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Published on: February 13, 2021
Mean platelet volume and left ventricular geometry in patients with aortic valve stenosis
Satoshi Kurisu1, Tadanao Higaki1, Hiroki Ikenaga1
1a Department of Cardiovascular Medicine , Hiroshima University Graduate School of Biomedical and Health Sciences , Hiroshima , Japan.
Insights
Mean platelet volume (MPV) was elevated in patients with aortic valve stenosis (AS), correlating with disease severity. However, MPV did not reflect left ventricular geometry changes in these patients.
Area of Science:
- Cardiology
- Hematology
- Biomarkers
Background:
- Mean platelet volume (MPV) is a recognized indicator of platelet activation.
- Platelet activation markers may be relevant in cardiovascular diseases like aortic valve stenosis (AS).
Purpose of the Study:
- To compare MPV levels between patients with AS and healthy controls.
- To investigate the relationship between MPV and left ventricular geometry in AS patients.
Main Methods:
- MPV was measured in 75 AS patients and 38 age/sex-matched controls.
- Peak pressure gradient and left ventricular geometry were assessed in AS patients.
Main Results:
- MPV was significantly higher in AS patients compared to controls (10.57 ± 1.05 fl vs. 9.72 ± 0.66 fl, p < 0.001).
- A positive correlation was found between peak pressure gradient and MPV in AS patients (r = 0.35, p < 0.001).
- No significant association was observed between MPV and left ventricular geometry (including LVM index) across different geometric groups.
Conclusions:
- MPV is elevated in patients with AS and correlates with stenosis severity.
- MPV does not appear to be a reliable indicator of left ventricular geometry in AS.
Background:
Mean platelet volume (MPV) is a well-established marker of platelet activation. In the current study, we compared MPV between patients with aortic valve stenosis (AS) and control subjects. We also assessed the association between MPV and left ventricular geometry in patients with AS.
Methods And Results:
The study population consisted of 75 patients with AS and 38 age- and sex-matched control subjects. In patients with AS, peak pressure gradient was 83.0 ± 30.8 mm Hg. MPV was significantly larger in patients with AS than control subjects (10.57 ± 1.05 fl versus 9.72 ± 0.66 fl, p < 0.001). There was a significant association between peak pressure gradient and MPV in 75 patients with AS and 38 control subjects (r = 0.35, p < 0.001). Among the patients with AS, there were 12 patients with normal geometry, 10 patients with concentric remodeling, 14 patients with eccentric hypertrophy and 39 patients with concentric hypertrophy. There was no significant difference in MPV among the four groups. There was no significant association between MPV and LVM index.
Conclusions:
Our data suggested that MPV increased in patients with AS, but did not reflect left ventricular geometry.
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