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[Correlation between high sensitive C-reactive protein, lipoprotein(a), blood uric acid and severity of coronary
Ping He1, Xian-he Xie, Yi-peng Ding
1Emergency Center, Hainan Provincial People's Hospital, Haikou 570102, China.
Insights
High sensitive C-reactive protein (hs-CRP), lipoprotein (Lp)(a), and blood uric acid (BUA) are linked to coronary artery disease (CAD) severity. Measuring these markers together can help evaluate high-risk individuals and guide clinical interventions for CAD.
Area of Science:
- Cardiovascular Medicine
- Biomarkers
- Atherosclerosis Research
Context:
- Coronary artery disease (CAD) poses a significant global health burden.
- Identifying reliable biomarkers for CAD risk stratification and severity assessment is crucial.
- Inflammatory and metabolic factors are increasingly recognized in CAD pathogenesis.
Purpose:
- To investigate the association between high sensitive C-reactive protein (hs-CRP), lipoprotein (Lp)(a), and blood uric acid (BUA) with the severity of coronary artery disease (CAD).
Summary:
- This study analyzed 813 patients undergoing coronary arteriography, categorizing them into normal and CAD groups based on stenosis.
- Elevated levels of hs-CRP, Lp(a), and BUA were significantly associated with the presence and severity of CAD, including multi-vessel disease.
- Logistic regression identified hs-CRP, Lp(a), and BUA as independent risk factors for CAD.
Impact:
- Findings suggest that hs-CRP, Lp(a), and BUA play a role in the development and progression of CAD.
- Combined detection of these biomarkers offers value in assessing high-risk populations and patient conditions.
- This research provides a basis for proactive clinical management and intervention strategies for coronary heart disease.
Objective:
To discuss the relationship between high sensitive C-reactive protein (hs-CRP), lipoprotein (Lp)(a), blood uric acid (BUA) and severity of coronary artery disease (CHD).
Methods:
A total of 813 cases of suspected or established coronary atherosclerotic heart disease patients were recruited. The patients received selective coronary arteriography and they were divided into normal and CHD groups according to the result of selective coronary arteriography. The dividing mark was coronary artery stenosis more than 50% by selective coronary arteriography. Patients in CHD group were further divided into 1-4 vessel disease. Blood glucose, cholesterol, triglyceride, LDL-ch, hs-CRP and BUA were detected by automatic biochemical analyzer.
Results:
Among them, 754 cases (CHD group, 92.7%) were confirmed as coronary heart disease while 59 cases (control group, 7.3%) confirmed as non-coronary heart disease. There were significantly difference between two groups (P < 0.05): hs-CRP (7.12 ± 4.48 vs 1.71 ± 1.42) mg/L, Lp(a) (0.45 ± 0.42 vs 0.18 ± 0.03) mmol/L and BUA (402 ± 103 vs 327 ± 88) µmol/L. The levels of hs-CRP, Lp(a) and BUA in different number of diseased coronary vessels significantly differed from each other (P < 0.05). A comparison of 1-vessel disease group versus 4 vessel disease group was as follows: hs-CRP (3.59 ± 2.93 vs 13.11 ± 3.00) mg/L, Lp(a) (0.37 ± 0.25 vs 0.58 ± 0.17) mmol/L and BUA (384 ± 126 vs 444 ± 91) µmol/L. Logistic regression analysis showed that hs-CRP, Lp(a) and BUA were independent risk factors of coronary artery disease.
Conclusions:
The elevations of hs-CRP, LP(a) and BUA promote the establishment and development of coronary artery disease. A joint detection of hs-CRP, Lp(a) and BUA shows a comparatively great value in evaluating high-risk groups and the patient's condition. And it provides references for an active intervention of clinical coronary heart disease.
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