2014
DOI: 10.1177/0003319713520068
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Increased Platelet Distribution Width Is Associated With ST-Segment Elevation Myocardial Infarction and Thrombolysis Failure

Abstract: We investigated 2 hypotheses: (1) a relationship between platelet indices and stable coronary artery disease (CAD) and acute ST-segment elevation myocardial infarction (STEMI) and (2) a relationship between platelet indices on admission and thrombolysis outcomes in patients with STEMI. A total of 260 patients were enrolled. The white blood cell (WBC) and platelet distribution width (PDW) were found to be increased in patients with STEMI (P for both < .001). White blood cell and PDW were independent predictors … Show more

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Cited by 58 publications
(60 citation statements)
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“…12 Platelet count and platelet parameters such as platelet distribution width are usually measured along with MPV, and significant differences have been observed in thrombosis and cardiovascular events as well as MPV. 13,14 However, no reports concerning these two indices have been found for hypertension. Compared with platelet count and platelet distribution width, MPV seems to be very stable and has more associated discoveries in recent studies.…”
Section: Discussionmentioning
confidence: 99%
“…12 Platelet count and platelet parameters such as platelet distribution width are usually measured along with MPV, and significant differences have been observed in thrombosis and cardiovascular events as well as MPV. 13,14 However, no reports concerning these two indices have been found for hypertension. Compared with platelet count and platelet distribution width, MPV seems to be very stable and has more associated discoveries in recent studies.…”
Section: Discussionmentioning
confidence: 99%
“…Also it has been studied that PDW is higher in patients with STEMI rather than stable Coronary Artery Disease (CAD). Rather than just association they also influence the success of thrombolysis in STEMI patients [34] There are several studies which analysed the risk of Platelet Distribution Width (PDW) in acute coronary syndrome like ST Elevtion Myocardial Infarction. Varasteh-ravan et al [30] studied the relationship of platelet distribution width in patients with acute STEMI thrombolysed with streptokinase and found that patients with higher platelet distribution width had more risk of thromblysis failure measured by ST segment resolution.…”
Section: Conclusion Ionmentioning
confidence: 99%
“…Estimating the risk of reperfusion failure in individual patients before initiation of thrombolytic therapy may be helpful to determine the optimal treatment strategy especially for patients admitted to non-PCI capable hospitals. Previous studies reported that parameters such as red cell distribution width, mean platelet volume, platelet distribution width and C-reactive protein (CRP) on admission may be helpful in predicting failed reperfusion [4][5][6][7]. However, according to available literature, there is currently no scoring system which can be used to predict failed reperfusion in STEMI patients to whom thrombolytic therapy is given.…”
Section: Introductionmentioning
confidence: 99%