Arq. Bras. Cardiol. 2019; 112(6): 720

The Search for New Prognosis Markers for Coronary Artery Disease

Filipe Welson Leal Pereira , Sergio Alberto Rupp de Paiva

DOI: 10.5935/abc.20190098

This Short Editorial is referred by the Research article "Clinical Significance of Platelet Volume and Other Platelet Parameters in Acute Myocardial Infarction and Stable Coronary Artery Disease".

There is growing evidence that platelets play a key role in vascular atherothrombosis associated with endothelium and inflammation. Platelet activation leads to abnormalities in the surface glycoprotein expression of these cells, with subsequent aggregation and degranulation, which greatly contribute to thrombus formation. Corroborating these facts, the role played by antiplatelet agents in the treatment of atherosclerotic vascular disease is of note. In this context, a study by Ding et al. shows the association between hematological parameters, with emphasis on leukocyte and platelet indicators, and stable coronary artery disease (SCAD). The authors evaluated platelet count, total platelet mass, mean platelet volume (MPV), platelet amplitude and white blood cell and neutrophil counts of 34 patients diagnosed with SCAD and compared two groups: 50 healthy patients (control) and 31 patients with acute myocardial infarction (AMI). The diagnostic criteria used for SCAD were those established by the European Society of Cardiology guidelines from 2013. The authors mainly highlighted the association between higher values of MPV and the presence of SCAD compared with the control group.

Some previous studies have outlined the relationship between MPV and the presence of cardiovascular risk factors or acute myocardial infarction.^, The findings are not always consistent. In a systematic review of 2010, evaluating 16 cross-sectional studies, 14 presented a positive association between higher MPV values in patients with AMI compared with groups without AMI. The association between high platelet volume value and coronary artery disease (CAD) was also shown in another meta-analysis on this matter in 2014. In this last systematic review, the authors found that patients with MPV values greater than 7.3 were more likely to present CAD than those with lower values. On the other hand, Wada et al. found an association between lower MPV values and the presence of stable CAD.

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