Does Mean Platelet Volume Decrease in the presence of Coronary Artery Fistula?
Isa Sincer1, Yusuf Çekici2, Mehmet Cosgun1
1Abant Izzet Baysal University Hospital, Bolu - Turkey.
Insights
Mean platelet volume (MPV) may be a useful indicator for coronary artery fistula (CAF). This study found lower MPV levels in patients with CAF, suggesting a potential diagnostic marker for this condition.
Area of Science:
- Cardiology
- Hematology
- Medical Diagnostics
Background:
- Coronary artery fistula (CAF) is an abnormal vascular connection.
- Mean platelet volume (MPV) is linked to cardiovascular diseases.
- No prior studies explored hematologic parameters in congenital CAF.
Purpose of the Study:
- To investigate the association between MPV and congenital CAF.
- To determine if MPV can serve as a predictor for CAF.
Main Methods:
- Compared MPV levels in 50 CAF patients versus 70 controls.
- Utilized routine blood tests and biochemical parameters.
- Employed t-test, Mann-Whitney test, regression, and Pearson's correlation analyses.
Main Results:
- CAF patients exhibited significantly lower MPV levels (p < 0.001).
- MPV was a significant independent predictor of CAF (p < 0.001).
- An MPV cutoff of < 9.6 fL demonstrated 80% sensitivity and 68% specificity for CAF prediction.
Conclusions:
- MPV levels are decreased in patients with CAF.
- MPV may serve as a potential diagnostic biomarker for CAF.
Background:
Coronary artery fistula (CAF) is an abnormal connection that links a coronary artery to a cardiac chamber or another major blood vessel. Several studies have shown the association between mean platelet volume (MPV) and cardiovascular diseases. In the literature, there is no previous study about the association between hematologic parameters and congenital CAF. For this reason, we aimed to investigate the association of MPV with CAF.
Methods:
70 patients with normal coronary arteries and 50 with coronary artery fistulas were included. Routine blood and biochemical parameters were measured before the arteriography. Differences between groups for continuous variables were analyzed with t- test or Mann-Whitney test. P values < 0.05 were considered significant. Regression analysis was used to find independent predictors of CAF.
Results:
Baseline patient demographics, including age and clinical risk factors, were similar between the groups. Compared to the control group, median (IQR) High-density lipoprotein cholesterol (HDL) levels were significantly higher (p=0.04) and MPV levels were significantly lower in the CAF group (8.84 ± 1.71fL vs. 10.43 ± 1.34, p < 0.001). In the multivariate analysis, only MPV was a significant predictor of CAF (p < 0.001, 95% CI for OR: 0.438 (0.306-0.629). A negative correlation was found between MPV and fistulae in Pearson's correlation test (r: -0.454, p < 0.001). An MPV level of < 9,6 fL showed sensitivity, specificity, positive predictive value and negative predictive value of 80%, 68%, 71% and 78% respectively (AUC = 0.766, 95% CI, 0.678-0.854) for the prediction of CAF.
Conclusion:
The present study suggests that MPV may decrease in patients with CAF.
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