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The prognostic significance of patients with heart failure complicated with pleural effusions determined by means of echocardiography is lacking. Thus we sought to determine the prognostic significance of hematologic parameters at heart failure patients with pleural effusion which was evaluated incidentally during echocardiographic evaluation.
Between Jan 2002 and Dec 2012, total 151 patients with heart failure suffered from pleural effusion analysed. All patients mortality data are derived from registry center of Social Insurance Institution which officially responsible for recording all mortality data in Turkey. The diagnosis of patients’ pleural effusion status were made during echocardiographic evaluation. We also evaluated hematological parameters including creatinine, uric acid, albumin, sodium, potassium, hemoglobin at the time of hospital admission. Kaplan-Meir survival rates were determined and subgroups were compared with log-rank test and Chi-square test.
Total 151 eligible patients were analysed. Mean age was 60±16.Male/Female ratio was 97/54. Mean duration of follow-up was 71.5 ± 45.6 months. Fifty-one patients (33.8%) died during this follow-up period. There was not a significant difference regarding age and sex between survivors and those had died during follow-up. There were no prognostic significance of creatinine, uric acid, and potassium levels. (p>0.05). However, albumin, sodium and hemoglobin levels were associated with poor prognosis (p<0.0001, p=0.001, and p=0.009, respectively).
Blood albumin, sodium, and hemoglobin levels have a worse prognostic significance in patient with heart failure complicated with pleural effusion determined by means of echocardiography.