça H, Özdemir S, afacan m, Eroğlu S (2020). Analysis of Relationship Between Imaging Features of Aortic Dissection and Blood Parameters. Haseki Tıp Bülteni, 58(2), 193 - 199. 10.4274/haseki.galenos.2020.5754
Chicago Algın Abdullah,Akça Hatice Şeyma,Özdemir Serdar,afacan mustafa ahmet,Eroğlu Serkan Emre Analysis of Relationship Between Imaging Features of Aortic Dissection and Blood Parameters. Haseki Tıp Bülteni 58, no.2 (2020): 193 - 199. 10.4274/haseki.galenos.2020.5754
MLA Algın Abdullah,Akça Hatice Şeyma,Özdemir Serdar,afacan mustafa ahmet,Eroğlu Serkan Emre Analysis of Relationship Between Imaging Features of Aortic Dissection and Blood Parameters. Haseki Tıp Bülteni, vol.58, no.2, 2020, ss.193 - 199. 10.4274/haseki.galenos.2020.5754
AMA Algın A,Akça H,Özdemir S,afacan m,Eroğlu S Analysis of Relationship Between Imaging Features of Aortic Dissection and Blood Parameters. Haseki Tıp Bülteni. 2020; 58(2): 193 - 199. 10.4274/haseki.galenos.2020.5754
Vancouver Algın A,Akça H,Özdemir S,afacan m,Eroğlu S Analysis of Relationship Between Imaging Features of Aortic Dissection and Blood Parameters. Haseki Tıp Bülteni. 2020; 58(2): 193 - 199. 10.4274/haseki.galenos.2020.5754
IEEE Algın A,Akça H,Özdemir S,afacan m,Eroğlu S "Analysis of Relationship Between Imaging Features of Aortic Dissection and Blood Parameters." Haseki Tıp Bülteni, 58, ss.193 - 199, 2020. 10.4274/haseki.galenos.2020.5754
ISNAD Algın, Abdullah vd. "Analysis of Relationship Between Imaging Features of Aortic Dissection and Blood Parameters". Haseki Tıp Bülteni 58/2 (2020), 193-199. https://doi.org/10.4274/haseki.galenos.2020.5754