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A Sensitive and Specific Quantitation Method for Determination of Serum Cardiac Myosin Binding Protein-C by Electrochemiluminescence Immunoassay
Published on: August 8, 2013
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.
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.
Background:
Elevated levels of high-sensitivity C-reactive protein (CRP), an inflammatory marker, have been associated with heart failure. However, it is not known which parameters of left ventricular dysfunction correlate with elevated levels of CRP.
Methods And Results:
In this cross-sectional study of 98 patients referred for cardiac catheterization, we investigated whether commonly used clinical indices of left ventricular dysfunction correlated with CRP levels. CRP levels were elevated to a greater degree in participants with diabetes mellitus (P =.006) and heart failure (P =.003). Increased CRP levels were associated with increased plasma levels of B-type natriuretic peptide (BNP; P =.0001), decreased left ventricular ejection fraction (LVEF; P =.02), and increased left-ventricular end-diastolic pressure (LVEDP; P =.0005). After multivariable adjustment, LVEDP and CRP were independently associated (P =.046).
Conclusion:
CRP is increased in patients with heart failure. Of the clinical parameters of left ventricular dysfunction, direct measurement of left ventricular end-diastolic pressure is most closely associated with CRP.
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