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Microfluidics in Assessing Platelet Function
Published on: November 8, 2024
Mean platelet volume in the patients with cardiac syndrome X
Serkan Cay1, Funda Biyikoglu, Gokhan Cihan
1Department of Cardiology, Yuksek Ihtisas Heart-Education and Research Hospital, Ankara, Turkey. cayserkan@yahoo.com
Insights
Patients with cardiac syndrome X have a higher mean platelet volume, indicating increased platelet activity. This finding suggests potential lifestyle modifications may improve symptoms in individuals with this condition.
Area of Science:
- Cardiology
- Hematology
Background:
- Cardiac syndrome X (angina with normal coronary arteries) is a diagnosis of exclusion with unclear mechanisms.
- While prognosis is generally good, symptoms significantly impact quality of life.
- Mean platelet volume (MPV) reflects platelet size and function; larger platelets are more active.
Purpose of the Study:
- To evaluate and compare the mean platelet volume (MPV) in patients with cardiac syndrome X and stable angina.
- To investigate the relationship between MPV and cardiac syndrome X.
Main Methods:
- A study was conducted involving 80 patients with cardiac syndrome X (Group A) and 67 patients with stable angina (Group B).
- Mean platelet volume was measured and compared between the two groups.
Main Results:
- Patients with cardiac syndrome X (Group A) had a significantly higher mean platelet volume (10.55 +/- 1.08 fl) compared to patients with stable angina (Group B) (9.39 +/- 0.58 fl).
- The difference in MPV between the groups was statistically significant (P < 0.001).
Conclusions:
- Elevated platelet size, as indicated by higher MPV, is associated with adverse cardiac events.
- MPV was found to be increased in cardiac syndrome X, similar to acute coronary syndromes.
- Lifestyle modifications may help optimize platelet size and alleviate symptoms in cardiac syndrome X patients.
Background:
Angina with normal coronary arteries, cardiac syndrome X, is a diagnosis of exclusion. The exact mechanism of this clinical syndrome remains unclear. Although the prognosis is as good as equal to that of normal population, symptoms related with the syndrome impair largely quality of life. Mean platelet volume showing the platelet size is an indicator of platelet function. Larger platelets are more active than smaller ones.
Methods And Results:
We designed a study, evaluated mean platelet volume of the patients with cardiac syndrome X (group A) and stable angina (group B) and investigated the relation between groups. Eighty patients with cardiac syndrome X with a mean age of 51.08 +/- 9.79 years and 67 patients with stable angina with a mean age of 55.16 +/- 11.96 years were studied. At the end of the study, mean platelet volume of group A was significantly higher than that of group B, 10.55 +/- 1.08 fl vs. 9.39 +/- 0.58 fl, respectively (P < 0.001).
Conclusion:
Raised platelet size has been shown to be associated with adverse cardiac events. Mean platelet volume has increased in acute coronary syndromes and also in cardiac syndrome X in our study. Life style modification may optimize platelet size and improve symptoms in these patients.
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