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Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
[A relationship between CRP, adiponectin and Gensini score in the patients with coronary artery disease]
Dursun Dursunoğlu1, Hidayet Göksoy, Mehmet Oztürk
1Pamukkale Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dali, Denizli, Türkiye. dursundursunoglu@yahoo.com
Insights
Coronary artery disease (CAD) patients show lower adiponectin and higher C-reactive protein (CRP) levels compared to controls. Both CRP and adiponectin levels correlate with the severity of coronary lesions, as indicated by the Gensini score.
Area of Science:
- Cardiology
- Biomarkers
- Inflammation
Background:
- Coronary artery disease (CAD) is a leading cause of mortality worldwide.
- Inflammation plays a crucial role in the pathogenesis of atherosclerosis.
- Adiponectin and C-reactive protein (CRP) are recognized as potential biomarkers for cardiovascular risk.
Purpose of the Study:
- To investigate serum adiponectin and CRP levels in patients with angiographically defined coronary artery disease (CAD).
- To assess the relationship between these biomarkers and the severity of coronary lesions.
Main Methods:
- A cross-sectional observational study included 100 CAD patients and 45 controls.
- Coronary angiography was used to define CAD and assess lesion severity using the Gensini score.
- Serum levels of adiponectin and CRP were measured and analyzed using logistic regression.
Main Results:
- CAD patients exhibited significantly lower serum adiponectin (2.1±1.2 µmg/dl) and higher CRP (2.8±1.5 mg/dl) levels compared to controls (3.3±1.8 µmg/dl and 0.9±0.4 mg/dl, respectively).
- No significant differences in adiponectin or CRP levels were found between CAD subgroups.
- Logistic regression revealed a significant association between Gensini score and both serum CRP (OR: 0.98, 95% CI: 1.05-1.35) and adiponectin levels (OR: 1.15, 95% CI: 1.10-1.25).
Conclusions:
- Serum CRP levels are elevated, while adiponectin levels are decreased in patients with CAD compared to controls.
- Both CRP and adiponectin levels demonstrate a significant relationship with the severity of coronary artery lesions.
Objective:
We aimed to evaluate serum adiponectin and C-reactive protein (CRP) levels in the different groups of patients with angiographically defined coronary artery disease (CAD).
Methods:
Overall 100 patients (80 males, 20 females) with CAD (≥ 50% stenosis) and 45 controls (25 males, 20 females) with normal coronary arteries were included in this cross-sectional observational study. Gensini score was used for evaluation of the severity of coronary lesions on the angiogram. A relationship between Gensini score and serum CRP and adiponectin levels was evaluated by a logistic regression analysis.
Results:
Mean age of the patients (60.5±10.2 years) was significantly higher than of the controls (55.6±10.4 years, p=0.01). While serum adiponectin levels in CAD patients (2.1±1.2 µmg/dl) were significantly lower than in the controls (3.3±1.8 µmg/dl, p=0.01); serum CRP levels of the patients (2.8±1.5 mg/dl) were significantly higher than of the controls (0.9±0.4 mg/dl). Serum adiponectin and CRP levels were not significantly different between the CAD subgroups (p>0.05). Gensini score was related with serum CRP (odds ratio: 0.98, 95% CI: 1.05-1.35, p=0.01) and adiponectin levels (odds ratio: 1.15, 95% CI: 1.10-1.25, p=0.01) by a logistic regression analysis.
Conclusion:
While serum CRP levels are increased in CAD patients comparing with the controls; serum adiponectin levels are decreased significantly. Serum CRP and adiponectin levels are related to coronary lesions severity on the angiogram.
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