Relationship amonghematocrit,hemoglobin and heart structure in elderly patients with heart failure

Chen Libin; Sun Jirong; Ma Linxiu

doi:10.3969/j.issn.1674-4055.2024.09.12

Abstract：Objective To analyze the relationship among hematocrit(HCT),hemoglobin(Hb)and heart structure in elderly patients with heart failure(HF).Methods The elderly patients with HF(n=97)were chosen from the Fourth People's Hospital of Taizhou City from Feb.2020 to Mar.2023.The levels of HCT and Hb were detected in all patients before hospitalization,and then they were divided,according to changes of heart structure,into change group(n=45)and non-change group(n=52).The levels of HCT and Hb and clinical materials were compared between 2 groups.The influence factors of heart structure changes were analyzed by using multi-factor Logistic regression analysis.Results The levels of HCT and Hb were lower in change group than those in non-change group(P＜0.05).The levels of N-terminal pro-brain natriuretic peptide(NT-proBNP)was higher in change group than that in non-change group(P＜0.05).The differences in age,gender,smoking history,drinking history,family family genetic disease,diabetes,systolic blood pressure(SBP),diastolic blood pressure(DBP),heart function classification,body mass index(BMI),serum albumin(ALB),low-density lipoprotein-cholesterol(LDL-C),triglyceride(TG),total cholesterol(TC),complicated basic disease[hypertension,coronary heart disease(CHD),atrial fibrillation(AF),chronic obstructive pulmonary disease(COPD)and high-density lipoprotein-cholesterol(HDL-C)had no statistical significance between 2 groups(P＞0.05).The results of multi-factor Logistic regression analysis showed that NT-proBNP,HCT and Hb were influence factors of heart structure changes in elderly HF patients(P＜0.05).Conclusion HCT and Hb are closely correlated to heart structure changes in elderly HF patients.