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Updated: May 1, 2026

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
Elevated mean platelet volume is associated with silent cerebral infarction
1Department of Neurology, The Second Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang, China.
Mean platelet volume (MPV) is significantly higher in patients with silent cerebral infarction (SCI). This finding suggests MPV may serve as a novel indicator for predicting SCI risk.
Area of Science:
- Neurology
- Hematology
- Vascular Medicine
Background:
- Silent cerebral infarction (SCI) is a known risk factor for stroke, cardiovascular disease, and dementia.
- Mean platelet volume (MPV) reflects platelet activation and links inflammation with thrombosis.
- Elevated MPV is associated with increased risk of cardiovascular events, stroke, and mortality.
Purpose of the Study:
- To investigate the relationship between mean platelet volume (MPV) and the presence of silent cerebral infarction (SCI).
- To determine if MPV levels differ between individuals with and without SCI.
Main Methods:
- A cross-sectional study involving 2215 participants (1385 men, 830 women).
- Evaluation of the association between MPV levels and SCI.
- Multivariate logistic regression analysis to assess SCI risk across MPV quartiles.
Main Results:
- Participants with SCI exhibited significantly higher MPV levels (10.4 ± 1.3 fL) compared to those without SCI (9.2 ± 1.2 fL; P < 0.001).
- A higher prevalence of SCI was observed in individuals with elevated MPV.
- Multivariate analysis showed a dose-dependent increase in SCI risk with higher MPV quartiles (ORs ranging from 2.131 to 7.822; P < 0.001).
Conclusions:
- Mean platelet volume (MPV) is a significant and novel indicator for silent cerebral infarction (SCI).
- MPV's association with SCI is independent of traditional cardiovascular risk factors.
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