STUDY OF CORRELATION OF PLATELET INDICES IN THE MANAGEMENT OF CORONARY ARTERY DISEASE

Authors

  • MOHAMMED IMRAN KHAN Department of Medicine, Chirayu Medical College and Hospital Bhopal, Madhya Pradesh, India.
  • AIZAZ FATIMA Department of Pathology, Chirayu Medical College and Hospital Bhopal, Madhya Pradesh, India
  • SURYA TIWARI Department of Biochemistry, Chirayu Medical College and Hospital Bhopal, Madhya Pradesh, India

DOI:

https://doi.org/10.22159/ajpcr.2024.v17i2.50541

Keywords:

Coronary artery disease, Platelet indices, Mean platelet volume, Platelet distribution width, Total platelet count

Abstract

Objectives: The current study aimed to assess whether platelet parameters are associated with the severity of coronary artery disease (CAD) and may be regarded as risk factors; therefore, this study was done to evaluate platelet parameters in patients with CAD.

Methods: This study was carried out in the Department of Medicine of Index Medical College, Hospital and Research Center. 60 CAD patients were enrolled in the study and were compared with 60 normal, healthy individuals of the same age. Those fulfilling inclusion and exclusion criteria were enrolled in the study, and the blood samples were analyzed for platelet indices firstly at the time of admission and then repeated following antiplatelet
therapy.

Results: Significantly higher concentrations of mean platelet volume (p<0.001) and platelet distribution width (p<0.001) were found in cases beforetreatment when compared with the controls. A significantly lower value of total platelet count (p<0.001) was found in cases before treatment when compared with the controls.

Conclusion: Platelets have been associated with the development of cardiovascular diseases such as atherosclerosis and its severe outcomes such as acute myocardial infarction, unstable angina, and sudden cardiac death. The evaluation of platelet indices is considered an important factor in determining the functionality of platelets and is recognized as a promising risk indicator for atherothrombosis.

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References

Van der Meijden PE, Heemskerk JW. Platelet biology and functions: new concepts and clinical perspectives. Nat Rev Cardiol. 2019;16:166-79.

Nagareddy PR, Noothi SK, Flynn MC, Murphy AJ. It’s reticulated: the liver at the heart of atherosclerosis. J Endocrinol. 2018;238:R1-11.

Kaplan ZS, Jackson SP. The role of platelets in atherothrombosis. Hematology Am Soc Hematol Educ Program. 2011;2011:51-61.

Brydon L, Magid K, Steptoe A. Platelets, coronary heart disease, and stress. Brain Behav Immun. 2006;20:113-9.

Ae R, Abrams JY, Maddox RA, Schonberger LB, Nakamura Y, Shindo A, et al. Platelet count variation and risk for coronary artery abnormalities in Kawasaki disease. Pediatr Infect Dis J. 2020;39:197-203.

Ding L, Sun L, Wang F, Zhu L, Zhang T, Hua F. Clinical significance of platelet volume and other platelet parameters in acute myocardial infarction and stable coronary artery disease. Arq Bras Cardiol.

;112:715-9.

Corash L, Tan H, Grolnick HR. Heterogeneity of human whole blood platelet subpopulations. I. Relationship between buoyant density, cell volume and ultrastructure. Blood. 1977;49:71-87.

Thompson CB, Eaton KA, Princiotta SM, Rushin CA, Valeri CR. Size‐dependent platelet subpopulation: relationship of platelet volume to ultrastructure, enzymatic activity and function. Br J Haematol.

;50:509-20.

Karpatkin S. Heterogeneity of human platelets. I. Metabolic and kinetic evidence suggestive of young and old platelets. J Clin Invest. 1969;48:1073-82.

Chu SG, Becker RC, Berger PB, Bhatt DL, Eikelboom JW, Konkle B, et al. Mean platelet volume as a predictor of cardiovascular risk: a systematic review and meta-analysis. J Thromb Haemost. 2010;8:148-56.

Sansanayudh N, Numthavaj P, Muntham D, Yamwong S, McEvoy M, Attia J, et al. Prognostic effect of mean platelet volume in patients with coronary artery disease. A systematic review and meta-analysis.

Thromb Haemost. 2015;114:1299-309.

Trip MD, Cats VK, van Capelle FJ, Vreeken J. Platelet hyperreactivity and prognosis in survivors of myocardial infarction. N Engl J Med. 1990;322:1549-54.

Budak YU, Polat M, Huysal K. The use of platelet indices, plateletcrit, mean platelet volume and platelet distribution width in emergency non-traumatic abdominal surgery: a systematic review. Biochem Med

(Zagreb). 2016;26:178-93.

Tsiara S, Elisaf M, Jagroop IA, Mikhailidis DP. Platelets as predictorsof vascular risk: is there a practical index of platelet activity? Clin Appl Thromb Hemost. 2003;9:177-90.

Vagdatli E, Gounari E, Lazaridou E, Katsibourlia E, Tsikopoulou F, Labrianou I. Platelet distribution width: a simple, practical and specific marker of activation of coagulation. Hippokratia. 2010;14:28-32.

