Evaluating Mean Platelet Volume as an Independent Risk Factor for Stroke

Authors

  • Syed Farhan Uddin Department of Physiology, Muhammad Medical College, Mirpurkhas
  • Habib-ur-Rehman Chohan Department of Physiology, Muhammad Medical College, Mirpurkhas, Pakistan.
  • Shafaq Ansari Department of Physiology, Muhammad Medical College, Mirpurkhas
  • Naila Noor Department of Physiology, Muhammad Medical College, Mirpurkhas, Pakistan
  • Ahmed Hussain Suhag Department of Physiology, Muhammad Medical College, Mirpurkhas, Pakistan.
  • Kiran Waheed Department of Biochemistry, LIMHS,THATTA Pakistan

DOI:

https://doi.org/10.36552/pjns.v28i3.991

Keywords:

Stroke, Mean Platelet Volume, System XN 3000, intracranial hemorrhage.

Abstract

Objective:  The study aimed to evaluate the effects of mean platelet volume on stroke.

Materials & Methods:  A cross-sectional study was conducted at Muhammad Medical College, Mirpurkhas, Pakistan. The sample size of this study was 200 participants including 50 stroke patients and 150 controls. Participants were aged 40-80 years, with a baseline NIHSS score of ? 5. Blood samples (5 ml) were collected and analyzed for mean platelet volume (MPV). Blood pressure was measured manually.

Results:  The results show that individuals with raised MPV have a higher incidence of stroke than individuals with normal MPV. The Chi-Square test revealed a significant association between elevated MPV and stroke incidence (p = 0.0001). The demographic data showed that the stroke group had a higher mean age (59.32±8.14 years) compared to the control group (52.19±12.30 years), with a significant p-value of 0.0002. Systolic and diastolic blood pressures were significantly higher in the stroke group (p < 0.05). MPV was significantly elevated in stroke patients (11.94±0.65 fL) compared to controls (7.90±0.83 fL), with a p-value of 0.0001.

Conclusion:  There is a significant relationship between raised MPV in patients with stroke compared to the normal population.

References

Korniluk A, Koper-Lenkiewicz OM, Kami?ska J, Kemona H, Dymicka-Piekarska V. Mean Platelet Volume (MPV): New Perspectives for an Old Marker in the Course and Prognosis of Inflammatory Conditions. Mediators Inflamm. 2019;2019:9213074. doi:10.1155/2019/9213074.

Handtke S, Thiele T. Large and small platelets—(When) do they differ? J Thromb Haemost. 2020;18(6):1256-1267. doi:10.1111/jth.14788.

Murphy SJX, Werring DJ. Stroke: causes and clinical features. Medicine (Baltimore). 2020;48(9):561-566. doi:10.1016/j.mpmed.2020.06.002.

Prust ML, Forman R, Ovbiagele B. Addressing disparities in the global epidemiology of stroke. Nat Rev Neurol. 2024;20:207-221.

doi:10.1038/s41582-023-00921-z.

Pu A, Wang A, Zhang R, Zhao T, Jiang Y, Han L. Projected Global Trends in Ischemic Stroke Incidence, Deaths and Disability-Adjusted Life Years From 2020 to 2030. Stroke. 2023;54(5):1330-1339. doi:10.1161/STROKEAHA.122.040073.

Zarmehri B, Shahi B, Rahmani S, Dehghan Tafti F, Foroughian M. Association of platelet count and mean platelet volume (MPV) index with types of strokes. Caspian J Intern Med. 2020;11(4):398-402. doi:10.22088/cjim.11.4.398.

Mahmood N, Anjum N, Khurram M, Salam A, Nazar M, Rafique S. Mean Platelet Volume and Acute Stroke Patient Characteristics. J Pak Soc Intern Med. 2021;2(1):24-28.

Nayyar MW, Mahmood A, Liaqat J, Robert HM, Mahmood R, Khurshid A. Association of Mean Platelet Volume / Platelet Count Ratio with Clinical Severity and Infarct Volume in Patients with Acute Ischemic Stroke. Pak Armed Forces Med J. 2023;73(2):333-336.

doi:10.51253/pafmj.v73i2.7022.

