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Atherosclerosis Prediction with High Sensitivity C-Reactive Protein (hs-CRP) and Related Risk Factor in Patient with
Dewa Ayu Swastini1, Ida Ayu Dewi Wiryanthini2, Ni Luh Putu Ariastuti2
1Department of Pharmacy, Udayana University, Denpasar, Bali, Indonesia.
Insights
High Sensitivity C-Reactive Protein (hs-CRP) correlates with atherosclerosis severity. High triglyceride and BMI are key factors influencing hs-CRP levels in dyslipidemia patients, indicating their role in cardiovascular risk.
Area of Science:
- Cardiovascular Medicine
- Clinical Biochemistry
- Atherosclerosis Research
Background:
- Inflammation is central to atherosclerosis development and progression.
- High Sensitivity C-Reactive Protein (hs-CRP) is a marker of systemic inflammation and a predictor of cardiovascular events.
Purpose of the Study:
- To assess the independent role of hs-CRP in predicting atherosclerosis severity.
- To identify factors influencing hs-CRP levels in patients with dyslipidemia.
Main Methods:
- 388 patients (267 dyslipidemia, 121 controls) were studied.
- Atherosclerosis severity was measured using ankle-brachial index (ABI) and Doppler ultrasound.
- Risk factors including age, gender, diabetes, smoking, hypertension, lipids, and glucose were analyzed for their association with hs-CRP.
Main Results:
- A significant association was found between hs-CRP levels and atherosclerosis severity (p < 0.01).
- Triglyceride, fasting plasma glucose, and BMI positively correlated with hs-CRP.
- HDL cholesterol showed a negative correlation with hs-CRP.
- Multivariate analysis identified triglyceride and BMI as major determinants of hs-CRP levels.
Conclusions:
- Hs-CRP levels correlate with the extent of atherosclerosis.
- Elevated triglyceride and BMI are strongly associated with higher hs-CRP levels in dyslipidemia patients.
Background:
Inflammation plays a major role in the initiation, destabilization and the progression of atherosclerosis. High Sensitivity C-Reactive Protein (hs-CRP) reflects active systemic inflammation and have shown to be a strong predictor of future cardiovascular events.
Aim:
The purpose of this study was to determine the role of High Sensitivity C-Reactive Protein (hs-CRP) independent for atherosclerosis severity prediction and to find out which factors largely is affecting hs-CRP level in dyslipidemia patient.
Methods:
A total of 388 patients (267 dyslipidemia, 121 controls) were enrolled in this study. We investigated whether plasma hs-CRP is associated with atherosclerosis severity that was quantified by ankle-brachial index (ABI) and Doppler ultrasound. Related risk factor that influence hs-CRP levels in patients with dyslipidemia included determination of age, gender, diabetes, smoking, hypertension, total cholesterol, TG, LDL, HDL, and fasting glucose.
Results:
Data showed a significant association between hs-CRP concentration level and the severity of atherosclerosis (p < 0.01). Univariate analysis showed that fasting plasma glucose, triglyceride, and BMI were significantly positively correlated with hs-CRP levels. Whereas, HDL cholesterol was negatively correlated with hs-CRP levels. Multivariate regression analysis using model 1 and 2, showed that in determining hs-CRP levels, triglyceride and BMI were taking a big role.
Conclusion:
Hs-CRP correlates with extent of atherosclerosis, and high triglyceride and BMI is closely associated with high hs-CRP levels in patients with dyslipidemia.
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