Yıl: 2023 Cilt: 11 Sayı: 1 Sayfa Aralığı: 1 - 10 Metin Dili: İngilizce DOI: 10.32596/ejcm.galenos.2023.2023-01-08 İndeks Tarihi: 07-06-2023

The Role of Neutrophil-Lymphocyte Ratio and Mean Platelet Volume on the Prognosis of Cardiac Masses

Öz:
Objectives: Neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and mean platelet volume (MPV) are hematological markers used as prognostic markers in cancer and thrombotic diseases. These markers’ association with intracardiac masses is unknown. Our goal is to determine the value of NLR, PLR, and MPV as prognostic markers in patients undergoing surgery for intracardiac masses. Materials and Methods: The study included primary and secondary heart tumors, intracardiac thrombi, and infectious diseases that cause a mass effect in the heart. The pathological examination, location, complications, and mortality are compared with the patients’preoperative characteristics in the heart. The pathological examination, location, complications, and mortality are compared with the patients’ preoperative characteristics (NLR, PLR, and MPV). Results: The surviving patients were followed for 41 (20-75; minimum: 11-maximum: 120) months. NLR was found to be significantly higher in patients undergoing surgery for intracardiac thrombus, pulmonary embolism (PE), or impaired cardiac function (CF) (p=0.031, p=0.021, and p=0.046, respectively). Patients with masses in the left heart chambers and those with postoperative atrial fibrillation had significantly higher MPV values (p=0.001). The expected survival in the impaired CF group was significantly lower than in the normal CF group (35.91±13.00 months vs. 109.7±76.92 months, p=0.001). Conclusion: There was a link between CF impairment and the NLR. The presence or absence of PE, as well as significant differences in NLR between groups of impaired and normal CF, tumors, and thrombus, is thought to be influenced by the patients’ clinical condition. The preoperative relationship between the localization of the mass in the left heart and the development of postoperative atrial fibrillation and MPV is remarkable.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Agaimy A, Rösch J, Weyand M, Strecker T. Primary and metastatic cardiac sarcomas: a 12-year experience at a German heart center. Int J Clin Exp Pathol 2012;5:928-38.
  • 2. Alur İ, Güneş T, Özcan AV, Gökşin İ, Önem G, Emrecan B. Intracardiac tumors: results from a single heart chamber. Türk Göğüs Kalp Damar Cerrahisi Dergisi 2016;24:462-67.
  • 3. Strecker T, Rösch J, Weyand M, Agaimy A. Primary and metastatic cardiac tumors: imaging characteristics, surgical treatment, and histopathological spectrum: a 10-year-experience at a German heart center. Cardiovasc Pathol 2012;21:436-43.
  • 4. Diem S, Schmid S, Krapf M, et al. Neutrophil-to-Lymphocyte ratio (NLR) and Platelet-to-Lymphocyte ratio (PLR) as prognostic markers in patients with non-small cell lung cancer (NSCLC) treated with nivolumab. Lung Cancer 2017;111:176-81.
  • 5. Providência R, Faustino A, Paiva L, et al. Mean platelet volume is associated with the presence of left atrial stasis in patients with non-valvular atrial fibrillation. BMC Cardiovasc Disord 2013;13:40.
  • 6. Turfan M, Erdogan E, Ertas G, et al. Usefulness of mean platelet volume for predicting stroke risk in atrial fibrillation patients. Blood Coagul Fibrinolysis 2013;24:55-8.
  • 7. Leader A, Pereg D, Lishner M. Are platelet volume indices of clinical use? A multidisciplinary review. Ann Med 2012;44:805-16.
  • 8. Yuce M, Cakici M, Davutoglu V, et al. Relationship between mean platelet volume and atrial thrombus in patients with atrial fibrillation. Blood Coagul Fibrinolysis 2010;21:722-5.
  • 9. Chen D, Xiao D, Guo J, Chahan B, Wang Z. Neutrophil-lymphocyte count ratio as a diagnostic marker for acute kidney injury: a systematic review and meta-analysis. Clin Exp Nephrol 2020;24:126-35.
  • 10. Gameiro J, Lopes JA. Complete blood count in acute kidney injury prediction: a narrative review. Ann Intensive Care 2019;9:87.
  • 11. Gurbuz O, Kumtepe G, Ozkan H, et al. Predictive Value of Neutrophil- Lymphocyte Ratio for Long-Term Cardiovascular Event Following Coronary Artery Bypass Grafting. Braz J Cardiovasc Surg 2020;35:274-84.
