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Published on: March 7, 2018
The Use of High Sensitivity C-Reactive Protein in Cardiovascular Disease Detection
Ana Rita Castro1, Sara Oliveira Silva, Sandra Clara Soares
1Fernando Pessoa Energy, Environment and Health Research Unit/Biomedical Research Center (FP-ENAS/CEBIMED), Faculty of Health Sciences, Fernando Pessoa University, Porto, Portugal.
Insights
High-sensitivity C-reactive protein (hsCRP) is a key biomarker for cardiovascular diseases (CVDs). Elevated hsCRP levels indicate inflammation and are linked to atherosclerosis, aiding in CVD risk assessment and prognosis.
Area of Science:
- Biomarkers
- Cardiovascular Medicine
- Inflammation Research
Background:
- Cardiovascular diseases (CVDs) are a leading cause of global mortality.
- Vascular inflammation, particularly atherosclerosis, is a primary driver of CVDs.
- Inflammatory biomarkers, such as C-reactive protein (CRP), are crucial for CVD detection and management.
Purpose of the Study:
- To highlight the role of C-reactive protein (CRP) as an inflammatory biomarker in cardiovascular diseases (CVDs).
- To emphasize the significance of high-sensitivity CRP (hsCRP) in assessing CVD prognosis, especially in intermediate-risk patients.
- To explore the potential of establishing hsCRP concentration thresholds for diagnosing acute cardiovascular events.
Main Methods:
- Review of existing literature on CRP and hsCRP as biomarkers for cardiovascular diseases.
- Analysis of hsCRP's role in atherosclerosis development, plaque instability, and clot formation.
- Discussion of hsCRP's utility in clinical settings for prognosis and potential diagnostic thresholds.
Main Results:
- C-reactive protein (CRP) is an acute phase protein and a mediator of atherosclerosis.
- High-sensitivity CRP (hsCRP) plasma concentration is utilized for CVD prognosis in intermediate-risk individuals.
- High hsCRP levels are positively associated with CVDs, including acute myocardial infarction, ischemic stroke, and hypertrophic cardiomyopathy.
Conclusions:
- High-sensitivity CRP (hsCRP) is a valuable biomarker for cardiovascular disease (CVD) risk stratification and prognosis.
- Establishing definitive hsCRP concentration limits could aid in the clinical diagnosis of acute cardiovascular conditions.
- Increased medical awareness of the hsCRP-CVD link is vital for improving patient survival and quality of life.
Abstract:
Cardiovascular diseases (CVDs) are responsible for a high mortality rate worldwide. One of the most common causes of CVDs is vascular inflammation associated to atherosclerosis. Inflammatory biomarkers are used to assist the detection of CVDs and monitor their evaluation, prognosis and therapy implementation. C-reactive protein (CRP) is an acute phase protein produced after stimulation by pro-inflammatory cytokines. CRP is a biomarker of the inflammatory reaction and an important mediator of atherosclerosis. Given it actively contributes to the development of the atherosclerotic plaque, instability and subsequent clot formation it is also considered a CVD risk factor. Since 2010, the plasma concentration of hsCRP (high sensitivity CRP) has been used as a biomarker for disease prognosis in patients with intermediate risk for CVDs. It could be useful to establish a high concentration limit of hsCRP that can be used by clinicians for diagnosis of acute myocardial infarction, cardio embolic or ischemic stroke, and hypertrophic cardiomyopathy. The end cost/effectiveness of hsCRP screening is still an area of controversy but it is a priority to make the medical community aware of the positive relation between high hsCRP and CVDs to improve median survival and life quality of the patients.
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