Usefulness of C-Reactive Protein as a Marker for Prediction of Future Coronary Events in the Asian Indian Population: Indian Atherosclerosis Research Study

Inflammation plays a pivotal role in all stages of atherosclerosis. Numerous inflammatory, lipid, and cytokines markers have been associated with coronary artery disease (CAD) risk but data directly comparing their predictive value are limited. Studies were carried to elucidate the role of high-sens...

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Main Authors: Veena S. Rao, Natesha B. Kadarinarasimhiah, Shibu John, Sridhara Hebbagodi, Jayashree Shanker, Vijay V. Kakkar
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:International Journal of Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2010/389235
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author Veena S. Rao
Natesha B. Kadarinarasimhiah
Shibu John
Sridhara Hebbagodi
Jayashree Shanker
Vijay V. Kakkar
author_facet Veena S. Rao
Natesha B. Kadarinarasimhiah
Shibu John
Sridhara Hebbagodi
Jayashree Shanker
Vijay V. Kakkar
author_sort Veena S. Rao
collection DOAJ
description Inflammation plays a pivotal role in all stages of atherosclerosis. Numerous inflammatory, lipid, and cytokines markers have been associated with coronary artery disease (CAD) risk but data directly comparing their predictive value are limited. Studies were carried to elucidate the role of high-sensitivity C-reactive protein (hsCRP), other inflammatory as well as lipid markers and their associations. Among 1021 subjects, comprising 774 CAD affected members from Indian Atherosclerosis Research Study (IARS), plasma hsCRP levels showed strong correlation with inflammatory markers, namely, IL6 (r=.373; P=<.0001), sPLA2 (r=.544; P=<.0001) as also with fibrinogen (r=.579; P=<.0001). Levels of hsCRP were higher among subjects affected by CAD who suffered a repeat coronary event as compared to those who remained event free and subjects in the top quartile of hsCRP (>3.58 mg/L) were found to have a fourfold higher risk. In conclusion, hsCRP appears to be an independent predictor of recurrent CAD events in Asian Indian population.
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institution Kabale University
issn 2090-2824
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language English
publishDate 2010-01-01
publisher Wiley
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series International Journal of Vascular Medicine
spelling doaj-art-af73099306d64c1ba13fc700e69244552025-02-03T06:43:47ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322010-01-01201010.1155/2010/389235389235Usefulness of C-Reactive Protein as a Marker for Prediction of Future Coronary Events in the Asian Indian Population: Indian Atherosclerosis Research StudyVeena S. Rao0Natesha B. Kadarinarasimhiah1Shibu John2Sridhara Hebbagodi3Jayashree Shanker4Vijay V. Kakkar5Tata Proteomics and Coagulation Unit, Thrombosis Research Institute, India, Narayana Hrudayalaya Hospital, 560099 Bangalore, IndiaTata Proteomics and Coagulation Unit, Thrombosis Research Institute, India, Narayana Hrudayalaya Hospital, 560099 Bangalore, IndiaElizabeth and Emmanuel Kaye Bioinformatics and Statistical Unit, Thrombosis Research Institute, 560099 Bangalore, IndiaElizabeth and Emmanuel Kaye Bioinformatics and Statistical Unit, Thrombosis Research Institute, 560099 Bangalore, IndiaGarry and Mary Weston Functional Genomics Unit, Thrombosis Research Institute, 560099 Bangalore, IndiaThrombosis Research Institute, Manresa Road, Chelsea, SW36LR London, UKInflammation plays a pivotal role in all stages of atherosclerosis. Numerous inflammatory, lipid, and cytokines markers have been associated with coronary artery disease (CAD) risk but data directly comparing their predictive value are limited. Studies were carried to elucidate the role of high-sensitivity C-reactive protein (hsCRP), other inflammatory as well as lipid markers and their associations. Among 1021 subjects, comprising 774 CAD affected members from Indian Atherosclerosis Research Study (IARS), plasma hsCRP levels showed strong correlation with inflammatory markers, namely, IL6 (r=.373; P=<.0001), sPLA2 (r=.544; P=<.0001) as also with fibrinogen (r=.579; P=<.0001). Levels of hsCRP were higher among subjects affected by CAD who suffered a repeat coronary event as compared to those who remained event free and subjects in the top quartile of hsCRP (>3.58 mg/L) were found to have a fourfold higher risk. In conclusion, hsCRP appears to be an independent predictor of recurrent CAD events in Asian Indian population.http://dx.doi.org/10.1155/2010/389235
spellingShingle Veena S. Rao
Natesha B. Kadarinarasimhiah
Shibu John
Sridhara Hebbagodi
Jayashree Shanker
Vijay V. Kakkar
Usefulness of C-Reactive Protein as a Marker for Prediction of Future Coronary Events in the Asian Indian Population: Indian Atherosclerosis Research Study
International Journal of Vascular Medicine
title Usefulness of C-Reactive Protein as a Marker for Prediction of Future Coronary Events in the Asian Indian Population: Indian Atherosclerosis Research Study
title_full Usefulness of C-Reactive Protein as a Marker for Prediction of Future Coronary Events in the Asian Indian Population: Indian Atherosclerosis Research Study
title_fullStr Usefulness of C-Reactive Protein as a Marker for Prediction of Future Coronary Events in the Asian Indian Population: Indian Atherosclerosis Research Study
title_full_unstemmed Usefulness of C-Reactive Protein as a Marker for Prediction of Future Coronary Events in the Asian Indian Population: Indian Atherosclerosis Research Study
title_short Usefulness of C-Reactive Protein as a Marker for Prediction of Future Coronary Events in the Asian Indian Population: Indian Atherosclerosis Research Study
title_sort usefulness of c reactive protein as a marker for prediction of future coronary events in the asian indian population indian atherosclerosis research study
url http://dx.doi.org/10.1155/2010/389235
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