Mean platelet volume as a predictor of cardiovascular risk: a systematic review and meta‐analysis

See also Machin SJ, Briggs C. Mean platelet volume: a quick, easy determinant of thrombotic risk? This issue, pp 146–7. Summary.  Aim:  To determine whether an association exists between mean platelet volume (MPV) and acute myocardial infarction (AMI) and other cardiovascular events. Platelet activi...

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Veröffentlicht in:Journal of thrombosis and haemostasis 2010-01, Vol.8 (1), p.148-156
Hauptverfasser: CHU, S. G., BECKER, R. C., BERGER, P. B., BHATT, D. L., EIKELBOOM, J. W., KONKLE, B., MOHLER, E. R., REILLY, M. P., BERGER, J. S.
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container_end_page 156
container_issue 1
container_start_page 148
container_title Journal of thrombosis and haemostasis
container_volume 8
creator CHU, S. G.
BECKER, R. C.
BERGER, P. B.
BHATT, D. L.
EIKELBOOM, J. W.
KONKLE, B.
MOHLER, E. R.
REILLY, M. P.
BERGER, J. S.
description See also Machin SJ, Briggs C. Mean platelet volume: a quick, easy determinant of thrombotic risk? This issue, pp 146–7. Summary.  Aim:  To determine whether an association exists between mean platelet volume (MPV) and acute myocardial infarction (AMI) and other cardiovascular events. Platelet activity is a major culprit in atherothrombotic events. MPV, which is widely available in clinical practice, is a potentially useful biomarker of platelet activity in the setting of cardiovascular disease. Methods and Results: We performed a systematic review and meta‐analysis investigating the association between MPV and AMI, all‐cause mortality following myocardial infarction, and restenosis following coronary angioplasty. Results were pooled using random‐effects modeling. Pooled results from 16 cross‐sectional studies involving 2809 patients investigating the association of MPV and AMI indicated that MPV was significantly higher in those with AMI than those without AMI [mean difference 0.92 fL, 95% confidence interval (CI) 0.67–1.16, P 
doi_str_mv 10.1111/j.1538-7836.2009.03584.x
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G. ; BECKER, R. C. ; BERGER, P. B. ; BHATT, D. L. ; EIKELBOOM, J. W. ; KONKLE, B. ; MOHLER, E. R. ; REILLY, M. P. ; BERGER, J. S.</creator><creatorcontrib>CHU, S. G. ; BECKER, R. C. ; BERGER, P. B. ; BHATT, D. L. ; EIKELBOOM, J. W. ; KONKLE, B. ; MOHLER, E. R. ; REILLY, M. P. ; BERGER, J. S.</creatorcontrib><description>See also Machin SJ, Briggs C. Mean platelet volume: a quick, easy determinant of thrombotic risk? This issue, pp 146–7. Summary.  Aim:  To determine whether an association exists between mean platelet volume (MPV) and acute myocardial infarction (AMI) and other cardiovascular events. Platelet activity is a major culprit in atherothrombotic events. MPV, which is widely available in clinical practice, is a potentially useful biomarker of platelet activity in the setting of cardiovascular disease. Methods and Results: We performed a systematic review and meta‐analysis investigating the association between MPV and AMI, all‐cause mortality following myocardial infarction, and restenosis following coronary angioplasty. Results were pooled using random‐effects modeling. Pooled results from 16 cross‐sectional studies involving 2809 patients investigating the association of MPV and AMI indicated that MPV was significantly higher in those with AMI than those without AMI [mean difference 0.92 fL, 95% confidence interval (CI) 0.67–1.16, P &lt; 0.001). In subgroup analyses, significant differences in MPV existed between subjects with AMI, subjects with stable coronary disease (P &lt; 0.001), and stable controls (P &lt; 0.001), but not vs. those with unstable angina (P = 0.24). Pooled results from three cohort studies involving 3184 patients evaluating the risk of death following AMI demonstrated that an elevated MPV increased the odds of death as compared with a normal MPV (11.5% vs. 7.1%, odds ratio 1.65, 95% CI 1.12–2.52, P = 0.012). Pooled results from five cohort studies involving 430 patients who underwent coronary angioplasty revealed that MPV was significantly higher in patients who developed restenosis than in those who did not develop restenosis (mean difference 0.98 fL, 95% CI 0.74–1.21, P &lt; 0.001). Conclusions: Elevated MPV is associated with AMI, mortality following myocardial infarction, and restenosis following coronary angioplasty. These data suggest that MPV is a potentially useful prognostic biomarker in patients with cardiovascular disease. Whether the relationship is causal, and whether MPV should influence practice or guide therapy, remains unknown.