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[Association between baseline high sensitivity C-reactive protein level and the first cardio-cerebral vascular event
Li-ye Wang1, Shou-ling Wu, Xiao-li Yang
1Department of Cardiology, Affiliated Kailuan Hospital, Hebei United University, Tangshan 063000, China.
Insights
High sensitivity C-reactive protein (hsCRP) is a significant predictor of cardio-cerebral vascular events in individuals with diabetes. Elevated hsCRP levels indicate a higher risk for events like myocardial infarction and cerebral infarction.
Area of Science:
- Cardiovascular Medicine
- Endocrinology
- Biomarkers
Context:
- Diabetes mellitus is a major risk factor for cardiovascular and cerebrovascular diseases.
- Inflammation plays a crucial role in the pathogenesis of atherosclerosis and its complications.
- Identifying reliable biomarkers for risk stratification in diabetic populations is essential.
Purpose:
- To investigate the predictive value of baseline serum high sensitivity C-reactive protein (hsCRP) for the incidence of first cardio-cerebral vascular events.
- To assess the association between hsCRP levels and various cardiovascular risk factors in a diabetic cohort.
Summary:
- A prospective cohort study followed 7865 individuals with diabetes for approximately 48 months.
- Higher baseline hsCRP levels were significantly associated with an increased risk of total cardio-cerebral vascular events, cerebral infarction, and myocardial infarction.
- Adjusted analyses revealed that individuals in the highest hsCRP quartile had a substantially elevated risk compared to the lowest quartile.
Impact:
- Baseline hsCRP is a valuable and independent predictor of future cardio-cerebral vascular events in people with diabetes.
- This finding supports the use of hsCRP for risk stratification and targeted preventive strategies in diabetic patients.
- Understanding the link between inflammation and vascular events can guide the development of novel therapeutic approaches.
Objective:
To evaluate the predictive value of baseline serum high sensitivity C-reactive protein for the first cardio-cerebral vascular event in the population with diabetes.
Method:
In this prospective cohort study, a total of 101 510 employees of Kai Luan Group, who received healthy examination from July 2006 to October 2007, were screened and 7865 subjects with fasting plasma glucose ≥ 7.0 mmol/L or known diabetes mellitus and under insulin or hypoglycemic drugs therapy were followed up for 38 - 53 (48.02 ± 3.14) months.
Results:
(1) Incidence rates of total cardio-cerebral vascular events, cerebral infarction and myocardial infarction increased in proportion to increased levels of baseline hsCRP (P < 0.01). After adjusting for age, gender, body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C) and cigarette smoking, multivariate Cox's proportional hazards regression analysis indicated that the individuals in the highest quartile of hsCRP levels group (hsCRP ≥ 2.50 mg/L) had an increased risk of total cardio-cerebral vascular events (RR: 1.64, 95% CI: 1.20 - 2.24), cerebral infarction (RR: 1.52, 95% CI: 1.03 - 2.24), myocardial infarction (RR: 2.57, 95% CI: 1.34 - 4.91) compared with those in the lowest quartile group (hsCRP < 0.41 mg/L). (2) Higher baseline hsCRP levels were associated with aging, female gender, higher BMI, SBP, DBP, fasting blood glucose, TC, TG, LDL-C levels and lower HDL-C levels (all P < 0.05).
Conclusion:
Baseline hsCRP level is associated with increased first cardio-cerebral vascular event in the population with diabetes.
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