Onur KARAKAYALI, Serkan YİLMAZ, Serdar BOZYEL, Anıl KARAKAYALI

Kardiyak Göğüs Ağrısı ve Akut Koroner Sendrom Şiddeti Ayırıcı Tanısında MPV ve Platenet/MPV Oranının Rolü

ÖZGİRİŞ ve AMAÇ: Acil servise başvuran hastalarda akut koroner sendrom ve kardiyak / kardiyak olmayan göğüs ağrısının ayırıcı tanısı ile kritik vaskuler stenozun öngörülmesinde mortalite üzerine bağımsız bir belirteç olarak mean platelet volum (MPV) ve trombosit / MPV oranının etkinliğini araştırmak.YÖNTEM ve GEREÇLER: Retrospektif gözlemsel çalışmaya göğüs ağrısı ile acil servise başvuran 45 yaş ve üstü hastalar dahil edildi. Hastalar kardiyak / kardiyak olmayan göğüs ağrısı olarak gruplara ayrıldı. MPV, trombosit/ MPV oranı, koroner anjiyografi sonuçları, hastane içi ve 1 aylık hastane mortalitesi kaydedildi.BULGULAR: Çalışmaya katılan 753 hastanın %37,46'sında kardiyak patoloji tespit edildi. Tüm hastaların yaş ortalaması 60,1 ve tüm hastaların % 59'u erkekti. Kardiyak ve kardiyak olmayan hastalar arasında trombosit, Mean platelet volum (MPV) ve trombosit / MPV değerleri açısından istatistiksel olarak anlamlı bir fark saptanmıştır (sırasıyla p = 0.005, p

Role of MPV and Platelet/MPV Ratio in The Diagnosis of Cardiac Dilemma; Cardiac or Non-Cardiac Chest Pain, and Severity of Acute Coronary Syndrome

ABSTRACTINTRODUCTION: We aimed to investigate effectiveness of mean platelets volume (MPV) and platelet/MPV ratio as an independent marker on mortality for prediction of critical vascular stenosis in the differential diagnosis of acute coronary syndrome andcardiac/non-cardiac chest pain in patients presenting to the emergency department.METHODS: Retrospective observational study included patients of 45 years of age and above presented to the ED with chest pain. Patients were divided into groups with cardiac/non-cardiac chest pain. MPV, platelets/MPV ratio, coronary anjıography results, inhospital and 1-month hospital mortality were recordedRESULTS: A total of 753 patients; Cardiac pathology was determined in 282 (37.46%). The mean age was determined as 60.1 years and 59% were male. A statistically significant difference was detected between cardiac and non-cardiac patients with regard to platelet, MPV and plt/MPV values (p=0.005, p

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