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Published on: October 22, 2014
Coronary heart disease is associated with mean platelet volume in type 2 diabetic patients
Yusuf Tavil1, Nihat Sen, Hüseyin Yazici
1Gazi University, Faculty of Medicine, Department of Cardiology, Ankara, Turkey. yusuftavil@gmail.com
Insights
Diabetic patients with coronary heart disease show significantly higher mean platelet volume (MPV) compared to controls. This finding highlights MPV as a potential indicator in diabetes and heart disease research.
Area of Science:
- Cardiology
- Endocrinology
- Hematology
Background:
- Mean platelet volume (MPV) reflects platelet activation, a key factor in coronary heart disease (CHD) pathophysiology.
- Platelet activation is implicated in the progression of diabetes mellitus (DM).
Purpose of the Study:
- To investigate if mean platelet volume (MPV) is elevated in type 2 diabetic patients.
- To assess the relationship between diabetic complications and MPV levels.
Main Methods:
- Compared MPV in 158 type 2 diabetic patients with coronary artery disease (CAD) against 100 controls without diabetes and normal coronary angiography.
- Utilized the Gensini scoring system to quantify the extent of coronary heart disease (CHD).
Main Results:
- MPV was significantly higher in diabetic patients with CHD (9.79 ± 1.5 fl) compared to controls (8.3 ± 0.9 fl) (P<0.001).
- Coronary heart disease (CHD) presence was associated with increased MPV (Odds Ratio: 2.31, 95% CI: 1.55-4.42, p<0.001).
Conclusions:
- Diabetic patients with coronary heart disease exhibit significantly elevated MPV values.
- MPV may serve as a valuable biomarker in understanding the interplay between diabetes and cardiovascular disease.
Background:
Mean platelet volume (MPV) is an indicator of platelet activation which is a central process in the pathophysiology of coronary heart disease (CHD). The aim of the study was twofold; first to determine whether MPV values is increased in patients with DM, and secondly to evaluate the relation between diabetic complications and MPV.
Methods:
The study population included 258 patients divided into two groups. Group A composed of 158 type 2 diabetic patients with coexistent coronary artery disease (stenotic lesions of 50%) (78 women, 80 men; mean age 53.9_10.8; mean diabetes duration 13.1_6.0). One hundred subjects (48 women, 52 men; mean age 53.9_11) without type 2 diabetes with normal coronary angiographies were taken as the control group (group B). To evaluate the extension of CHD, Gensini scoring system was used.
Results:
The MPV was significantly different in the patient group compared to the controls (9.79 +/- 1.5 fl vs 8.3 +/- 0.9 fl, P<0.001). The existence of CHD was associated with MPV with odds ratio (95% CI) of 2.31 (1.55-4.42, p50.001).
Conclusion:
We have found that diabetic patients with coronary heart disease have significantly higher MPV values compared to control subjects without diabetes and with angiographically normal coronary arteries.
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