Evidence map›Paper›PMID 25870706›Full record

ArticleJournal of medicine and life2014

Mean platelet volume variability in young patients with non-ST elevation acute myocardial infarction.

A M Andronescu, C Delcea, V Enache, C S Stamate, M Dorobanțu

Abstract read
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Article in Journal of medicine and life, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

A M AndronescuInternal Medicine and Cardiology Department, "Sf. Pantelimon" Emergency Hospital, Bucharest, Romania ; "C. Davila" University of Medicine and Pharmacy, Bucharest, Romania.
C DelceaInternal Medicine and Cardiology Department, "Sf. Pantelimon" Emergency Hospital, Bucharest, Romania.
V EnacheInternal Medicine and Cardiology Department, "Sf. Pantelimon" Emergency Hospital, Bucharest, Romania ; "C. Davila" University of Medicine and Pharmacy, Bucharest, Romania.
C S StamateInternal Medicine and Cardiology Department, "Sf. Pantelimon" Emergency Hospital, Bucharest, Romania ; "C. Davila" University of Medicine and Pharmacy, Bucharest, Romania.
M DorobanțuInternal Medicine and Cardiology Department, Bucharest Clinical Emergency Hospital, Bucharest, Romania ; "C. Davila" University of Medicine and Pharmacy, Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPlatelet activation plays an important role in the pathophysiology of non-ST elevation acute coronary syndromes (ACS). Mean platelet volume (MPV), an indicator of platelet reactivity, was previously associated with an increased risk of acute coronary events.

objectiveTo investigate the MPV variability in young patients presenting with NSTEMI, as compared to young patients with cardiovascular risk factors and no overt ischemic cardiac disease, as well as with elderly patients presenting with NSTEMI.

methodsWe analyzed data from 174 patients admitted in our cardiology department between January 2009 and December 2010: 35 patients younger than 45 years of age with NSTEMI, 41 patients younger than 45 without ACS and 98 patients older than 45 with NSTEMI.

resultsYoung patients with NSTEMI had a significantly higher mean MPV (8.88 ± 1.14fl) than young patients without ACS (8.31 ± 0.37fl, p<0.01), while the older subjects with NSTEMI had the highest mean MPV (9.48 ± 1.35fl, p=0.02). MPV correlated with age (r=0.375, p<0.0001). After a multivariate analysis, elevated levels of MPV were independent predictors of NSTEMI in young patients (odds ratio [OR] 2.75, 95% CI 1.04-7.92, p=0.04), while hypertension (OR 0.34, 95% CI 0.6-1.78, p=0.20), dyslipidemia (OR 1.61, 95% CI 0.17-14.51, p=0.67), obesity (OR 5.77, 95% CI 0.80-41.53, p=0.08) and smoking status (OR 8.97, 95% CI 0.84-95.26, p=0.06) were not.

conclusionNSTEMI is associated with high MPV in old as well as in young patients. Elevated MPV is predictive for NSTEMI in young patients, separately of a high cardiovascular risk profile.

Indexed as

Mean Platelet VolumeAdultAge FactorsElectrocardiographyFemaleHumansMaleMiddle AgedMyocardial Infarctioncardiovascular risk factorsmean platelet volumenon-ST elevation myocardial infarctionyoung

Identifiers

PMID25870706
PMCPMC4391403

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.