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High-Sensitivity CRP and Occurrence of Cancer in Cardiovascular Disease Patients with Cardiovascular
Orianne de la Brassinne Bonardeaux1, Manon Deneye2, Cecile Oury3
1Department of Cardiology, GIGA Cardiovascular, University of Liège Hospital, 4000 Liège, Belgium.
Insights
High-sensitivity C-reactive protein (hs-CRP) did not predict cancer in cardiovascular disease patients but correlated with mortality. Antiplatelet and statin use may reduce cancer risk, warranting further investigation.
Area of Science:
- Biomedical Research
- Cardiology
- Oncology
Background:
- Inflammation, cardiovascular disease (CVD), and cancer share common links.
- High-sensitivity C-reactive protein (hs-CRP) indicates low-grade systemic inflammation, a feature of these conditions.
Purpose of the Study:
- To evaluate the predictive capability of hs-CRP for cancer development in patients with existing CVD.
- To explore associations between hs-CRP, cancer incidence, and mortality in CVD patients.
Main Methods:
- Retrospective analysis of 174 patients undergoing coronary angiography.
- Assessment of hs-CRP levels, alongside demographic, biological, and therapeutic data.
- Statistical analysis to determine correlations and predictive values.
Main Results:
- Smoking and dyslipidemia significantly correlated with hs-CRP levels.
- hs-CRP did not predict cancer development but correlated with 1-year and follow-up mortality.
- Antiplatelet and statin use were associated with a lower probability of cancer development.
Conclusions:
- hs-CRP is not an effective cancer predictor in CVD patients but is linked to all-cause mortality.
- Antiplatelet and statin therapies may offer a protective effect against cancer development.
- Further research is needed to elucidate mechanisms and identify key factors in disease pathophysiology.
Abstract:
Background: Many studies recognize a close link between inflammation, cardiovascular disease (CVD), and oncological diseases. High-sensitivity C-reactive protein (hs-CRP), a marker of low-grade systemic inflammation, is a shared feature of these conditions. This retrospective study aims to assess the predictive value of hs-CRP for the development of cancer in patients with CVD. Methods: Analyzing data from 174 patients undergoing coronary angiography, we assessed hs-CRP levels and collected demographic, biological, and therapeutic data that could influence the studied parameters. Results: Only smoking and dyslipidemia correlated significantly with CRP levels (p = 0.018 and 0.049, respectively). However, hs-CRP did not predict cancer development (p = 0.52) but correlated with 1-year and follow-up mortality (p = 0.011 and 0.021, respectively). Antiplatelet and statin use was higher in the cancer-free group and associated with a lower probability of developing cancer (p < 0.001 and p = 0.009, respectively). Conclusions: While hs-CRP did not prove effective as a cancer predictor in our study, it correlated with all-cause mortality. Our findings suggest a potential protective effect of antiplatelet and statin treatments against cancer development, prompting further research to understand underlying processes and identify key factors in the pathophysiology of these diseases.
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