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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Mean Platelet Volume in Patients with Acute Coronary Syndromes: A Supportive Diagnostic Predictor
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Mean Platelet Volume in Patients with Acute Coronary Syndromes: A Supportive Diagnostic Predictor

机译:急性冠状动脉综合征患者的平均血小板容量:支持性诊断指标。

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Background: Platelets and their activity have a crucial role in acute coronary events. Larger platelets are enzymatically and metabolically more active and have a higher potential thrombotic ability as compared with smaller platelets.Objectives: The aim of this study is to investigate whether there is an association between mean platelet volume (MPV) measurement and cardiac Troponin I( cTn I ) in patients admitted with a suspected diagnosis of ACS and to assess the potential diagnostic efficiency of MPV in the diagnostic workup for ACS.Materials and Methods: After thorough evaluation of 215 eligible patients, 3 ml. Venous blood collected using Becton, Dickinson and company vacutainer and MPV measured within 1-2 hr of sample collection. Sample for cTn I collected at 6 hr and at 12 hrs, if required and level measured using Biosite analyzer.Results: Mean platelet volume (MPV) was found to be higher among ACS patients as compared to non ACS, 11.44±1.23 vs 9.91±1.27 fl (p-value<0.001). The NPV of MPV in the diagnostic workup of chest pain suggestive of ACS within 6 hours of presentation were found to be 82.53%.Conclusion: In this study the MPV is significantly higher in patients with ACS than in those with chest pain of non-cardiac origin and its negative predictive value of 82.53%, it might be useful as an assisting rule-out test in conjunction with other markers in the early prediction of the risk of ACS.
机译:背景:血小板及其活性在急性冠脉事件中起着至关重要的作用。与较小的血小板相比,较大的血小板具有更高的酶和代谢活性,并且具有更高的潜在血栓形成能力。目的:本研究旨在研究平均血小板体积(MPV)测量值与心肌肌钙蛋白I(cTn)之间是否存在关联I)在怀疑患有ACS的患者中入院,并评估MPV在ACS诊断过程中的潜在诊断效率。材料和方法:在对215名合格患者进行彻底评估后,使用3 ml。使用Becton,Dickinson和公司真空容器收集的静脉血和MPV在样品收集的1-2小时内进行测量。如果需要,使用Biosite分析仪在6小时和12小时收集cTn I样品,并使用Biosite分析仪测量其水平。结果:发现ACS患者的平均血小板体积(MPV)高于非ACS患者,分别为11.44±1.23和9.91± 1.27 fl(p值<0.001)。结果发现,在出现胸痛的6小时内提示ACS的MPV的NPV为82.53%。结论:本研究中ACS患者的MPV明显高于非胸痛的MPV。 -心脏起源,其阴性预测值为82.53%,它可能与其他标记一起作为辅助排除试验对ACS风险的早期预测有用。

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