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THE DIFFERENCE OF MEAN PLATELET VOLUME AND PLATELET COUNT IN CORONARY HEART DISEASE PATIENTS WITH ACUTE CORONARY SYNDROME AND NON ACUTE CORONARY SYNDROME

Aditya Paelo Rizki Sikumbang  -  Undergraduate Program, Faculty of Medicine, Diponegoro University, Indonesia
Indranila Kustarini Samsuria  -  Department of Clinical Pathology, Faculty of Medicine, Diponegoro University, Indonesia
Novi Anggriyani  -  Department of Cardiology, Faculty of Medicine, Diponegoro University, Indonesia
*Charles Limantoro  -  Department of Internal Medicine, Faculty of Medicine, Diponegoro University, Indonesia

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Abstract

Background: Coronary Heart Disease (CHD) is currently one of main causes and the first death in developed and developing countries, including Indonesia. CHD appeared with the clinical appearance of asymptomatic, stable angina pectoris until acute coronary syndrome. ACS is a progressively CHD and takes parameters that describe the process pathogenesis. MPV and platelet count are two parameters in the complete blood count which reflect the activity of platelets in CHD.

Objective: This study is to investigate the differences Mean Platelet Volume and Platelet Count in CHD with ACS compared to non ACS.

Methods: A cross-sectional study was conducted with collecting data from the medical records of patients with CHD who underwent treatment in the dr. Kariadi General Hospital Medical Center Semarang, the period of January - December 2019. Eighty subjects of 20 non-ACS patients and 60 ACS patients were included in this study which is Mean Platelet Volume and Platelet Count in hematology laboratory were analyzed. The Independent T-test were used for comparing the group means.

Results: MPV was found to be higher significantly among ACS patients as compared to non ACS, 9,43 ± 0,3868 fl vs 9,43 ± 0,3868 fl (p-value<0.01) while Platelet Count was lower significantly among ACS patients as compared to non ACS, 282,63 ± 75,084 109/L  vs 322,30 ± 41,980 109/L.

Conclusion: There were significantly differences in Mean Platelet Volume and Platelet count between patients with ACS and non ACS.

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Keywords: Acute Coronary Syndrome, Coronary Heart disease ,Mean Platelet Volume, Platelet Count, Stable Angina Pectoris

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