Key result
Isolated coronary artery ectasia is not linked to differences in MPV, GGT, or uric acid.
Why the study?
The association between mean platelet volume, gamma-glutamyltransferase, uric acid levels and coronary artery ectasia in a large patient population was unclear.
Is there an association between isolated coronary artery ectasia and elevated levels of mean platelet volume, gamma-glutamyltransferase, and uric acid?
Observational (n=406)
Is there an association between isolated coronary artery ectasia and elevated levels of mean platelet volume, gamma-glutamyltransferase, and uric acid?
Absolute Event Rate: 8.6% vs 8.6%
p-value: p=0.993
Contrary to previous studies, this analysis found no significant association between isolated coronary artery ectasia and levels of MPV, GGT, or uric acid.
Does not support biomarker screening for ectasia in practice; challenges prior observational links and leaves the question open for prospective studies.
OBJECTIVES: In this study, we aimed to investigate whether there is an association between mean platelet volume (MPV), gamma-glutamyltransferase (GGT) and uric acid and coronary artery ectasia (CAE) in a large patient population. STUDY DESIGN: A total of 406 patients (245 male, 161 female; mean age: 55±9 years) were selected retrospectively as the study population from among 3265 individuals who underwent coronary angiography between August 2011 and December 2012. Information regarding blood tests of the patients obtained during hospitalization was extracted from the institute electronic database. RESULTS: MPV, GGT and uric acid levels were significantly higher in subjects with stenotic coronary artery disease (CAD) and in subjects with both CAD and CAE compared with subjects with isolated CAE and subjects with normal coronary arteries (NCA). There were no significant differences between the isolated CAE and NCA groups in terms of MPV (8.6±1.2 fL vs. 8.6±1.1, respectively, p=0.993), serum GGT (33±15 U/L vs. 30±15 U/L, respectively, p=0.723) and uric acid levels (5.4±1.6 mg/dl vs. 5.2±1.7 mg/dl, respectively, p=0.845). CONCLUSION: Unlike previous studies, our study failed to demonstrate any association between CAE and MPV, uric acid and GGT levels.
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Şarlı et al. (2013) conducted an observational in Coronary artery ectasia (n=406). Isolated coronary artery ectasia vs. Normal coronary arteries was evaluated on Mean platelet volume (MPV) (p=0.993). Isolated coronary artery ectasia was not significantly associated with differences in mean platelet volume (8.6 vs 8.6 fL, p=0.993), GGT, or uric acid levels compared to normal coronary arteries.
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