[The relationship between hyperfibrinogenemia and severity of coronary heart disease]

Mei-Yan Liu1, Da-Yi Hu, Li Yan

  • 1Department of Cardiology, People's Hospital, Peking University, Beijing 100044, China.

Zhonghua Nei Ke Za Zhi
|January 7, 2005
PubMed

Insights

Elevated serum fibrinogen levels correlate with increased coronary artery disease (CAD) severity. This finding highlights fibrinogen as a potential biomarker for assessing CAD progression, especially in men and diabetic patients.

Area of Science:

  • Cardiovascular Medicine
  • Clinical Chemistry
  • Biomarker Research

Context:

  • Coronary artery disease (CAD) poses a significant global health burden.
  • Assessing the severity of coronary artery stenosis is crucial for patient management.
  • Identifying reliable biomarkers for CAD severity is an ongoing area of research.

Purpose:

  • To investigate the association between serum fibrinogen levels and the severity of coronary artery stenosis in patients with suspected CAD.
  • To determine if fibrinogen serves as an independent predictor of CAD severity.

Summary:

  • A study of 195 patients with suspected CAD utilized coronary angiography and a modified Gensini score to quantify stenosis severity.
  • Serum fibrinogen levels were analyzed in relation to CAD severity, controlling for other risk factors.
  • Results showed a significant positive correlation between fibrinogen and CAD severity, with elevated levels particularly associated with severe disease in men and diabetic individuals.

Impact:

  • This research identifies serum fibrinogen as a potential independent biomarker for coronary artery disease severity.
  • Findings may inform clinical risk stratification and treatment strategies for CAD patients.
  • Further research could explore the mechanistic link between fibrinogen and atherosclerotic plaque progression.
Abstract

Related Concept Videos

Coronary Artery Disease II: Pathophysiology01:26

Coronary Artery Disease II: Pathophysiology

Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...