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Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Clinical use of C-reactive protein for cardiovascular disease
Dana E King1, Arch G Mainous, Marcia L Taylor
1Department of Family Medicine, Medical University of South Carolina, 295 Calhoun Street, Charleston, SC 29464, USA. kingde@musc.edu
Insights
Inflammation markers, like C-reactive protein, are linked to cardiovascular disease risk. This review covers guidelines and new evidence to aid primary care in managing chronic diseases.
Area of Science:
- Biomedical Science
- Clinical Medicine
- Preventive Cardiology
Background:
- Growing evidence links elevated inflammatory markers, including C-reactive protein, to increased cardiovascular disease (CVD) risk.
- Inflammatory markers are associated with conditions like diabetes, obesity, and hypertension, highlighting their importance in chronic disease management.
- The American Heart Association issued guidelines in 2003 for using these markers in clinical practice.
Purpose of the Study:
- To review the 2003 American Heart Association guidelines on inflammatory markers for cardiovascular disease risk.
- To synthesize recent evidence published after the 2003 guidelines regarding inflammation's role in cardiovascular risk.
- To provide evidence-based recommendations for primary care practitioners on utilizing inflammatory markers in clinical practice.
Main Methods:
- Literature review of studies published before and after the 2003 American Heart Association guidelines.
- Analysis of recent reviews and original research on inflammation and cardiovascular risk.
- Synthesis of findings to inform clinical practice recommendations.
Main Results:
- Inflammation, indicated by markers like C-reactive protein, is increasingly recognized as a significant factor in cardiovascular disease.
- Post-guideline studies further corroborate the association between inflammatory markers and CVD.
- The role of inflammation is crucial for both prevention and management of chronic diseases.
Conclusions:
- Inflammatory markers are valuable tools in assessing cardiovascular disease risk.
- Primary care clinicians should be aware of the latest evidence and guidelines regarding inflammatory markers.
- Integrating knowledge of inflammation into clinical practice can enhance chronic disease prevention and management strategies.
Abstract:
Recent evidence supports an association between elevation of inflammatory markers, such as C-reactive protein, and subsequent cardiovascular disease risk. The American Heart Association released guidelines in 2003 to help clinicians know when to use such markers. Because inflammatory markers are associated with diabetes, obesity, and hypertension, knowledge of the role of such markers is extremely important for prevention and chronic disease management. Newer studies published after the guidelines, and another recent review provide further documentation of the growing role of inflammation in cardiovascular risk. Based on the available literature, this article reviews the new guidelines, more recent evidence since the guidelines, and forms recommendations for primary care clinical practice.
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