{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T08:12:36Z","timestamp":1765354356322},"reference-count":32,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,6,5]],"date-time":"2013-06-05T00:00:00Z","timestamp":1370390400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> infection is associated with higher than expected cardiovascular event rates and lowered platelet counts. These conditions are associated with an elevation of mean platelet volume (<jats:styled-content style=\"fixed-case\">MPV<\/jats:styled-content>). The present study compared <jats:styled-content style=\"fixed-case\">MPV<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected and uninfected women and identified factors influencing <jats:styled-content style=\"fixed-case\">MPV<\/jats:styled-content> values in <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 234 <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected and 134 <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010uninfected participants from the <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>omen's <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>nteragency <jats:styled-content style=\"fixed-case\">HIV S<\/jats:styled-content>tudy (<jats:styled-content style=\"fixed-case\">WIHS<\/jats:styled-content>) had <jats:styled-content style=\"fixed-case\">MPV<\/jats:styled-content> values obtained. <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected women were older, were more likely to have diabetes and had higher triglyceride levels than <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010uninfected women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean platelet count was lower in <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected <jats:italic>vs.<\/jats:italic> uninfected women [249 cells\/\u03bcL (95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 238, 259 cells\/\u03bcL) <jats:italic>vs.<\/jats:italic> 276 cells\/\u03bcL (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 265, 287 cells\/\u03bcL), respectively; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01]. Adjusted mean <jats:styled-content style=\"fixed-case\">MPV<\/jats:styled-content> values were lower in the <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected than in the uninfected group [8.66 fL (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 8.52, 8.79 fL) <jats:italic>vs.<\/jats:italic> 9.05 fL (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 8.87, 9.24 fL), respectively]. In multiple regression analysis, after adjusting for other covariates, <jats:styled-content style=\"fixed-case\">MPV<\/jats:styled-content> was positively associated with platelet count, and negatively with <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> infection (model <jats:italic><jats:styled-content style=\"fixed-case\">R<\/jats:styled-content><\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u20090.20; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01). In multiple regression analysis confined to <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected women, a lower <jats:styled-content style=\"fixed-case\">MPV<\/jats:styled-content> was independently associated with a history of <jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content>\u2010defining illness (<jats:italic><jats:styled-content style=\"fixed-case\">R<\/jats:styled-content><\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u20090.28; <jats:italic>P<\/jats:italic>\u2009=\u20090.03), but not with nadir <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>4 count or highly active antiretroviral therapy (<jats:styled-content style=\"fixed-case\">HAART<\/jats:styled-content>) use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected women had lower <jats:styled-content style=\"fixed-case\">MPV<\/jats:styled-content> values than uninfected women, suggesting impaired production rather than increased destruction. Higher than expected cardiovascular event rates cannot be attributed to greater platelet reactivity as measured by <jats:styled-content style=\"fixed-case\">MPV<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.12048","type":"journal-article","created":{"date-parts":[[2013,6,6]],"date-time":"2013-06-06T03:17:59Z","timestamp":1370488679000},"page":"549-555","source":"Crossref","is-referenced-by-count":8,"title":["Mean platelet volume is decreased in <scp>HIV<\/scp>\u2010infected women"],"prefix":"10.1111","volume":"14","author":[{"given":"S","family":"Qadri","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine State University of New York, Downstate Medical Center  Brooklyn NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Holman","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine &amp; Community Health State University of New York, Downstate Medical Center  Brooklyn NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"DeHovitz","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine &amp; Community Health State University of New York, Downstate Medical Center  Brooklyn NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Crystal","sequence":"additional","affiliation":[{"name":"Department of Neurology State University of New York, Downstate Medical Center  Brooklyn NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Minkoff","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Maimonides Medical Center Brooklyn  NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JM","family":"Lazar","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine State University of New York, Downstate Medical Center  Brooklyn NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,6,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood.V72.1.1.1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-2712(18)30418-9"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1309\/EK3C7CTDKNVPXVTN"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11239-011-0590-9"},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1152\/jappl.1975.38.4.739","article-title":"Electronic particle size measurements of platelet aggregates formed in vitro","volume":"38","author":"Solis RT","year":"1975","journal-title":"J Appl Physiol"},{"key":"e_1_2_6_7_1","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1055\/s-0038-1653462","article-title":"Factors affecting the size of platelet aggregates in blood","volume":"46","author":"Kennedy PS","year":"1981","journal-title":"Thromb Haemost"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.1983.00467.x-i1"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1160\/TH08-01-0002"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11745-002-0977-0"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/09537104.2010.547959"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/09537100903487599"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000130512.81212.a2"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1160\/TH10-12-0821"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-011-0755-8"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1042\/cs0680419"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2362.1990.tb02264.x"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.287.6390.449"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.ATV.19.3.672"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.2004.05137.x"},{"key":"e_1_2_6_21_1","doi-asserted-by":"crossref","first-page":"E330","DOI":"10.25011\/cim.v34i6.15892","article-title":"Relationship between mean platelet volume and left ventricular systolic function in patients with metabolic syndrome and ST\u2010elevation myocardial infarction","volume":"34","author":"Yazici HU","year":"2011","journal-title":"Clin Invest Med"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200305230-00010"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000105393.57853.11"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.3109\/09537104.2011.582526"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/clinchem\/18.6.499"},{"key":"e_1_2_6_26_1","volume-title":"The Third National Health and Examination Survey Reference Manuals and Reports","author":"National Center for Health Statistics","year":"1996"},{"key":"e_1_2_6_27_1","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1093\/ajcp\/96.4.500","article-title":"The platelet volume\u2010number relationship in patients infected with the human immunodeficiency virus","volume":"96","author":"Koenig C","year":"1991","journal-title":"Am J Clin Pathol"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood.V91.9.3239"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3182243720"},{"key":"e_1_2_6_30_1","first-page":"365","article-title":"Thrombocytopenia in HIV diseases: clinical relevance, physiopathology and management","volume":"3","author":"Miguez\u2010Burbano MJ","year":"2005","journal-title":"Curr Med Chem"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1538-7836.2010.04110.x"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-553X.2011.01396.x"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.47.2.159"}],"container-title":["HIV Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fhiv.12048","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hiv.12048","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T08:24:01Z","timestamp":1696321441000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hiv.12048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,5]]},"references-count":32,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2013,10]]}},"alternative-id":["10.1111\/hiv.12048"],"URL":"https:\/\/doi.org\/10.1111\/hiv.12048","archive":["Portico"],"relation":{},"ISSN":["1464-2662","1468-1293"],"issn-type":[{"value":"1464-2662","type":"print"},{"value":"1468-1293","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,6,5]]}}}