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Mean platelet volume in patients with dilated cardiomyopathy: does it have a role in left ventricular thrombus
Gulacan Tekin1, Nasir Sivri, Yusuf Kenan Tekin
1Department of Cardiology, Bozok University Faculty of Medicine, Yozgat, Turkey. gulacantekin@hotmail.com
Insights
Patients with dilated cardiomyopathy (DCMP) show increased mean platelet volume (MPV), indicating heightened platelet activation. Elevated MPV in DCMP patients with left ventricle (LV) thrombus was similar to those without LV thrombus.
Area of Science:
- Cardiology
- Hematology
- Biochemistry
Background:
- Dilated cardiomyopathy (DCMP) is a significant cause of heart failure.
- Left ventricle (LV) thrombus formation is a known complication of DCMP.
- Platelet activation markers, such as mean platelet volume (MPV), may play a role in DCMP pathophysiology.
Purpose of the Study:
- To investigate the association between mean platelet volume (MPV) and dilated cardiomyopathy (DCMP).
- To explore the relationship between MPV and left ventricle (LV) thrombus formation in DCMP patients.
Main Methods:
- Clinical, echocardiographic, hematological, and biochemical parameters were assessed.
- A cohort of 251 DCMP patients and 266 control individuals were studied.
- MPV levels were compared between DCMP patients and controls, and within DCMP patients stratified by the presence of LV thrombus.
Main Results:
- Mean platelet volume (MPV) was significantly higher in DCMP patients compared to controls (P < .05).
- DCMP patients with LV thrombus (n=19) exhibited a higher prevalence of smokers and lower ejection fraction compared to those without LV thrombus (n=232).
- MPV levels in DCMP patients with LV thrombus were comparable to those without LV thrombus.
Conclusions:
- Elevated MPV in DCMP patients suggests increased platelet activation.
- While MPV is higher in DCMP, it does not appear to be a differentiating factor for LV thrombus formation within this patient group.
Abstract:
We assessed the clinical echocardiograhic, hematological, and biochemical parameters in patients with dilated cardiomyopathy (DCMP) and control individuals mainly focusing on the mean platelet volume (MPV) in terms of DCMP and left ventricle (LV) thrombus formation. Consecutive patients (n = 251) with DCMP and 266 patients without DCMP were studied. Mean platelet volume was significantly greater in patients with DCMP than in control patients (P < .05 for all comparisons). Comparing DCMP patients with LV thrombus (19 patients, 8%) and without LV thrombus (232 patients, 92%) showed that the prevalence of smokers was significantly higher and ejection fraction was significantly lower in patients with LV thrombus. We have shown that patients with DCMP have significantly higher MPV suggesting more platelet activation and the MPV of patients with DCMP and LV thrombus is comparable to those of patients without LV thrombus.
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