  • 12. Parlar H, Arıkan AA, Önmez A. Dynamic Changes in Perioperative Cellular Inflammation and Acute Kidney Injury after Coronary Artery Bypass Grafting. Braz J Cardiovasc Surg 2021;36:354-64.
  • 13. Parlar H, Şaşkın H. Are Pre and Postoperative Platelet to Lymphocyte Ratio and Neutrophil to Lymphocyte Ratio Associated with Early Postoperative AKI Following CABG? Braz J Cardiovasc Surg 2018;33:233-41.
  • 14. Koyner JL. Role of Biomarkers in Predicting AKI in the CT ICU. Difficult Decisions in Cardiothoracic Critical Care Surgery: Springer; 2019. p. 525- 45.
  • 15. Yanagawa B, Mazine A, Chan EY, et al. Surgery for Tumors of the Heart. Semin Thorac Cardiovasc Surg 2018;30:385-97.
  • 16. Ozbudak E, Durmaz D, Arıkan AA, Halici U, Yavuz S, Emre E. Incidentally detected cardiac cyst hydatid after blunt thoracic trauma. Korean J Thorac Cardiovasc Sur 2014;47:160-2.
  • 17. Ozbudak E, Arıkan AA, Yavuz S, Halıcı U, Berki T. A very rarely seen cardiac mass (Rosai-Dorfman disease). Anadolu Kardiyol Derg 2014;14:481-3.
  • 18. L'Angiocola PD, Donati R. Cardiac Masses in Echocardiography: A Pragmatic Review. J Cardiovasc Echogr 2020;30:5-14.
  • 19. Peters PJ, Reinhardt S. The echocardiographic evaluation of intracardiac masses: a review. J Am Soc Echocardiogr 2006;19:230-40.
  • 20. Çiftçi HÖ, Memduh Dursun. “Kardiyak Kitlelerde Kardiyak MRG Bulguları.” Türk Radyoloji Seminerleri 2018;6:266-89.
  • 21. Turhan S, Ozcan OU, Erol C. Imaging of intracardiac thrombus. Cor Vasa. 2013;55:e176-83.
  • 22. Ogren M, Bergqvist D, Eriksson H, Lindblad B, Sternby NH. Prevalence and risk of pulmonary embolism in patients with intracardiac thrombosis: a population-based study of 23 796 consecutive autopsies. Eur Heart J 2005;26:1108-14.
  • 23. Goldberg JB, Spevack DM, Ahsan S, et al. Survival and Right Ventricular Function After Surgical Management of Acute Pulmonary Embolism. J Am Coll Cardiol 2020;76:903-11.
  • 24. Torbicki A, Galié N, Covezzoli A, et al. Right heart thrombi in pulmonary embolism: results from the International Cooperative Pulmonary Embolism Registry. J Am Coll Cardiol 2003;41:2245-51.
  • 25. Habash F, Vallurupalli S. Challenges in management of left ventricular thrombus. Ther Adv Cardiovasc Dis 2017;11:203-13.
APA Arıkan A, Küçük B, ERUYAR A, Civriz A, DURMAZ A, omay o, Yavuz S, KANKO M, AYDIN F (2023). The Role of Neutrophil-Lymphocyte Ratio and Mean Platelet Volume on the Prognosis of Cardiac Masses. , 1 - 10. 10.32596/ejcm.galenos.2023.2023-01-08
Chicago Arıkan Ali Ahmet,Küçük Burhan,ERUYAR AHMET TUĞRUL,Civriz Aziz Hakkı,DURMAZ AYŞEGÜL,omay oğuz,Yavuz Sadan,KANKO M�HIP,AYDIN Fatih The Role of Neutrophil-Lymphocyte Ratio and Mean Platelet Volume on the Prognosis of Cardiac Masses. (2023): 1 - 10. 10.32596/ejcm.galenos.2023.2023-01-08
MLA Arıkan Ali Ahmet,Küçük Burhan,ERUYAR AHMET TUĞRUL,Civriz Aziz Hakkı,DURMAZ AYŞEGÜL,omay oğuz,Yavuz Sadan,KANKO M�HIP,AYDIN Fatih The Role of Neutrophil-Lymphocyte Ratio and Mean Platelet Volume on the Prognosis of Cardiac Masses. , 2023, ss.1 - 10. 10.32596/ejcm.galenos.2023.2023-01-08
