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Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Markers of inflammation and risk of coronary heart disease
Nadeem Sarwar1, Alexander J Thompson, Emanuele Di Angelantonio
1Section of Population Health, University of Aberdeen, UK Department of Public Health and Primary Care, University of Cambridge, UK. n.sarwar@abdn.ac.uk
Insights
Inflammation markers like C-reactive protein are linked to coronary heart disease (CHD) risk. This review examines evidence for four key markers, assessing their role in predicting cardiovascular disease.
Area of Science:
- Cardiovascular Medicine
- Inflammation Biology
- Epidemiology
Background:
- Cardiovascular disease (CVD) is the primary cause of global mortality.
- Coronary heart disease (CHD) is the most prevalent form of CVD.
- Inflammation plays a role in CHD development, but its link to circulating markers and risk is unclear.
Purpose of the Study:
- To review epidemiological evidence for four emerging inflammatory markers in CHD.
- To evaluate the utility of these markers in cardiovascular risk prediction.
- To identify areas needing further research regarding inflammation and CHD.
Main Methods:
- Literature review of epidemiological studies.
- Focus on fibrinogen, C-reactive protein, lipoprotein-associated phospholipase A2, and interleukin-6.
- Analysis of marker relevance to CHD risk and prediction.
Main Results:
- Summarizes evidence linking specific inflammatory markers to CHD.
- Assesses the predictive value of these markers for cardiovascular events.
- Highlights existing uncertainties in the field.
Conclusions:
- Inflammatory markers show potential in understanding and predicting CHD risk.
- Further research is needed to clarify their precise role and clinical application.
- Understanding inflammation's role is crucial for combating cardiovascular mortality.
Abstract:
Cardiovascular disease is the leading cause of global mortality, with coronary heart disease (CHD) its major manifestation. Although inflammation, the body's response to noxious stimuli, is implicated in several stages of CHD development, the relevance of circulating levels of markers of inflammation to CHD risk remains uncertain. This review summarizes available epidemiological evidence for four emerging inflammatory markers implicated in CHD (fibrinogen, C-reactive protein, lipoprotein-associated phospholipase A2 and interleukin-6); considers their likely utility in cardiovascular risk prediction; and outlines areas of outstanding uncertainty.
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