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April 1, 2026Indian Heart Journal1 citationsOpen Access

Assessing the relationship between circulating microparticles and coronary artery disease severity using the SYNTAX score: A single-centre comparative study

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SMSatya Prasad MahapatraSTSatyendra TewariVAVikas Agarwal

Key Result

Circulating microparticles were the strongest predictors of high SYNTAX II scores (AUC 0.856), highlighting their potential as biomarkers for early detection and risk stratification of CAD.

Study Design

Type

Case-Control (n=120)

Blinding

Open-label

Multicenter

No

Structured PICO

Do circulating microparticles correlate with coronary artery disease severity as defined by the SYNTAX Score II in patients with angiographically confirmed CAD?

P
Population
120 individuals: 80 patients with angiographically confirmed CAD (40 aged <45 years and 40 aged >45 years) and 40 age- and sex-matched individuals with angiographically normal coronary arteries.
I
Intervention
Measurement of circulating microparticles (total MPs, endothelial MPs, platelet-derived MPs, and leukocyte markers CD45, CD19, CD3, CD16)
C
Comparator
40 age- and sex-matched individuals with angiographically normal coronary arteries
O
Outcome
Correlation of circulating microparticles with coronary artery disease severity defined by SYNTAX Score IIsurrogate

Circulating microparticles are strong predictors of coronary artery disease severity and may serve as useful biomarkers for early detection and risk stratification.

Main Result

Effect estimate: AUC 0.856

Abstract

OBJECTIVE: Immune-inflammatory processes play a central role in the progression of atherosclerosis. The objective of this study is to evaluate whether circulating microparticles (MPs) correlate with coronary artery disease (CAD) severity defined by SYNTAX Score II in patients aged 45 years. METHODS: This single-centre, open-label, comparative study enrolled 80 patients with angiographically confirmed CAD (40 aged 45 years) between June 2023 and July 2024. Forty age- and sex-matched individuals with angiographically normal coronary arteries served as the control group. Blood samples were analysed for total MPs, endothelial MPs, platelet-derived MPs, and leukocyte markers (CD45, CD19, CD3, CD16). RESULTS: microparticles (AUC 0.856) were the strongest predictors of high SYNTAX II scores. CONCLUSIONS: Our study highlights the potential of MPs as biomarkers for early detection and risk stratification of CAD, supporting more personalised and effective treatment strategies.

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Cite This Study

Mahapatra et al. (2026) conducted a case-control in Coronary artery disease (n=120). Circulating microparticles vs. Angiographically normal coronary arteries was evaluated on High SYNTAX II scores (AUC 0.856). Circulating microparticles were the strongest predictors of high SYNTAX II scores (AUC 0.856), highlighting their potential as biomarkers for early detection and risk stratification of CAD.

synapsesocial.com/papers/6a17bb87d990e918e6b47087https://doi.org/10.1016/j.ihj.2026.04.015
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