Hypertension, C Reactive Protein and Metabolic Profile: What is the Scenario in Patients Undergoing Arteriography?

Ricardo Jose Tofano1, Sandra Maria Barbalho2, Marcelo Dib Bechara3

  • 1Cardiologist, Cardiac Surgery Unit and Hemodynamics, Medical School of Marilia, Marilia, Sao Paulo, Brazil.

Insights

High blood pressure (HBP) is linked to higher risks of diabetes, metabolic syndrome, and cardiovascular disease. Controlling HBP is crucial for better health outcomes and longevity.

Area of Science:

  • Cardiology
  • Endocrinology
  • Metabolic Health

Background:

  • High Blood Pressure (HBP), Diabetes Mellitus (DM), Metabolic Syndrome (MS), and Cardiovascular Diseases (CVD) are leading causes of mortality globally.
  • HBP is a prevalent chronic condition and a significant, modifiable risk factor for vascular events and mortality.

Purpose of the Study:

  • To investigate the association between high-sensitivity C-reactive protein (hs-CRP) levels and biochemical/anthropometric profiles in hypertensive and non-hypertensive patients undergoing arteriography.
  • To identify risk factors associated with HBP in patients undergoing arteriography.

Main Methods:

  • Ninety-five patients undergoing arteriography were assessed for anthropometric (BMI, waist circumference) and biochemical parameters (glycaemia, lipids, hs-CRP).
  • Blood pressure, atherogenic indices, MS diagnosis, and catheterization details were collected.
  • Statistical analyses included Chi-square, Fisher, Student t-test, and ANOVA with Tukey's test.

Main Results:

  • 78.95% of patients had HBP. Hypertensive individuals exhibited significantly higher glycaemia (indicating DM), triglycerides, waist circumference, BMI, and hs-CRP levels.
  • Over 93% of hypertensive patients had MS, correlating with more severe arterial lesions and increased need for invasive procedures like angioplasty and surgery.

Conclusions:

  • Blood pressure control is essential for improving quality of life and life expectancy.
  • HBP is associated with multiple risk factors that elevate morbidity and mortality, underscoring the need for effective management.
Abstract

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