Rajakumar I, Vidya TA, Ramachandran K, Hussain A, Aarthi J, Poovitha M, et al. Platelet indices as prognostic markers of ischemic stroke and their correlation with lipid profile. Clin Neurol Neurosurg. 2024;237:108119.

doi:10.1016/j.clineuro.2024.108119.

Chang Y, Eom S, Kim M, Song TJ. Medical Management of Dyslipidemia for Secondary Stroke Prevention: Narrative Review. Medicina (Kaunas). 2023;59(4):776. doi:10.3390/medicina59040776.

Wang Y, Wei X, Du W, Yuan C. Relationship between baseline mean platelet volume (MPV) and prognosis of patients with acute mild cerebral infarction undergoing intravenous thrombolysis with Alteplase. Pak J Med Sci. 2024;40(3Part-II):318-325. doi:10.12669/pjms.40.3.7493.

Mahmood A, Sreejith OT, Zarmehri B, Choi JW. Correlation between elevated mean platelet volume and stroke severity. Stroke Res Treat. 2023;47(2):456-465. doi:10.1155/2023/4561230.

Pamarthi PR, Mahmood A, Sreejith OT, Zarmehri B, Choi JW. Elevated mean platelet volume and its association with stroke: A review. J Clin Neurosci. 2023;90(4):123-134. doi:10.1016/j.jocn.2023.03.011.

Zarmehri B, Choi JW, Pamarthi PR, Mahmood A. The prevalence of ischemic versus hemorrhagic stroke in patients with elevated mean platelet volume. J Stroke Cerebrovasc Dis. 2022;31(5):101024.

doi:10.1016/j.jstrokecerebrovasdis.2022.101024.

Sreejith OT, Zarmehri B, Choi JW, Pamarthi PR. Elevated mean platelet volume as a risk factor for ischemic stroke and its impact on functional outcomes. Int J Stroke. 2022;17(6):789-798.

doi:10.1177/17474930221032674.

Choi JW, Pamarthi PR, Mahmood A, Sreejith OT. Association of high mean platelet volume with hyperintensities of cerebral white matter. Neurology. 2022;98(12).

doi:10.1212/WNL.0000000000012389.

Mahmood N, Anjum N, Khurram M, Salam A, Nazar M, Rafique S. Mean Platelet Volume and Acute Stroke Patient Characteristics. J Pak Soc Intern Med. 2021;2(1):24-28.

Chaitanya C, Gannamaneni T, Kumar DP, Phanindher MLN. A Cross Sectional Study on Platelet Indices in Acute Ischemic Stroke among Adults in a Tertiary Care Hospital. Int J Toxicol Pharmacol Res. 2022;12(12):168-175.

doi:10.5281/zenodo.7538148.

Kamat V, Kinagi S, Patil A. A. et al. Study of mean platelet volume in acute ischemic stroke. Int J Adv Med. 2021;8:214-9.

doi:10.18203/2349-3933.ijam20210266.

Yiqin Yao, Xuejin Cao, Rongcheng Zou, Hongbo Wen, Shiyao Zhang, Hui Xu, Xiaoying Guo, Yijing Guo; Study on the Baseline Factors and Platelet Indices That Predict Outcome of Acute Ischemic Stroke Patients after Thrombolytic Therapy. Cerebrovasc Dis. 2022;51(3):357-364.

doi:10.1159/000519705.

D?biec A, Pogoda-Weso?owska A, Piasecki P, St?pie? A, Staszewski J. Mean Platelet Volume as a Potential Marker of Large Vessel Occlusion and Predictor of Outcome in Acute Ischemic Stroke Patients Treated with Reperfusion Therapy. Life. 2021;11(6):469. doi:10.3390/life11060469.

Zheng Y, Wang L, Shi Q. Mean platelet volume and cerebral infarction: A clinical study. J Clin Neurosci. 2023;91(5):567-572. doi:10.1016/j.jocn.2023.04.019.

Li X, Chen Y, Zhang Z. Platelet traits and ischemic stroke: A Mendelian randomization study. Stroke. 2023;54(7):1230-1238.

doi:10.1161/STROKEAHA.122.039845.

Pavithran P, Kumar S, Nair R. Blood parameters as predictors of early ischemic stroke outcomes: A comprehensive analysis. Int J Stroke. 2023;18(3):345-354.

doi:10.1177/17474930231020452.

Downloads

Published

2024-09-01

Issue

Section

Original Articles