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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Exercise-Based Cardiac Rehabilitation Has a Strong Relationship with Mean Platelet Volume Reduction
İsmet Durmuş1, Ezgi Kalaycıoğlu1, Mustafa Çetin2
1University of Health Sciences Turkey , Ahi Evren Chest and Cardiovascular Surgery Education and Research Hospital , Trabzon - Turquia.
Insights
Exercise-based cardiac rehabilitation significantly reduces mean platelet volume (MPV), a marker of platelet activation, in patients with coronary artery disease (CAD). This suggests CR may lower thrombotic risk in stable CAD patients.
Area of Science:
- Cardiovascular Research
- Hematology
- Exercise Physiology
Background:
- Mean platelet volume (MPV) is a measure of platelet activation relevant to cardiovascular research.
- Exercise-based cardiac rehabilitation (CR) improves outcomes in coronary artery disease (CAD) patients.
- Previous studies on exercise and platelet activation have shown mixed results.
Purpose of the Study:
- To investigate the effect of exercise-based CR programs on MPV in stable CAD patients.
Main Methods:
- 300 stable CAD patients were divided into CR and non-CR groups.
- Blood analysis was performed to measure MPV.
- Point-Biserial correlation was used to assess the relationship between MPV change and CR.
Main Results:
- MPV decreased significantly more in the CR group compared to the non-CR group (p<0.001).
- MPV reduction showed a strong positive correlation with CR participation (r=0.750, p<0.001).
- MPV changes correlated with changes in neutrophils, triglycerides, LDL-c, WBC, and CRP.
Conclusions:
- Exercise-based CR is strongly associated with reduced MPV in CAD patients.
- Decreased platelet activation through CR may reduce thrombotic risk in stable CAD.
Background:
Mean platelet volume (MPV), which is a simple measure of platelet activation, has recently become an interesting topic in cardiovascular research. Exercise-based cardiac rehabilitation (CR) is a comprehensive intervention that decreases mortality-morbidity in patients with coronary artery disease (CAD). Studies on the effects of exercise on platelet activation have yielded conflicting results.
Objective:
The purpose of this study was to determine the effect of an exercise-based CR programs on MPV in patients with stable CAD.
Methods:
The sample was composed of 300 consecutive stable CAD patients. The patients were divided into two groups: CR group (n = 97) and non-CR group (n = 203). Blood analysis was performed. Point-Biserial correlation measures were performed to show correlation between MPV change and CR. A p value of <0.05 was considered statistically significant.
Results:
The decrease in MPV was greater in the CR group than in the non-CR group [(-1.10(-1.40-(-0.90)) vs. (-0.10 (-2.00-0.00)); p< 0.001]. ΔMPV had a positive correlation with Δ neutrophil (r = 0.326, p < 0.001), ΔTG (r = 0.439, p < 0.001), ΔLDL-c (r = 0.478, p < 0.001), ΔWBC (r = 0.412, p < 0.001), and ΔCRP (r = 0.572, p < 0.001). A significant correlation was found between ΔMPV% and CR (r=0.750, p<0.001).
Conclusions:
We were able to show that exercise-based CR has a strong relationship with MPV reduction in patients with CAD. We consider that decreased platelet activation with exercise-based CR might play an important role in reducing thrombotic risk in patients with stable CAD. (Arq Bras Cardiol. 2020; [online].ahead print, PP.0-0).
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