Vitamin D Level in Patients with Consecutive Acute Coronary Syndrome Is Not Correlated with the Parameters of Platelet Activity
Coronary artery disease continues to be the leading cause of death in developed countries. Elevated mean platelet volume (MPV) is associated with an increased incidence of myocardial infarction (MI) and MI-related mortality. Vitamin D concentrations affect the level and function of platelets, which...
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MDPI AG
2022-01-01
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author | Ewelina A. Dziedzic Jakub S. Gąsior Izabela Sowińska Marek Dąbrowski Piotr Jankowski |
author_facet | Ewelina A. Dziedzic Jakub S. Gąsior Izabela Sowińska Marek Dąbrowski Piotr Jankowski |
author_sort | Ewelina A. Dziedzic |
collection | DOAJ |
description | Coronary artery disease continues to be the leading cause of death in developed countries. Elevated mean platelet volume (MPV) is associated with an increased incidence of myocardial infarction (MI) and MI-related mortality. Vitamin D concentrations affect the level and function of platelets, which are the crucial mediator of atherothrombosis and plaque rupture. The main aim of this study was to examine the relationship of serum 25-hydroxyvitamin D (25(OH)D) levels with the platelet activity in patients with a history of an acute coronary syndrome (ACS). This prospective study recruited 268 patients with a history of MI who underwent coronary angiography due to the suspicion of another ACS. Serum 25(OH)D concentration was determined by electrochemiluminescence. Platelet activity was assessed using the MPV and platelet-large cell ratio (P-LCR) parameters. There was no significant difference in MPV and P-LCR values between patients diagnosed with subsequent MI and patients with chronic coronary syndrome (CCS). A significantly lower level of 25(OH)D was demonstrated in patients who had another MI compared to those with CCS (<i>p</i> < 0.05). No significant correlation of 25(OH)D concentrations with platelet activity parameters values was found. The subgroup of patients with consecutive MI was characterized by significantly lower serum vitamin D levels, but this was not related to the analyzed parameters of platelet activity. |
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issn | 2077-0383 |
language | English |
last_indexed | 2024-03-09T23:41:08Z |
publishDate | 2022-01-01 |
publisher | MDPI AG |
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spelling | doaj.art-a42e849cd47d4f8fa65a7669556d08cc2023-11-23T16:52:44ZengMDPI AGJournal of Clinical Medicine2077-03832022-01-0111370710.3390/jcm11030707Vitamin D Level in Patients with Consecutive Acute Coronary Syndrome Is Not Correlated with the Parameters of Platelet ActivityEwelina A. Dziedzic0Jakub S. Gąsior1Izabela Sowińska2Marek Dąbrowski3Piotr Jankowski4Medical Faculty, Lazarski University in Warsaw, 02-662 Warsaw, PolandDepartment of Pediatric Cardiology and General Pediatrics, Medical University of Warsaw, 02-091 Warsaw, PolandMedical Faculty, Medical University of Warsaw, 02-091 Warsaw, PolandDepartment of Cardiology, Bielanski Hospital, 01-809 Warsaw, PolandDepartment of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, 01-813 Warsaw, PolandCoronary artery disease continues to be the leading cause of death in developed countries. Elevated mean platelet volume (MPV) is associated with an increased incidence of myocardial infarction (MI) and MI-related mortality. Vitamin D concentrations affect the level and function of platelets, which are the crucial mediator of atherothrombosis and plaque rupture. The main aim of this study was to examine the relationship of serum 25-hydroxyvitamin D (25(OH)D) levels with the platelet activity in patients with a history of an acute coronary syndrome (ACS). This prospective study recruited 268 patients with a history of MI who underwent coronary angiography due to the suspicion of another ACS. Serum 25(OH)D concentration was determined by electrochemiluminescence. Platelet activity was assessed using the MPV and platelet-large cell ratio (P-LCR) parameters. There was no significant difference in MPV and P-LCR values between patients diagnosed with subsequent MI and patients with chronic coronary syndrome (CCS). A significantly lower level of 25(OH)D was demonstrated in patients who had another MI compared to those with CCS (<i>p</i> < 0.05). No significant correlation of 25(OH)D concentrations with platelet activity parameters values was found. The subgroup of patients with consecutive MI was characterized by significantly lower serum vitamin D levels, but this was not related to the analyzed parameters of platelet activity.https://www.mdpi.com/2077-0383/11/3/707myocardial infarctionacute coronary syndromevitamin D25-hydroxyvitamin Dplateletsatherothrombosis |
spellingShingle | Ewelina A. Dziedzic Jakub S. Gąsior Izabela Sowińska Marek Dąbrowski Piotr Jankowski Vitamin D Level in Patients with Consecutive Acute Coronary Syndrome Is Not Correlated with the Parameters of Platelet Activity Journal of Clinical Medicine myocardial infarction acute coronary syndrome vitamin D 25-hydroxyvitamin D platelets atherothrombosis |
title | Vitamin D Level in Patients with Consecutive Acute Coronary Syndrome Is Not Correlated with the Parameters of Platelet Activity |
title_full | Vitamin D Level in Patients with Consecutive Acute Coronary Syndrome Is Not Correlated with the Parameters of Platelet Activity |
title_fullStr | Vitamin D Level in Patients with Consecutive Acute Coronary Syndrome Is Not Correlated with the Parameters of Platelet Activity |
title_full_unstemmed | Vitamin D Level in Patients with Consecutive Acute Coronary Syndrome Is Not Correlated with the Parameters of Platelet Activity |
title_short | Vitamin D Level in Patients with Consecutive Acute Coronary Syndrome Is Not Correlated with the Parameters of Platelet Activity |
title_sort | vitamin d level in patients with consecutive acute coronary syndrome is not correlated with the parameters of platelet activity |
topic | myocardial infarction acute coronary syndrome vitamin D 25-hydroxyvitamin D platelets atherothrombosis |
url | https://www.mdpi.com/2077-0383/11/3/707 |
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