title: The mean platelet volume in patients with essential and white coat hypertension.
abstract: Mean platelet volume (MPV), a determinant of platelet function, is a newly emerging risk factor for atherothrombosis. The risk profile of white coat hypertension has not yet been completely clear. The present study was designed to evaluate MPV in white coat hypertensive subjects compared with essential hypertensive patients and normotensive subjects. We selected 36 essential hypertensive patients, 36 white coat hypertensive subjects and 36 normotensive control subjects matched for age, gender, and body mass index. MPV was very significantly higher in essential hypertensives and white coat hypertensives than in normotensives (P < 0.00); it was also higher in essential hypertensives than in white coat hypertensives (P < 0.05). Platelet counts were not different among the study groups (P > 0.05). MPV was positively correlated with ambulatory diastolic blood pressure in essential hypertension and white coat hypertension groups (P < 0.05). In conclusion, our data suggests one possible mechanism by which white coat hypertensive subjects may be at increased cardiovascular risk.
authors.affiliation: Department of Internal Medicine, Akdeniz University Faculty of Medicine, Antalya, Turkey. ecoban@akdeniz.edu.tr
authors.forename: Erkan
authors.initials: E
authors.lastname: Coban
authors.forename: Gokhan
authors.initials: G
authors.lastname: Yazicioglu
authors.forename: Ali
authors.initials: A
authors.lastname: Berkant Avci
authors.forename: Ferhat
authors.initials: F
authors.lastname: Akcit
mesh_terms: D000328:Adult; D001792:Blood Platelets / Q000378:metabolism*; D018660:Blood Pressure Monitoring, Ambulatory; D002318:Cardiovascular Diseases / Q000503:physiopathology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D009819:Office Visits; D012307:Risk Factors; D013315:Stress, Psychological