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Biomarkers

Coronary artery calcium is a better risk marker than hsCRP

Indisputable evidence that coronary artery calcium score predicts cardiovascular events in asymptomatic individuals exists, even in patients with low to normal LDL cholesterol and elevated C-reactive protein. Conversely, not all studies demonstrate a predictive role for biochemical markers.

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References

  1. Blaha, M. J. et al. Associations between C-reactive protein, coronary artery calcium, and cardiovascular events: implications for the JUPITER population from MESA, a population-based cohort study. Lancet 378, 684–692 (2011).

    Article  CAS  PubMed Central  Google Scholar 

  2. Ridker, P. M. et al. Rosuvastatin to prevent vascular events in men and women with elevated C-reactive protein. N. Engl. J. Med. 359, 2195–2207 (2008).

    Article  CAS  PubMed Central  Google Scholar 

  3. Alexopoulos, N. & Raggi, P. Calcification in atherosclerosis. Nat. Rev. Cardiol. 6, 681–688 (2009).

    Article  CAS  Google Scholar 

  4. Raggi, P. et al. Identification of patients at increased risk of first unheralded acute myocardial infarction by electron-beam computed tomography. Circulation 101, 850–855 (2000).

    Article  CAS  PubMed Central  Google Scholar 

  5. Boekholdt, S. M. et al. C-reactive protein levels and coronary artery disease incidence and mortality in apparently healthy men and women: the EPIC-Norfolk prospective population study 1993–2003. Atherosclerosis 187, 415–422 (2006).

    Article  CAS  PubMed Central  Google Scholar 

  6. Danesh, J. et al. C-reactive protein and other circulating markers of inflammation in the prediction of coronary heart disease. N. Engl. J. Med. 350, 1387–1397 (2004).

    Article  CAS  PubMed Central  Google Scholar 

  7. Wilson, P. W. et al. C-reactive protein and risk of cardiovascular disease in men and women from the Framingham Heart Study. Arch. Intern. Med. 165, 2473–2478 (2005).

    Article  CAS  PubMed Central  Google Scholar 

  8. Arad, Y., Goodman, K. J., Roth, M., Newstein, D. & Guerci, A. D. Coronary calcification, coronary disease risk factors, C-reactive protein, and atherosclerotic cardiovascular disease events: the St. Francis Heart Study. J. Am. Coll. Cardiol. 46, 158–165 (2005).

    Article  CAS  PubMed Central  Google Scholar 

  9. Mohlenkamp, S. et al. Quantification of coronary atherosclerosis and inflammation to predict coronary events and all-cause mortality. J. Am. Coll. Cardiol. 57, 1455–1464 (2011).

    Article  PubMed Central  Google Scholar 

  10. Park, R. et al. Combined use of computed tomography coronary calcium scores and C-reactive protein levels in predicting cardiovascular events in nondiabetic individuals. Circulation 106, 2073–2077 (2002).

    Article  CAS  PubMed Central  Google Scholar 

Download references

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Correspondence to Paolo Raggi.

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Alexopoulos, N., Raggi, P. Coronary artery calcium is a better risk marker than hsCRP. Nat Rev Cardiol 8, 616–618 (2011). https://doi.org/10.1038/nrcardio.2011.149

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