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Regular Article| Volume 128, ISSUE 4, P358-360, October 2011

Normal range of mean platelet volume in healthy subjects: Insight from a large epidemiologic study

  • Author Footnotes
    1 For the MELEN Investigators.
    Hilmi Demirin
    Footnotes
    1 For the MELEN Investigators.
    Affiliations
    Duzce University, Medical Faculty, Department of Biochemistry, Duzce, Turkey
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  • Author Footnotes
    1 For the MELEN Investigators.
    Hakan Ozhan
    Correspondence
    Corresponding author at: Duzce Universitesi Duzce Tip Fakültesi 81620 Konuralp Duzce Turkey. Tel.: +90 532 558 28 73; fax: +90 380 524 13 89.
    Footnotes
    1 For the MELEN Investigators.
    Affiliations
    Duzce University, Medical Faculty, Department of Cardiology, Duzce, Turkey
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  • Author Footnotes
    1 For the MELEN Investigators.
    Taner Ucgun
    Footnotes
    1 For the MELEN Investigators.
    Affiliations
    Duzce University, Medical Faculty, Department of Biochemistry, Duzce, Turkey
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  • Author Footnotes
    1 For the MELEN Investigators.
    Ahmet Celer
    Footnotes
    1 For the MELEN Investigators.
    Affiliations
    Duzce University, Medical Faculty, Department of Family Medicine, Duzce, Turkey
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  • Author Footnotes
    1 For the MELEN Investigators.
    Sule Bulur
    Footnotes
    1 For the MELEN Investigators.
    Affiliations
    Duzce University, Medical Faculty, Department of Physiology Duzce, Turkey
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  • Author Footnotes
    1 For the MELEN Investigators.
    Habip Cil
    Footnotes
    1 For the MELEN Investigators.
    Affiliations
    Dicle University, Medical Faculty, Department of Cardiology, Diyarbakir, Turkey
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  • Author Footnotes
    1 For the MELEN Investigators.
    Cemalettin Gunes
    Footnotes
    1 For the MELEN Investigators.
    Affiliations
    Duzce University, Medical Faculty, Department of Pediatrics, Duzce, Turkey
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  • Author Footnotes
    1 For the MELEN Investigators.
    Hayriye Ak Yildirim
    Footnotes
    1 For the MELEN Investigators.
    Affiliations
    Duzce University, Medical Faculty, Department of Biochemistry, Duzce, Turkey
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  • Author Footnotes
    1 For the MELEN Investigators.

      Abstract

      Aim

      Mean platelet volume (MPV) in the healthy population has not been studied before. Therefore, the aim of the study was to measure MPV in normal subjects in a large cohort of Turkish adults.

      Methods

      A total of 2298 subjects with a mean age of 50 (age range 18 to 92) were interviewed. Subjects who had smoking habit, diabetes, hypertension, coronary artery disease, dyslipidemia, chronic obstructive pulmonary disease, cancer, chronic use of any drugs including antiplatelets, heavy drinkers, metabolic syndrome, ejection fraction <55%, creatinine >1.4 in men and >1.1 in women, abnormal liver function tests and an abnormal TSH were excluded in a in a stepwise manner. Complete blood counts were done on the same day within 6 hours by a CELL-DYN 3700 SL analyzer (Abbott Diagnostics).

      Results

      Three hundred twenty-six participants (204 females (63%) and 122 males (37%) with a mean age of 41 ±16) constituted the final healthy cohort. Mean MPV of the cohort was 8.9±1.4 fL. There was no significant difference among age groups regarding MPV.

      Conclusion

      Ninety-five percent of the individuals had a MPV between 7.2 and 11.7 fL. A patient having a MPV beyond this range should be evaluated carefully especially for occlusive arterial diseases.

      Abbreviation:

      MPV (mean platelet volume)

