Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2005-7-20
pubmed:abstractText
Atherosclerosis is characterised by a non-specific local inflammatory process accompanied by a systemic response. A number of prospective studies in initially healthy subjects and in patients with manifest atherosclerosis have now convincingly demonstrated a strong and independent association between even slightly elevated concentrations of various systemic markers of inflammation (plasma viscosity, C-reactive protein [CRP], and other acute phase reactants) and a number of cardiovascular endpoints. Presently, CRP, the classical acute phase protein, seems to be the marker of choice for the clinical situation. Initial evidence suggests that measurement of CRP adds to global risk assessment based on the Framingham risk score. The recent AHA/CDC consensus report recommends the measurement of CRP in asymptomatic subjects at intermediate risk for future coronary events (10-year risk of 10-20 %) and in selected patients after an acute coronary syndrome. Whether CRP shall alter treatment strategies in subjects without clinically manifest atherosclerosis is presently being tested in a large randomised clinical trial. In addition, recent research has suggested that CRP may not only be a risk marker, but may be directly involved in the pathogenesis of atherothrombosis. However, there are other emerging biomarkers. Lipoprotein-associated phospholipase A (2) (Lp-PLA (2)), an enzyme produced by monocytes/macrophages, T-cells and mast cells was found to generate proinflammatory and proatherogenic molecules from oxidised LDL. We tested the association of these new biomarkers with traditional risk factors and their ability to predict incident coronary events, using the MONICA/KORA database.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0941-3790
pubmed:author
pubmed:issnType
Print
pubmed:volume
67 Suppl 1
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
S62-7
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:16032519-Adult, pubmed-meshheading:16032519-Cohort Studies, pubmed-meshheading:16032519-Comorbidity, pubmed-meshheading:16032519-Coronary Disease, pubmed-meshheading:16032519-Female, pubmed-meshheading:16032519-Germany, pubmed-meshheading:16032519-Humans, pubmed-meshheading:16032519-Incidence, pubmed-meshheading:16032519-Internationality, pubmed-meshheading:16032519-Male, pubmed-meshheading:16032519-Middle Aged, pubmed-meshheading:16032519-Population Surveillance, pubmed-meshheading:16032519-Registries, pubmed-meshheading:16032519-Risk Assessment, pubmed-meshheading:16032519-Risk Factors, pubmed-meshheading:16032519-Severity of Illness Index, pubmed-meshheading:16032519-Survival Analysis, pubmed-meshheading:16032519-Systemic Inflammatory Response Syndrome, pubmed-meshheading:16032519-World Health Organization
pubmed:year
2005
pubmed:articleTitle
Systemic low-grade inflammation and risk of coronary heart disease: results from the MONICA/KORA Augsburg cohort studies.
pubmed:affiliation
University of Ulm Medical Center, Department of Internal Medicine II-Cardiology, Ulm, Germany. wolfgang.koenig@medizin.uni-ulm.de
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't