Biochemia Medica, Vol. 25 No. 1, 2015.
Original scientific paper
https://doi.org/10.11613/BM.2015.012
Correlation between mean platelet volume and B-type natriuretic peptide concentration in emergency patients with heart failure
Yasemin U Budak
; Department of Clinical Laboratory, Yuksek Ihtisas Education and Research Hospital, Bursa, Turkey
Kağan Huysal
; Department of Clinical Laboratory, Sevket Yilmaz Education and Research Hospital Bursa, Turkey
Hakan Demirci
; Department of Family Medicine, Sevket Yilmaz Education and Research Hospital, Bursa, Turkey
Abstract
Background: In heart failure patients, mean platelet volume (MPV) may reflect increased platelet activation or increased numbers of large, hyper-aggregable platelets. B-type natriuretic peptide (BNP) concentration in blood is a sensitive and specific marker of heart failure, correlating with the severity and prognosis of illness, in patients presenting with acute dyspnea to the emergency department. This study evaluated the correlation between BNP concentration and MPV.
Material and methods: Data were collected from 319 patients admitted to the emergency department of a cardiology hospital from January–July 2014. EDTA blood samples drawn at admission were analyzed using automated hematology system, and BNP concentration was measured using a fluorescence immunoassay.
Results: The study included 190 patients with and 129 without acute heart failure (AHF). These groups had BNP concentration of 200-5000 ng/L and 5-98 ng/L, respectively. MPV levels were significantly higher in the AHF group (P < 0.001). BNP concentrations were positively correlated with MPV (r = 0.41, P < 0.001) and neutrophil / lymphocyte ratio (r = 0.38, P < 0.001).
Conclusion: Increased MPV values correlate with BNP concentration, an indicator of HF severity and clinical status, in patients with AHF admitted to the emergency department
Keywords
natriuretic peptide, brain; heart failure; platelet; mean platelet volume
Hrčak ID:
139280
URI
Publication date:
15.2.2015.
Visits: 1.394 *