Aim
Mortality from acute coronary syndrome (ACS) despite the recent improvements in the therapeutic options and supportive medication may represent severity of the thrombotic processes and also myocardial tissue injury which could not be overcame by the medication. We evaluated the platetelet indices such as mean platelet volume, platelet distribution width, and platelet count in patients who presented the coronary care unit and suffered death from ACS and survived from ACS.
Results
We observed that WBC (14.7±5.7 vs 9.1±2.3, p<0.001), MPV (8.8±1.1 vs 7.4±2.8, p=0.042), and PDW (16.1±2.8 vs 14.3±2.3, p=0.006) were significantly elevated in patients who dead from ACS compared to patients survived from ACS (Table 1, Figure 1). Also we found that MPV >8.8 could predict the mortality with sensitivity and specificity of 51% and 73%, respectively (AUC=0.638, CI 0.512-0.764, p=0.042) and PDW ≥15.5 could predict the mortality with sensitivity and specificity of 60% and 76%, (AUC=0.684, CI 0.563-0.806, p=0.006).
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