Relation Between Mean Platelet Volume and Severity of Atherosclerosis in Patients With Acute Coronary Syndromes

被引:56
作者
Murat, Sani Namik [1 ]
Duran, Mustafa [2 ]
Kalay, Nihat [3 ]
Gunebakmaz, Ozgur [4 ]
Akpek, Mahmut [3 ]
Doger, Cihan [1 ]
Elcik, Deniz [3 ]
Ocak, Ayse [3 ]
Vatankulu, Mehmet Akif [5 ]
Turfan, Murat [5 ]
Kasapkara, Haci Ahmet [6 ]
Akin, Fatih [2 ]
Sahin, Musa [7 ]
Kaya, Mehmet Gungor [3 ]
机构
[1] Etlik Ihtisas Res & Educ Hosp, Ankara, Turkey
[2] Kayseri Res & Educ Hosp, Kayseri, Turkey
[3] Erciyes Univ, Fac Med, Kayseri, Turkey
[4] Kastamonu City Hosp, Kastamonu, Turkey
[5] Bezmialem Univ, Fac Med, Istanbul, Turkey
[6] Ataturk Res & Educ Hosp, Ankara, Turkey
[7] Yuzuncu Yil Univ, Fac Med, Van, Turkey
关键词
mean platelet volume; acute coronary syndrome; Gensini score; Syntax score; INDEPENDENT RISK FACTOR; MYOCARDIAL-INFARCTION; ARTERY-DISEASE; UNSTABLE ANGINA; HEART-DISEASE; INDEXES; SUBPOPULATIONS; INFLAMMATION; ACTIVATION; SCORE;
D O I
10.1177/0003319711436247
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Platelets play a central role in the pathophysiology of coronary artery disease (CAD). Increased mean platelet volume (MPV) is an indicator of platelet function and associated with poor clinical outcome in patients with acute coronary syndrome (ACS). We evaluated the relationship between MPV and severity of CAD in patients with ACS. A total of 395 patients with ACS were included. Severity of CAD was assessed with the Gensini and Syntax scores. High levels of MPV were associated with the Gensini and Syntax scores, number of diseased vessels (> 50%), number of critical lesions (> 50% and > 70%), and noncritical lesions. After multivariate analysis, high levels of MPV were independent predictors of multivessel CAD together with age. In patients with ACS, high MPV levels were associated with severity of CAD. It is possible that MPV can be a helpful marker in patients with CAD for the severity of coronary atherosclerosis.
引用
收藏
页码:131 / 136
页数:6
相关论文
共 29 条
[1]   Platelets and white blood cell subpopulations among patients with myocardial infarction and unstable angina [J].
Avramakis, G. ;
Papadimitraki, E. ;
Papakonstandinou, D. ;
Liakou, K. ;
Zidianakis, M. ;
Dermitzakis, A. ;
Mikhailidis, D. P. ;
Ganotakis, E. S. .
PLATELETS, 2007, 18 (01) :16-23
[2]   Megakaryocyte ploidy and platelet changes in human diabetes and atherosclerosis [J].
Brown, AS ;
Hong, Y ;
deBelder, A ;
Beacon, H ;
Beeso, J ;
Sherwood, R ;
Edmonds, M ;
Martin, JF ;
Erusalimsky, JD .
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 1997, 17 (04) :802-807
[3]   HEMATOLOGICAL PROGNOSTIC INDEXES AFTER MYOCARDIAL-INFARCTION - EVIDENCE FROM THE DIET AND REINFARCTION TRIAL (DART) [J].
BURR, ML ;
HOLLIDAY, RM ;
FEHILY, AM ;
WHITEHEAD, PJ .
EUROPEAN HEART JOURNAL, 1992, 13 (02) :166-170
[4]   Mean platelet volume as a predictor of cardiovascular risk: a systematic review and meta-analysis [J].
Chu, S. G. ;
Becker, R. C. ;
Berger, P. B. ;
Bhatt, D. L. ;
Eikelboom, J. W. ;
Konkle, B. ;
Mohler, E. R. ;
Reilly, M. P. ;
Berger, J. S. .
JOURNAL OF THROMBOSIS AND HAEMOSTASIS, 2010, 8 (01) :148-156
[5]   The mean platelet volume in patients with obesity [J].
Coban, E ;
Ozdogan, M ;
Yazicioglu, G ;
Akcit, F .
INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 2005, 59 (08) :981-982
[6]  
CORASH L, 1977, BLOOD, V49, P71
[7]   Mechanisms of disease:: Platelet activation and atherothrombosis [J].
Davi, Giovanni ;
Patrono, Carlo .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 357 (24) :2482-2494
[8]   Mean platelet volume and the extent of coronary artery disease: Results from a large prospective study [J].
De Luca, Giuseppe ;
Santagostino, Matteo ;
Secco, Gioel Gabrio ;
Cassetti, Ettore ;
Giuliani, Livio ;
Franchi, Elena ;
Coppo, Lorenzo ;
Iorio, Sergio ;
Venegoni, Luca ;
Rondano, Elisa ;
Dell'Era, Gabriele ;
Rizzo, Claudia ;
Pergolini, Patrizia ;
Monaco, Francesco ;
Bellomo, Giorgio ;
Marino, Paolo .
ATHEROSCLEROSIS, 2009, 206 (01) :292-297
[9]   Mean platelet volume is an independent risk factor for myocardial infarction but not for coronary artery disease [J].
Endler, G ;
Klimesch, A ;
Sunder-Plassmann, H ;
Schillinger, M ;
Exner, M ;
Mannhalter, C ;
Jordanova, N ;
Christ, G ;
Thalhammer, R ;
Huber, K ;
Sunder-Plassmann, R .
BRITISH JOURNAL OF HAEMATOLOGY, 2002, 117 (02) :399-404
[10]  
Gasparyan AY, 2011, CURR PHARM DESIGN, V17, P47