      Keywords

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      References

        • Davi G.
        • Patrono C.
        Platelet activation and atherothrombosis.
        N Engl J Med. 2007; 357: 2482-2494
        • Coppinger J.A.
        • Cagney G.
        • Toomey S.
        • Kislinger T.
        • Belton O.
        • McRedmond J.P.
        • Cahill D.J.
        • Emili A.
        • Fitzgerald D.J.
        • Maguire P.B.
        Characterization of the proteins released from activated platelets leads to localization of novel platelet proteins in human atherosclerotic lesions.
        Blood. 2004; 103: 2096-2104
        • Meadows T.A.
        • Bhatt D.L.
        Clinical aspects of platelet inhibitors and thrombus formation.
        Circ Res. 2007; 100: 1261-1275
        • Park Y.
        • Schoene N.
        • Harris W.
        Mean platelet volume as an indicator of platelet activation: Methodological issues.
        Platelets. 2002; 13: 301-303
        • Hendra T.J.
        • Oswald G.A.
        • Yudkin J.S.
        Increased mean platelet volume after acute myocardial infarction relates to diabetes and to cardiac failure.
        Diabetes Res Clin Pract. 1988; 5: 63-69
        • Chu S.G.
        • Becker R.C.
        • Berger P.B.
        • Bhatt D.L.
        • Eikelboom J.W.
        • Konkle B.
        • Mohler E.R.
        • Reilly M.P.
        • Berger J.S.
        Mean platelet volume as a predictor of cardiovascular risk: a systematic review and meta-analysis.
        J Thromb Haemost. 2010; 8: 148-156
        • Lancé M.D.
        • van Oerle R.
        • Henskens Y.M.
        • Marcus M.A.
        Do we need time adjusted mean platelet volume measurements?.
        Lab Hematol. 2010; 16: 28-31
        • Briggs C.
        Quality counts: new parameters in blood cell counting.
        Int J Lab Hematol. 2009; 31: 277-297
        • American Diabetes Association
        Standards of Medical Care in Diabetes.
        Diabetes Care January. 2011; 34: S11-S61
      1. Expert Panel on detection, evaluation and treatment of high blood cholesterol in adults (Adult Treatment Panel III]. Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP].
        JAMA. 2001; 285: 2486-2497
        • Onat A.
        • Uyarel H.
        • Hergenç G.
        • Karabulut A.
        • Albayrak S.
        • Can G.
        Determinants and definition of abdominal obesity as related to risk of diabetes, metabolic syndrome and coronary disease in Turkish men: a prospective cohort study.
        Atherosclerosis. 2007; 191: 182-190
        • Giles C.
        The Platelet Count and Mean Platelet Volume.
        Br J Haematol. 1981; 48: 31-37
        • Martin J.F.
        • Bath P.M.
        • Burr M.L.
        Influence of platelet size on outcome after MI.
        Lancet. 1991; 338: 1409-1411
        • Gioia S.
        • Piazze J.
        • Anceschi M.M.
        • Cerekja A.
        • Alberini A.
        • Giancotti A.
        • Larciprete G.
        • Cosmi E.V.
        Mean platelet volume: association with adverse neonatal outcome.
        Platelets. 2007; 18: 284-288
        • Noris P.
        • Klersy C.
        • Zecca M.
        • Arcaini L.
        • Pecci A.
        • Melazzini F.
        • Terulla V.
        • Bozzi V.
        • Ambaglio C.
        • Passamonti F.
        • Locatelli F.
        • Balduini C.L.
        Platelet size distinguishes between inherited acrothrombocytopenias and immune thrombocytopenia.
        J Thromb Haemost. 2009; 7: 2131-2136
        • Lippi G.
        • Filippozzi L.
        • Salvagno G.L.
        • Montagnana M.
        • Franchini M.
        • Guidi G.C.
        • Targher G.
        Increased mean platelet volume in patients with acute coronary syndromes.
        Arch Pathol Lab Med. 2009; 133: 1441-1443
        • Chang H.A.
        • Hwang H.S.
        • Park H.K.
        • Chun1 M.Y.
        • Sung J.Y.
        The Role of Mean Platelet Volume as a Predicting Factor of Asymptomatic Coronary Artery Disease.
        Korean J Fam Med. 2010; 31: 600-606
        • Chu H.
        • Chen W.L.
        • Huang C.C.
        • Chang H.Y.
        • Kuo H.Y.
        • Gau C.M.
        • Chang Y.C.
        • Shen Y.S.
        Diagnostic performance of mean platelet volume for patients with acute coronary syndrome visiting an emergency department with acute chest pain: the Chinese scenario.
        Emerg Med J. Jul 21 2010; ([Epub ahead of print], doi:10.1136/emj.2010.093096.)
        • Vakili H.
        • Kowsari R.
        • Namazi M.H.
        • Motamedi M.R.
        • Safi M.
        • Saadat H.
        • Sadeghi R.
        • Tavakoli S.
        Could Mean Platelet Volume Predicts Impaired Reperfusion and In-Hospital Major Adverse Cardiovascular Event in Patients with Primary Percutaneous Coronary Intervention after ST-Elevation Myocardial Infarction.
        J Teh Univ Heart Ctr 1. 2009; 4: 17-23
        • Maden O.
        • Kacmaz F.
        • Selcuk H.
        • Selcuk M.T.
        • Aksu T.
        • Tufekcioglu O.
        • Senen E.K.
        • Balbay Y.
        • Ilkay E.
        Relationship of admission hematological indexes with myocardial reperfusion abnormalities in acute ST segment elevation myocardial infarction patients treated with primary percutaneous coronary interventions.
        Can J Cardiol. 2009; 25: e164-e168
        • Kandis H.
        • Ozhan H.
        • Ordu S.
        • Erden I.
        • Caglar O.
        • Basar C.
        • Yalcin S.
        • Alemdar R.
        • Aydin M.
        The prognostic value of mean platelet volume in decompensated heart failure.
        Emerg Med J. 2010; 26 ([Epub ahead of print])
        • Kostrubiec M.
        • Łabyk A.
        • Pedowska-Włoszek J.
        • Hrynkiewicz-Szymańska A.
        • Pacho S.
        • Jankowski K.
        • Lichodziejewska B.
        • Pruszczyk P.
        Mean platelet volume predicts early death in acute pulmonary embolism.
        Heart. 2010; 96: 460-465
        • Bessman J.D.
        • Williams L.J.
        • Gilmer Jr., P.R.
        Mean platelet volume. The inverse relation of platelet size and count in normal subjects, and an artifact of other particles.
        Am J Clin Pathol. 1981; 76: 289-293
        • Lozano M.
        • Narváez J.
        • Faúndez A.
        • Mazzara R.
        • Cid J.
        • Jou J.M.
        • Marín J.L.
        • Ordinas A.
        Platelet count and mean platelet volume in the Spanish population.
        Med Clin (Barc). 1998; 110: 774-777
        • Bowles K.M.
        • Cooke L.J.
        • Richards E.M.
        • Baglin T.
        Platelet size has diagnostic predictive value in patients with thrombocytopenia.
        Clin Lab Haematol. 2005; 27: 370-373

      Linked Article

      • Reference range of mean platelet volume
        Thrombosis ResearchVol. 129Issue 4
        • Preview
          The recent paper by Demirin et al raised several concerns, which I would like to share with the journal's readers [1]. The authors report how they have established reference values for mean platelet volume (MPV). Although they do discuss limitations of their study, in my opinion they failed to include the most important limitation, namely the fact that MPV values are not universally applicable because they highly depend on the instrument with which MPV has been measured. Further I like to comment on their calculations and the clinical utility of MPV reference ranges.
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