</description><identifier>ISSN: 1538-7933</identifier><identifier>ISSN: 1538-7836</identifier><identifier>EISSN: 1538-7836</identifier><identifier>DOI: 10.1111/j.1538-7836.2009.03584.x</identifier><identifier>PMID: 19691485</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Aged ; Angioplasty, Balloon, Coronary - adverse effects ; Angioplasty, Balloon, Coronary - mortality ; Blood Platelets - pathology ; Cell Size ; Coronary Artery Disease - blood ; Coronary Artery Disease - mortality ; Coronary Artery Disease - therapy ; Coronary Restenosis - blood ; Coronary Restenosis - etiology ; Coronary Restenosis - mortality ; Female ; Humans ; Linear Models ; Male ; mean platelet volume ; meta‐analysis ; Middle Aged ; mortality ; myocardial infarction ; Myocardial Infarction - blood ; Myocardial Infarction - etiology ; Myocardial Infarction - mortality ; Odds Ratio ; Platelet Count ; Platelet Function Tests ; platelets ; Predictive Value of Tests ; Prognosis ; Risk Assessment ; Risk Factors</subject><ispartof>Journal of thrombosis and haemostasis, 2010-01, Vol.8 (1), p.148-156</ispartof><rights>2009 International Society on Thrombosis and Haemostasis</rights><rights>2009 International Society on Thrombosis and Haemostasis 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6254-e045ad07c3d9a4d515bda2e220a746a15f7f0f70f2360c45f97330af7d041df33</citedby><cites>FETCH-LOGICAL-c6254-e045ad07c3d9a4d515bda2e220a746a15f7f0f70f2360c45f97330af7d041df33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19691485$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CHU, S. G.</creatorcontrib><creatorcontrib>BECKER, R. C.</creatorcontrib><creatorcontrib>BERGER, P. B.</creatorcontrib><creatorcontrib>BHATT, D. L.</creatorcontrib><creatorcontrib>EIKELBOOM, J. W.</creatorcontrib><creatorcontrib>KONKLE, B.</creatorcontrib><creatorcontrib>MOHLER, E. R.</creatorcontrib><creatorcontrib>REILLY, M. P.</creatorcontrib><creatorcontrib>BERGER, J. S.</creatorcontrib><title>Mean platelet volume as a predictor of cardiovascular risk: a systematic review and meta‐analysis</title><title>Journal of thrombosis and haemostasis</title><addtitle>J Thromb Haemost</addtitle><description>See also Machin SJ, Briggs C. Mean platelet volume: a quick, easy determinant of thrombotic risk? This issue, pp 146–7. Summary.  Aim:  To determine whether an association exists between mean platelet volume (MPV) and acute myocardial infarction (AMI) and other cardiovascular events. Platelet activity is a major culprit in atherothrombotic events. MPV, which is widely available in clinical practice, is a potentially useful biomarker of platelet activity in the setting of cardiovascular disease. Methods and Results: We performed a systematic review and meta‐analysis investigating the association between MPV and AMI, all‐cause mortality following myocardial infarction, and restenosis following coronary angioplasty. Results were pooled using random‐effects modeling. Pooled results from 16 cross‐sectional studies involving 2809 patients investigating the association of MPV and AMI indicated that MPV was significantly higher in those with AMI than those without AMI [mean difference 0.92 fL, 95% confidence interval (CI) 0.67–1.16, P &lt; 0.001). In subgroup analyses, significant differences in MPV existed between subjects with AMI, subjects with stable coronary disease (P &lt; 0.001), and stable controls (P &lt; 0.001), but not vs. those with unstable angina (P = 0.24). Pooled results from three cohort studies involving 3184 patients evaluating the risk of death following AMI demonstrated that an elevated MPV increased the odds of death as compared with a normal MPV (11.5% vs. 7.1%, odds ratio 1.65, 95% CI 1.12–2.52, P = 0.012). Pooled results from five cohort studies involving 430 patients who underwent coronary angioplasty revealed that MPV was significantly higher in patients who developed restenosis than in those who did not develop restenosis (mean difference 0.98 fL, 95% CI 0.74–1.21, P &lt; 0.001). Conclusions: Elevated MPV is associated with AMI, mortality following myocardial infarction, and restenosis following coronary angioplasty. These data suggest that MPV is a potentially useful prognostic biomarker in patients with cardiovascular disease. Whether the relationship is causal, and whether MPV should influence practice or guide therapy, remains unknown.