Prognostic value of high sensitive C-reactive protein in subjects with silent myocardial ischemia

Mette Mouridsen, Theodoros Intzilakis, Zeynep Binici, Olav Wendelboe Nielsen, Ahmad Sajadieh

4 Citationer (Scopus)

Abstract

OBJECTIVES: The aim of this study was to evaluate the prognostic value of high sensitive C-reactive protein (CRP) in subjects with silent myocardial ischemia (SMI). DESIGN: In total, 678 healthy men and women aged 55 to 75 years with no history of cardiovascular disease or stroke were included. High-sensitive CRP and 48-hour ambulatory ECG monitoring were performed. The primary endpoint was the combined endpoint of death and myocardial infarction. RESULTS: The median follow-up time was 76 months. Seventy-seven subjects (11.4%) had SMI. The combined endpoint occurred in 26% of the subjects with SMI and 14% of the subjects without SMI (P = .005). SMI had a poor prognosis in the group with an elevated CRP ≥3.0 μg/mL (hazard ratio, 3.46; 95% confidence interval, 1.67-7.16; P = .001) compared with the group of subjects with SMI and a low CRP
OriginalsprogEngelsk
TidsskriftJournal of Electrocardiology
Vol/bind45
Udgave nummer3
Sider (fra-til)260-264
ISSN0022-0736
DOI
StatusUdgivet - 2012

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