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April 1, 2019Minerva Cardioangiologica

A high mean platelet volume to platelet count ratio in older NSTE-ACS patients undergoing primary PCI was associated with higher in-hospital cardiac mortality (14.7% vs. 1.3%, P<0.001).

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Why the study?

The prognostic value of the mean platelet volume to platelet count ratio for predicting in-hospital and long-term cardiac mortality in older NSTE-ACS patients after primary PCI needed investigation.

Does a high MPV/P ratio predict cardiac mortality in older NSTE-ACS patients receiving primary PCI?

Population

452 older NSTE-ACS patients who received primary PCI

Comparison

High MPV/P ratio (>0.056628) vs low MPV/P ratio (≤0.056628)

Design

Retrospective study

Follow-up

One year

Key result

A high mean platelet volume to platelet count ratio in older NSTE-ACS patients undergoing primary PCI was associated with higher in-hospital cardiac mortality (14.7% vs. 1.3%, P<0.001).

Authors

XSXiaoqiang SunHLHeng LiYZYankun Zhang

Discussion

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Member takes

Overview

High MPV/P ratio was associated with higher mortality; leaves open its value for risk stratification in older NSTE-ACS pending prospective validation.

Study Design

Type

Cohort (n=452)

Structured PICO

Does a high MPV/P ratio predict cardiac mortality in older NSTE-ACS patients receiving primary PCI?

P
Population
452 older non-ST elevation-acute coronary syndrome (NSTE-ACS) patients who received primary percutaneous coronary intervention (PCI)
I
Intervention
High mean platelet volume to platelet count (MPV/P) ratio (>0.056628, third tertile)
C
Comparator
Low MPV/P ratio (≤0.056628, lower two tertiles)
O
Outcome
In-hospital and long-term cardiac mortalityhard clinical

Main Result

Absolute Event Rate: 14.7% vs 1.3%

p-value: p=<0.001

A high mean platelet volume to platelet count ratio is an independent predictor of in-hospital and 1-year cardiac mortality in older patients with NSTE-ACS undergoing primary PCI.

Cite This Study

Sun et al. (2019) conducted a cohort in Non-ST elevation acute coronary syndrome (NSTE-ACS) (n=452). High MPV/P ratio (>0.056628) vs. Low MPV/P ratio (≤0.056628) was evaluated on In-hospital cardiac mortality (p=<0.001). A high mean platelet volume to platelet count ratio in older NSTE-ACS patients undergoing primary PCI was associated with higher in-hospital cardiac mortality (14.7% vs. 1.3%, P<0.001).

synapsesocial.com/papers/6a1d4cc71c2cbcb15c5e176dhttps://doi.org/10.23736/s0026-4725.18.04836-3
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