[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.
Abstract

Related Concept Videos

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers01:19

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers

Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
Coronary Artery Disease II: Pathophysiology01:26

Coronary Artery Disease II: Pathophysiology

Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...