Department of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poland.
Department of Pediatric Cardiac Surgery, Poznan University of Medical Sciences, Poland.
Adv Clin Exp Med. 2023 Sep;32(9):1041-1048. doi: 10.17219/acem/159947.
Simple whole blood analysis can effectively demonstrate complex changes in inflammatory responses to cardiovascular disorders in adults and enable the prediction of adverse outcomes or diminished survival. Such inflammatory activation has also been detected in the pediatric population. Blood analysis results are repeatable and readily available, which gives the method an advantage over others. Inflammatory phenomena such as a high leukocyte count and an increased neutrophil-to-lymphocyte ratio (NLR) are related to a poor prognosis of advanced heart defects and worse outcomes after pediatric cardiac surgery in the advanced stages of the disease. Surgery-associated inflammation exacerbates these diseases, and the inflammatory response may further complicate the postoperative period. Simple blood cell counts and indices may be beneficial for evaluating cardiac surgery outcomes and cardiovascular disorder prognosis in infants and children. This review summarizes current knowledge on inflammatory markers in pediatric cardiovascular diseases and surgery.
简单的全血分析可以有效地显示成年人心血管疾病炎症反应的复杂变化,并能预测不良结局或降低生存率。这种炎症激活也在儿科人群中被检测到。血液分析结果是可重复和易于获得的,这使得该方法优于其他方法。白细胞计数升高和中性粒细胞与淋巴细胞比值(NLR)增加等炎症现象与晚期心脏病的预后不良以及儿科心脏手术后的不良结局有关。手术相关的炎症会加重这些疾病,炎症反应可能会使术后阶段更加复杂。简单的血细胞计数和指数可能有助于评估婴儿和儿童心脏手术的结果和心血管疾病的预后。这篇综述总结了儿科心血管疾病和手术中炎症标志物的最新知识。