Endler G, Klimesch A, Sunder‐Plassmann H, Schillinger M, Exner M, Mannhalter C, et al. Mean platelet volume is an independent risk factor for myocardial infarction but not for coronary artery disease. Br J Haematol. 2002;117:399-404.

Willoughby S, Holmes A, Loscalzo J. Platelets and cardiovascular disease. Eur J Cardiovasc Nurs. 2002;1:273-88.

Bobescu E, Covaciu A, Rus H, Radoi M, Badea M, Moga SN, et al. Correlation of cardiovascular risk factors and biomarkers with platelet reactivity in coronary artery disease. Am J Ther.

Sep 1;26(5):e563-9.

Tian C, Song J, He D, Wu J, Sun Z, Sun Z. Predictive value of mean platelet volume/platelet count for prognosis in acute myocardial infarction. Int Heart J. 2018;59:286-92.

Wang Z, Liu C, Fang H. Blood cell parameters and predicting coronary in-stent restenosis. Angiology. 2019 Sep;70(8):711-8.

Korniluk A, Koper-Lenkiewicz OM, Kaminska J, Kemona H, DymickaPiekarska V. Mean platelet volume (MPV): new perspectives for an old marker in the course and prognosis of inflammatory conditions.

Mediators Inflamm. 2019 Oct;2019:9213074.

Akula SP, Krishna VS, Krishna JR, Srinivas B, Damera S. A study of platelet indices in acute myocardial infarction: an observational study. IOSR J Dent Med Sci. 2017;16(6):10-3.

Iqbal F, Barkataki JC. Spectrum of acute coronary syndrome in North Eastern India - A study from a major center. Indian Heart J. 2016 MarApr;68(2):128-31.

Alonso J, Bueno H, Bardaj A. Influence of sex on acute coronary syndrome mortality and treatment in Spain. Rev Esp Cardiol. 2010;8(Supl D):8-22.

Dilip C, Cholamugath S, Baby M, Pattani D. Prevalence of cardiovascular risk factors and management practices of acute coronary syndrome in a tertiary care hospital. J Basic Clin Physiol Pharmacol.

;26(6):547-54.

Hochman JS, Tamis JE, Thompson TD, Weaver WD, White HD, Van de Werf F, et al. Sex, clinical presentation, and outcome in patients with acute coronary syndromes. Global Use of strategies to

open occluded coronary 103 arteries in acute coronary syndromes IIb investigators. N Engl J Med. 1999 Jul;341(4):226-32.

Pal R, Bagarhatta R, Gulati S, Rathore M, Sharma N. Mean platelet volume in patients with acute coronary syndromes: a supportive diagnostic predictor. J Clin Diagn Res. 2014 Aug;8(8):MC01-4.

Sansanayudh N, Anothaisintawee T, Muntham D, McEvoy M, Attia J, Thakkinstian A. Mean platelet volume and coronary artery disease: a systematic review and meta-analysis. Int J Cardiol. 2014 Aug 20;175(3):433-40.

Eswaran A, Kunnath AP, Hon GM, Ayob YA, Tharmajan P. Relationship between platelet indices and coronary heart disease in Malaysian population. J Biomed Sci. 2020;9(3):6.

Patil KS, Karchi SD. A comparative study of platelet indices in acute coronary syndrome. Int J Contemp Med Res. 2017;4(3):657-660.

Khandekar MM, Khurana AS, Deshmukh SD, Kakrani AL, Katdare AD, Inamdar AK. Platelet volume indices in patients with coronary artery disease and acute myocardial infarction: an Indian scenario. J Clin Pathol. 2006 Feb;59(2):146-9.

Manchanda J, Potekar RM, Badiger S, Tiwari A. The study of platelet indices in acute coronary syndromes. Ann Pathol Lab Med. 2015;2:A31-6.

Cameron HA, Phillips R, Ibbotson RM, Carson PH. Platelet size in myocardial infarction. Br Med J (Clin Res Ed). 1983;287(6390):449-51.

Adel MH, Seyedian M, Jafarsalehi M, Najafi MH, Nourizadeh M, Mohebi M, et al. Is any correlation between platelet indices with extent of coronary artery involvement in ischemic heart diseases? Health. 2016 Aug 26;8(12):1266-74.

Akin F, Ayca B, Kose N, Altun I, Avsar M, Celik O, et al. Relation of platelet indices to severity of coronary artery disease in patients undergoing primary percutaneous coronary intervention. Perfusion.

Apr;31(3):216-22.

Bekler A, Ozkan MT, Tenekecioglu E, Gazi E, Yener AU, Temiz A, et al. Increased platelet distribution width is associated with severity of coronary artery disease in patients with acute coronary syndrome. Angiology. 2015 Aug;66(7):638-43.

Published

07-02-2024

How to Cite

MOHAMMED IMRAN KHAN, AIZAZ FATIMA, and SURYA TIWARI. “STUDY OF CORRELATION OF PLATELET INDICES IN THE MANAGEMENT OF CORONARY ARTERY DISEASE”. Asian Journal of Pharmaceutical and Clinical Research, vol. 17, no. 2, Feb. 2024, pp. 163-5, doi:10.22159/ajpcr.2024.v17i2.50541.

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Original Article(s)