Diagnostic value of mean Platelet Volume for Chinese Patient with Acute Coronary Syndrome Presenting to an Emergency Department in Hong Kong

Autor: CH Lo, HM Ma
Rok vydání: 2016
Předmět:
Zdroj: Hong Kong Journal of Emergency Medicine. 23:273-278
ISSN: 2309-5407
1024-9079
DOI: 10.1177/102490791602300503
Popis: Objective To determine the diagnostic value of mean platelet volume in local Chinese with acute coronary syndrome who attended emergency department in Hong Kong. Design cross sectional study. Setting emergency department of a local hospital. Methods Data of adult Chinese patients presented to a local emergency department (ED) with chest pain were retrieved from 1st October 2010 to 31st October 2010. Blood test for mean platelet volume (MPV) was drawn, and its relationship with development of acute coronary syndrome (ACS) was studied. Results 429 patients were enrolled and 77 (17.9%) of them were diagnosed to have ACS. Non-statistically significant trend of elevated MPV was observed in ACS group vs non ACS group (8.0±1.12 fL vs. 7.8±1.03 fL, p=0.06). Subgroup analysis was performed on patients presented within 4 hours of onset of chest pain. Both MPV and adjusted MPV were higher in ACS group (pConclusions Adjusted-MPV is higher in ACS within 4 hour of presentation, but the discriminating power is not adequate. Further study is needed to validate the cut-off level and its clinical applicability.
Databáze: OpenAIRE