AMA Arıkan A,Küçük B,ERUYAR A,Civriz A,DURMAZ A,omay o,Yavuz S,KANKO M,AYDIN F The Role of Neutrophil-Lymphocyte Ratio and Mean Platelet Volume on the Prognosis of Cardiac Masses. . 2023; 1 - 10. 10.32596/ejcm.galenos.2023.2023-01-08
Vancouver Arıkan A,Küçük B,ERUYAR A,Civriz A,DURMAZ A,omay o,Yavuz S,KANKO M,AYDIN F The Role of Neutrophil-Lymphocyte Ratio and Mean Platelet Volume on the Prognosis of Cardiac Masses. . 2023; 1 - 10. 10.32596/ejcm.galenos.2023.2023-01-08
IEEE Arıkan A,Küçük B,ERUYAR A,Civriz A,DURMAZ A,omay o,Yavuz S,KANKO M,AYDIN F "The Role of Neutrophil-Lymphocyte Ratio and Mean Platelet Volume on the Prognosis of Cardiac Masses." , ss.1 - 10, 2023. 10.32596/ejcm.galenos.2023.2023-01-08
ISNAD Arıkan, Ali Ahmet vd. "The Role of Neutrophil-Lymphocyte Ratio and Mean Platelet Volume on the Prognosis of Cardiac Masses". (2023), 1-10. https://doi.org/10.32596/ejcm.galenos.2023.2023-01-08
APA Arıkan A, Küçük B, ERUYAR A, Civriz A, DURMAZ A, omay o, Yavuz S, KANKO M, AYDIN F (2023). The Role of Neutrophil-Lymphocyte Ratio and Mean Platelet Volume on the Prognosis of Cardiac Masses. E Journal of Cardiovascular Medicine, 11(1), 1 - 10. 10.32596/ejcm.galenos.2023.2023-01-08
Chicago Arıkan Ali Ahmet,Küçük Burhan,ERUYAR AHMET TUĞRUL,Civriz Aziz Hakkı,DURMAZ AYŞEGÜL,omay oğuz,Yavuz Sadan,KANKO M�HIP,AYDIN Fatih The Role of Neutrophil-Lymphocyte Ratio and Mean Platelet Volume on the Prognosis of Cardiac Masses. E Journal of Cardiovascular Medicine 11, no.1 (2023): 1 - 10. 10.32596/ejcm.galenos.2023.2023-01-08
MLA Arıkan Ali Ahmet,Küçük Burhan,ERUYAR AHMET TUĞRUL,Civriz Aziz Hakkı,DURMAZ AYŞEGÜL,omay oğuz,Yavuz Sadan,KANKO M�HIP,AYDIN Fatih The Role of Neutrophil-Lymphocyte Ratio and Mean Platelet Volume on the Prognosis of Cardiac Masses. E Journal of Cardiovascular Medicine, vol.11, no.1, 2023, ss.1 - 10. 10.32596/ejcm.galenos.2023.2023-01-08
AMA Arıkan A,Küçük B,ERUYAR A,Civriz A,DURMAZ A,omay o,Yavuz S,KANKO M,AYDIN F The Role of Neutrophil-Lymphocyte Ratio and Mean Platelet Volume on the Prognosis of Cardiac Masses. E Journal of Cardiovascular Medicine. 2023; 11(1): 1 - 10. 10.32596/ejcm.galenos.2023.2023-01-08
Vancouver Arıkan A,Küçük B,ERUYAR A,Civriz A,DURMAZ A,omay o,Yavuz S,KANKO M,AYDIN F The Role of Neutrophil-Lymphocyte Ratio and Mean Platelet Volume on the Prognosis of Cardiac Masses. E Journal of Cardiovascular Medicine. 2023; 11(1): 1 - 10. 10.32596/ejcm.galenos.2023.2023-01-08
IEEE Arıkan A,Küçük B,ERUYAR A,Civriz A,DURMAZ A,omay o,Yavuz S,KANKO M,AYDIN F "The Role of Neutrophil-Lymphocyte Ratio and Mean Platelet Volume on the Prognosis of Cardiac Masses." E Journal of Cardiovascular Medicine, 11, ss.1 - 10, 2023. 10.32596/ejcm.galenos.2023.2023-01-08
ISNAD Arıkan, Ali Ahmet vd. "The Role of Neutrophil-Lymphocyte Ratio and Mean Platelet Volume on the Prognosis of Cardiac Masses". E Journal of Cardiovascular Medicine 11/1 (2023), 1-10. https://doi.org/10.32596/ejcm.galenos.2023.2023-01-08