High-sensitivity C-reactive protein and parameters of left ventricular dysfunction

Sanjiv J Shah1, Gregory M Marcus, Ivor L Gerber

  • 1Division of Cardiology, Department of Medicine, University of California, San Francisco, 94143, USA.

Journal of Cardiac Failure
|February 28, 2006
PubMed

Insights

Elevated C-reactive protein (CRP) indicates inflammation and is linked to heart failure. Left ventricular end-diastolic pressure (LVEDP) is the clinical parameter most closely associated with higher CRP levels in patients.

Area of Science:

  • Cardiology
  • Inflammation Markers

Background:

  • Elevated high-sensitivity C-reactive protein (CRP) is linked to heart failure.
  • The specific parameters of left ventricular dysfunction correlating with CRP are unclear.

Purpose of the Study:

  • To investigate the correlation between clinical indices of left ventricular dysfunction and CRP levels.
  • To identify which left ventricular dysfunction parameters are most associated with elevated CRP.

Main Methods:

  • Cross-sectional study of 98 patients undergoing cardiac catheterization.
  • Analysis of CRP levels in relation to clinical parameters, including diabetes mellitus, heart failure, B-type natriuretic peptide (BNP), left ventricular ejection fraction (LVEF), and left-ventricular end-diastolic pressure (LVEDP).

Main Results:

  • CRP levels were significantly higher in patients with diabetes mellitus and heart failure.
  • Increased CRP correlated with higher BNP, lower LVEF, and higher LVEDP.
  • Multivariable analysis confirmed an independent association between LVEDP and CRP.

Conclusions:

  • CRP is elevated in heart failure patients.
  • Left-ventricular end-diastolic pressure (LVEDP) is the primary clinical parameter of left ventricular dysfunction associated with CRP levels.
Abstract

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