Exercise-based cardiac rehabilitation has a strong relationship with mean platelet volume reduction Reabilitação cardíaca baseada em exercícios fortemente relacionada com redução do volume plaquetário médio
Arquivos Brasileiros de Cardiologia, cilt.116, sa.3, ss.434-440, 2021 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 116 Sayı: 3
- Basım Tarihi: 2021
- Doi Numarası: 10.36660/abc.20190514
- Dergi Adı: Arquivos Brasileiros de Cardiologia
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, Directory of Open Access Journals
- Sayfa Sayıları: ss.434-440
- Anahtar Kelimeler: Reabilitação Cardíaca, Exercício, Atividade Física, Volume Plaquetário Médio, Plaquetas, Doença da Artéria Coronariana, Prognóstico, Ecocardiografia/métodos, Cardiac, Rehabilitation, Exercise, Physical, Activity, Mean Platelet Volume, Blood Platelets, Coronary artery Disease, Echocardiography/methods
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: Mean platelet volume (MPV), which is a simple measure of platelet activation, has recently become an interesting topic in cardiovascular research. Exercise-based cardiac rehabilitation (CR) is a comprehensive intervention that decreases mortality-morbidity in patients with coronary artery disease (CAD). Studies on the effects of exercise on platelet activation have yielded conflicting results. Objective: The purpose of this study was to determine the effect of an exercise-based CR programs on MPV in patients with stable CAD. Methods: The sample was composed of 300 consecutive stable CAD patients. The patients were divided into two groups: CR group (n = 97) and non-CR group (n = 203). Blood analysis was performed. Point-Biserial correlation measures were performed to show correlation between MPV change and CR. A p value of <0.05 was considered statistically significant. Results: The decrease in MPV was greater in the CR group than in the non-CR group [(-1.10(-1.40-(-0.90)) vs. (-0.10 (-2.00-0.00)); p< 0.001]. ΔMPV had a positive correlation with Δ neutrophil (r = 0.326, p < 0.001), ΔTG (r = 0.439, p < 0.001), ΔLDL-c (r = 0.478, p < 0.001), ΔWBC (r = 0.412, p < 0.001), and ΔCRP (r = 0.572, p < 0.001). A significant correlation was found between ΔMPV% and CR (r=0.750, p<0.001). Conclusions: We were able to show that exercise-based CR has a strong relationship with MPV reduction in patients with CAD. We consider that decreased platelet activation with exercise-based CR might play an important role in reducing thrombotic risk in patients with stable CAD.