</description><subject>Aged</subject><subject>Angioplasty, Balloon, Coronary - adverse effects</subject><subject>Angioplasty, Balloon, Coronary - mortality</subject><subject>Blood Platelets - pathology</subject><subject>Cell Size</subject><subject>Coronary Artery Disease - blood</subject><subject>Coronary Artery Disease - mortality</subject><subject>Coronary Artery Disease - therapy</subject><subject>Coronary Restenosis - blood</subject><subject>Coronary Restenosis - etiology</subject><subject>Coronary Restenosis - mortality</subject><subject>Female</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Male</subject><subject>mean platelet volume</subject><subject>meta‐analysis</subject><subject>Middle Aged</subject><subject>mortality</subject><subject>myocardial infarction</subject><subject>Myocardial Infarction - blood</subject><subject>Myocardial Infarction - etiology</subject><subject>Myocardial Infarction - mortality</subject><subject>Odds Ratio</subject><subject>Platelet Count</subject><subject>Platelet Function Tests</subject><subject>platelets</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><issn>1538-7933</issn><issn>1538-7836</issn><issn>1538-7836</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc9u1DAQhyMEoqXwCsgnOG3w3zhBAglVQEFFXMrZmtpj8OLEi51suzcegWfkSUjYpcAF4YtHmm9-Y-urKsJozebzZF0zJdqVbkVTc0q7mgrVyvr6VnV807j9q-6EOKrulbKmlHWK07vVEeuajslWHVf2HcJANhFGjDiSbYpTjwQKAbLJ6IIdUybJEwvZhbSFYqcImeRQPj-dmbIrI_YwBksybgNeERgc6XGE71-_wQBxV0K5X93xEAs-ONwn1YdXLy9Oz1bn71-_OX1xvrINV3KFVCpwVFvhOpBOMXXpgCPnFLRsgCmvPfWaei4aaqXynRaCgteOSua8ECfV833uZrrs0VkcxgzRbHLoIe9MgmD-7gzhk_mYtkZopWTXzAGPDwE5fZmwjKYPxWKMMGCaipn3KSkavqx69E-SMyE503QG2z1ocyolo795DqNmcWnWZtFkFmVmcWl-ujTX8-jDP7_ze_Agbwae7YGrEHH338Hm7cXZUokfFlSwdg</recordid><startdate>201001</startdate><enddate>201001</enddate><creator>CHU, S. 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S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mean platelet volume as a predictor of cardiovascular risk: a systematic review and meta‐analysis</atitle><jtitle>Journal of thrombosis and haemostasis</jtitle><addtitle>J Thromb Haemost</addtitle><date>2010-01</date><risdate>2010</risdate><volume>8</volume><issue>1</issue><spage>148</spage><epage>156</epage><pages>148-156</pages><issn>1538-7933</issn><issn>1538-7836</issn><eissn>1538-7836</eissn><abstract>See also Machin SJ, Briggs C. Mean platelet volume: a quick, easy determinant of thrombotic risk? This issue, pp 146–7. Summary.  Aim:  To determine whether an association exists between mean platelet volume (MPV) and acute myocardial infarction (AMI) and other cardiovascular events. Platelet activity is a major culprit in atherothrombotic events. MPV, which is widely available in clinical practice, is a potentially useful biomarker of platelet activity in the setting of cardiovascular disease. Methods and Results: We performed a systematic review and meta‐analysis investigating the association between MPV and AMI, all‐cause mortality following myocardial infarction, and restenosis following coronary angioplasty. Results were pooled using random‐effects modeling. Pooled results from 16 cross‐sectional studies involving 2809 patients investigating the association of MPV and AMI indicated that MPV was significantly higher in those with AMI than those without AMI [mean difference 0.92 fL, 95% confidence interval (CI) 0.67–1.16, P &lt; 0.001). In subgroup analyses, significant differences in MPV existed between subjects with AMI, subjects with stable coronary disease (P &lt; 0.001), and stable controls (P &lt; 0.001), but not vs. those with unstable angina (P = 0.24). Pooled results from three cohort studies involving 3184 patients evaluating the risk of death following AMI demonstrated that an elevated MPV increased the odds of death as compared with a normal MPV (11.5% vs. 7.1%, odds ratio 1.65, 95% CI 1.12–2.52, P = 0.012). Pooled results from five cohort studies involving 430 patients who underwent coronary angioplasty revealed that MPV was significantly higher in patients who developed restenosis than in those who did not develop restenosis (mean difference 0.98 fL, 95% CI 0.74–1.21, P &lt; 0.001). Conclusions: Elevated MPV is associated with AMI, mortality following myocardial infarction, and restenosis following coronary angioplasty. These data suggest that MPV is a potentially useful prognostic biomarker in patients with cardiovascular disease. Whether the relationship is causal, and whether MPV should influence practice or guide therapy, remains unknown.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19691485</pmid><doi>10.1111/j.1538-7836.2009.03584.x</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Angioplasty, Balloon, Coronary - adverse effects
Angioplasty, Balloon, Coronary - mortality
Blood Platelets - pathology
Cell Size
Coronary Artery Disease - blood
Coronary Artery Disease - mortality
Coronary Artery Disease - therapy
Coronary Restenosis - blood
Coronary Restenosis - etiology
Coronary Restenosis - mortality
Female
Humans
Linear Models
Male
mean platelet volume
meta‐analysis
Middle Aged
mortality
myocardial infarction
Myocardial Infarction - blood
Myocardial Infarction - etiology
Myocardial Infarction - mortality
Odds Ratio
Platelet Count
Platelet Function Tests
platelets
Predictive Value of Tests
Prognosis
Risk Assessment
Risk Factors
title Mean platelet volume as a predictor of cardiovascular risk: a systematic review and meta‐analysis
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