Impact of statin therapy on the immature platelet count in patients with coronary artery disease: A single centre cohort study

International Journal of Cardiology
Monica VerdoiaNovara Atherosclerosis Study Group (NAS)

Abstract

Statins represent a pivotal therapy among patients with coronary artery disease (CAD), providing both lipid-lowering and pleiotropic, anti-thrombotic and anti-inflammatory benefits. Immature platelet count (IPC) has been proposed as the fraction of younger and potentially more reactive platelets, therefore potentially affecting the risk of major cardiovascular ischemic events. The aim of the present study was to evaluate the impact of statin therapy on IPC in patients with CAD. Patients undergoing coronary angiography in a single centre were included. IPC levels were measured by routine blood cells count (A Sysmex XE-2100) as the product of immature platelet fraction (IPF) and platelet count, in patients naïve or chronically treated with statins at admission. We included in our study 642 patients, 61.2% treated with statins at admission. Patients on chronic statins were more often males, with a worse metabolic profile, but for lower total and LDL cholesterol, and a higher prevalence of major cardiovascular risk factors. The mean levels of IPC did not differ between statin treated and naive patients (7.9 ± 4.7 vs 7.7 ± 5, p = 0.60) and neither the distribution of IPC across tertiles (p = 0.36). In fact, at multivariate regressio...Continue Reading

Citations

Aug 19, 2020·European Journal of Clinical Investigation·Guoxia DongLei Liu
Feb 11, 2021·BioMed Research International·Antonio NennaMassimo Chello

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