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Effect of Cardiac Catheterization on Certain Hematological Parameters

Author: Ahmed Bader Abdulwahid
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2018 Volume: 11 Issue: 1 Pages: 3912-3917
Publisher: Kerbala University جامعة كربلاء


bAckground: Cardiac catheterization is a procedure used to check the heart for blocked arteries and valve abnormalities by using a coronary angiogram, through which the patient will exposed to the hazardous effect of radiation and contrast media used.Aim of the study: Our study aimed to see the effect of cardiac catheterization on certain hematological parametersMethods and subjects: This study was carried out in the cardiac catheterization center in Al-sader teaching hospital in Basrah city on 30 patients (20 were males and 10 were females), their ages ranged between 35 and 66years with mean of (53.62±8.98 years). Solution of Ultravist 370 injection was used during the procedure as contrast media in amount ranged between (25-600 ml) with an average of (41.56 ±13.75 ml). Fluoroscopy was also used and the flouro-time was ranged between (0.54-8.9) minutes with an average of (2.085±1.18 min).In this study and for all patients we estimated the number of RBCs, WBCs (total and differential) and platelets one hour before and one hour after the procedure of cardiac catheterization by using automated hematology analyzer (Sysmex XT2000i Japan).The results were analyzed using SPSS software, in which independent t test were used to compare the differences in the values of the included parameters obtained before and after cardiac catheterization.Results: The comparative data revealed that there were decreases in most of the parameters one hour after cardiac catheterization which is statistically significant regarding the number of lymphocytes, monocytes and platelets, with significant increase in the number of neutrophils one hour after cardiac catheterization (p˂0.05).Conclusion: The exposure to radiation and iodinated contrast media increases neutrophils count and decreases lymphocyte and platelets counts one hours after cardiac catheterization while it has not effect on the RBCs and total WBCs counts.

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