The Role of C-reactive Protein in Patient Risk Stratification and Treatment

Atherosclerosis is a chronic inflammatory disease. Several circulating inflammatory markers have been proposed for clinical use due to their ability to predict future cardiovascular events and may be useful for identifying people at high risk who might benefit from specific treatment to reduce this...

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Main Authors: Ramón Arroyo-Espliguero, María C Viana-Llamas, Alberto Silva-Obregón, Pablo Avanzas
Format: Article
Language:English
Published: Radcliffe Medical Media 2021-07-01
Series:European Cardiology Review
Online Access:https://www.ecrjournal.com/articleindex/ecr.2020.49
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author Ramón Arroyo-Espliguero
María C Viana-Llamas
Alberto Silva-Obregón
Pablo Avanzas
author_facet Ramón Arroyo-Espliguero
María C Viana-Llamas
Alberto Silva-Obregón
Pablo Avanzas
author_sort Ramón Arroyo-Espliguero
collection DOAJ
description Atherosclerosis is a chronic inflammatory disease. Several circulating inflammatory markers have been proposed for clinical use due to their ability to predict future cardiovascular events and may be useful for identifying people at high risk who might benefit from specific treatment to reduce this risk. Moreover, the identification of new therapeutic targets will allow the development of drugs that can help reduce the high residual risk of recurrence of cardiovascular events in patients with coronary artery disease. The clinical benefits of reducing recurrent major cardiovascular events recently shown by canakinumab and colchicine have renewed the cardiology community’s interest in inflammation as an aetiopathogenic mechanism for atherosclerosis. This review explores the use of C-reactive protein, which is the most frequently studied biomarker in this context; the concept of residual risk in primary and secondary cardiovascular prevention; and the current recommendations in international guidelines regarding the role of this inflammatory biomarker in cardiovascular risk stratification.
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publishDate 2021-07-01
publisher Radcliffe Medical Media
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series European Cardiology Review
spelling doaj-art-acd02d4c12464c03a725034e018e8fd62024-12-14T16:02:49ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642021-07-011610.15420/ecr.2020.49The Role of C-reactive Protein in Patient Risk Stratification and TreatmentRamón Arroyo-Espliguero0María C Viana-Llamas1Alberto Silva-Obregón2Pablo Avanzas3Department of Cardiology, Hospital Universitario de Guadalajara, Guadalajara, SpainDepartment of Cardiology, Hospital Universitario de Guadalajara, Guadalajara, SpainDepartment of Intensive Medicine, Hospital Universitario de Guadalajara, Guadalajara, SpainDepartment of Cardiology, Hospital Universitario Central de Asturias, Oviedo, Spain; Department of Medicine, Universidad de Oviedo, Oviedo, Spain; Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, SpainAtherosclerosis is a chronic inflammatory disease. Several circulating inflammatory markers have been proposed for clinical use due to their ability to predict future cardiovascular events and may be useful for identifying people at high risk who might benefit from specific treatment to reduce this risk. Moreover, the identification of new therapeutic targets will allow the development of drugs that can help reduce the high residual risk of recurrence of cardiovascular events in patients with coronary artery disease. The clinical benefits of reducing recurrent major cardiovascular events recently shown by canakinumab and colchicine have renewed the cardiology community’s interest in inflammation as an aetiopathogenic mechanism for atherosclerosis. This review explores the use of C-reactive protein, which is the most frequently studied biomarker in this context; the concept of residual risk in primary and secondary cardiovascular prevention; and the current recommendations in international guidelines regarding the role of this inflammatory biomarker in cardiovascular risk stratification.https://www.ecrjournal.com/articleindex/ecr.2020.49
spellingShingle Ramón Arroyo-Espliguero
María C Viana-Llamas
Alberto Silva-Obregón
Pablo Avanzas
The Role of C-reactive Protein in Patient Risk Stratification and Treatment
European Cardiology Review
title The Role of C-reactive Protein in Patient Risk Stratification and Treatment
title_full The Role of C-reactive Protein in Patient Risk Stratification and Treatment
title_fullStr The Role of C-reactive Protein in Patient Risk Stratification and Treatment
title_full_unstemmed The Role of C-reactive Protein in Patient Risk Stratification and Treatment
title_short The Role of C-reactive Protein in Patient Risk Stratification and Treatment
title_sort role of c reactive protein in patient risk stratification and treatment
url https://www.ecrjournal.com/articleindex/ecr.2020.49
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