Hypertensive target organ damage and its relationship with platelet indices

Authors

  • Siva Ranganathan Green Department of General Medicine, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India
  • Lavanya Vetrivel Department of General Medicine, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20212415

Keywords:

Hypertension, Organ damage, Platelet indices

Abstract

Hypertension affects vascular endothelium of retina, kidney, and heart. These are called as target organ damage (TOD). Hypertension causes endothelial damage by shear mechanical stress which leads to platelet aggregation and activation. This article is a review for prediction of TOD in hypertensives by cost effective routine indicators like platelet indices [platelet distribution width (PDW), mean platelet volume (MPV) and platelet count]. Hypertension mediated target organ damage like left ventricular hypertrophy, hypertensive retinopathy and nephropathy is associated with increased platelet indices like MPV, PDW, and PLT. The use of these cost-effective platelet indicators in newly diagnosed hypertensives may need further studies to have clinical implications.

References

Unger T, Borghi C, Charchar F, Khan NA, Poulter NR, Prabhakaran D, et al. 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension. 2020;75(6):1334-57.

Saju MD, Allagh KP, Scaria L, Joseph S, Thiyagarajan JA. Prevalence, Awareness, Treatment, and Control of Hypertension and Its Associated Risk Factors: Results from Baseline Survey of SWADES Family Cohort Study. Int J Hypertens. 2020;4964835.

Tackling G, Borhade MB. Hypertensive Heart Disease. StatPearls. 2020.

Williams B, Mancia G, Spiering W, Agabiti RE, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J. 2018;39(33):3021-104.

Chopra HK, Ram CVS. Recent Guidelines for Hypertension. Circ Res. 2019;124(7):984-6.

Madavi T, Bhole P, Holay MP. Mean platelet volume as a predictor of clinical outcomes in patients of acute myocardial infarction. Int J Res Med Sci. 2019;7(2):388-93.

Lande K, Gjesdal K, Fonstelien E, Kjeldsen SE, Eide I. Effects of adrenaline infusion on platelet number, volume and release reaction. Thromb Haemost. 1985;54(2):450-3.

Schmieder RE. End organ damage in hypertension. Dtsch Arztebl Int. 2010;107(49):866-73.

Yarlioglues M, Kaya MG, Ardic I, Dogdu O, Kasapkara HA, Gunturk E, et al. Relationship between mean platelet volume levels and subclinical target organ damage in newly diagnosed hypertensive patients. Blood Press. 2011;20(2):92-7.

Nadar SK, Blann AD, Kamath S, Beevers DG, Lip GYH. Platelet indexes in relation to target organ damage in high-risk hypertensive patients. J Am Coll Cardiol. 2004;44(2):415-22.

Piskorz D. Hypertensive Mediated Organ Damage and Hypertension Management. How to Assess Beneficial Effects of Antihypertensive Treatments?. High Blood Press Cardiovasc Prev. 2020;27(1):9-17.

Bicescu G. Epidemiology of Hypertensive Kidney Disease: Diagnosis. Mædica. 2010;5(4):309-10.

Viazzi F, Pontremoli R. Blood pressure, albuminuria and renal dysfunction: the ‘chicken or egg’ dilemma. Nephrol Dial Transplant. 2014;29(8):1453-5.

Bidani AK, Griffin KA. Pathophysiology of Hypertensive Renal Damage. Hypertension. 2004;44(5):595-601.

Gbadegesin A, Okunola O, Ayodele O, Arogundade F, Sanusi A, Akinsola A. Renal risk profiling in newly diagnosed hypertensives in an urban population in Nigeria. Afr Health Sci. 2019;19(4):2863-73.

Palatini P. Microalbuminuria in hypertension. Curr Hypertens Rep. 2003;5(3):208-14.

Modi P, Arsiwalla T. Hypertensive Retinopathy. StatPearls. StatPearls. 2020.

Chen X, Meng Y, Li J, She H, Zhao L, Zhang J, et al. Serum uric acid concentration is associated with hypertensive retinopathy in hypertensive chinese adults. BMC Ophthalmol. 2017;17:83.

Downloads

Published

2021-06-23

Issue

Section

Review Articles