scholarly journals INDICATORS OF INFLAMMATION IN THE PATHOGENESIS OF UNSTABLE ANGINA

2020 ◽  
Vol 73 (3) ◽  
pp. 569-573 ◽  
Author(s):  
Yevheniia H. Zaremba ◽  
Olha V. Smaliukh ◽  
Olena V. Zaremba-Fedchyshyn ◽  
Olha V. Zaremba ◽  
Andriy S. Kost ◽  
...  
Keyword(s):  
Unstable Angina ◽  
Inflammatory Cytokines ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Blood Lipid ◽  
Low Density ◽  
C Reactive Protein ◽  
Low Density Lipoprotein Cholesterol ◽  
Reactive Protein ◽  
Lipid Spectrum

The aim: Research of blood lipid spectrum, level of anti-inflammatory cytokines and C-reactive protein of coronary heart disease patients. Materials and methods: There was examined 61 patients with unstable angina, who had been on hospital care in the cardiology department of the Lviv National Emergency Hospital. Their average age was 68.3 ± 1.9 years. The control group included 20 generally healthy persons. There was estimated blood lipid spectrum, C-reactive protein, fibrinogen and proinflammatory cytokine of patients. Results: There was determined considerable increase total cholesterol, low density lipoprotein cholesterol, very low density lipoprotein cholesterol, triglycerides and coefficient of atherogenicity. High level of C-reactive protein and pro-inflammatory cytokines were detected in patients with unstable angina. Conclusions: In patients with unstable angina was revealed a significant increase of proinflammatory cytokines levels in the blood serum: interleukin-1β, interleukin-6, interleukin-17, TNF-α and C-reactive protein, fibrinogen, which indicates activation of the inflammatory process. In patients with unstable angina was detected a significant disorder of blood lipid spectrum. For its correction should be recommended diet and hypolipidemic agents.

scholarly journals Relationship between C-reactive protein and features of the metabolic syndrome in military pilots in the Serbia and Montenegro

2005 ◽  
Vol 62 (11) ◽  
pp. 811-819
Author(s):  
Aleksandra Jovelic ◽  
Goran Radjen ◽  
Stojan Jovelic ◽  
Marica Markovic
Keyword(s):  
Metabolic Syndrome ◽  
High Density Lipoprotein ◽  
High Density Lipoprotein Cholesterol ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Lipoprotein Cholesterol ◽  
Low Density ◽  
C Reactive Protein ◽  
Low Density Lipoprotein Cholesterol ◽  
Reactive Protein

Background/Aim. C-reactive protein is an independent predictor of the risk of cardiovascular events and diabetes mellitus in apparently healthy men. The relationship between C-reactive protein and the features of metabolic syndrome has not been fully elucidated. To assess the cross-sectional relationship between C-reactive protein and the features of metabolic syndrome in healthy people. Methods. We studied 161 military pilots (agee, 40?6 years) free of cardiovascular disease, diabetes mellitus and active inflammation on their regular annual medical control. Age, total cholesterol, low density lipoprotein cholesterol, high density lipoprotein cholesterol, triglycerides, fasting glucose, glycosylated hemoglobin, blood pressure, smoking habit, waist circumference and body mass index were evaluated. Plasma C-reactive protein was measured by the immunonephelometry (Dade Behring) method. Metabolic syndrome was defined according to the National Cholesterol Education Program Expert Panel. Results. The mean C-reactive protein concentrations in the subjects grouped according to the presence of 0, 1, 2 and 3 or more features of the metabolic syndrome were 1.11, 1.89, 1.72 and 2.22 mg/L, respectively (p = 0.023) with a statistically, significant difference between those with 3, and without metabolic syndrome (p = 0.01). In the simple regression analyses C-reactive protein did not correlate with the total cholesterol, low density lipoprotein cholesterol, high density lipoprotein cholesterol, body mass index and blood pressure (p > 0.05). In the multiple regression analysis, waist circumference (? = 0.411, p = 0.000), triglycerides to high density lipoprotein cholesterol ratio (? = 0.774, p = 0.000), smoking habit (? = 0.236, p = 0.003) and triglycerides (? = 0.471, p = 0.027) were independent predictors of C-reactive protein. Conclusions. Our results suggested a cross-sectional independent correlation between the examined cardiovascular risk factors as the predominant features of metabolic syndrome and C-reactive protein in the group of apparently healthy subjects. The lack of correlation of C-reactive protein with the total cholesterol and low density lipoprotein cholesterol in our study may suggest their different role in the process of atherosclerosis and the possibility to determine C-reactive protein in order to identify high-risk subjects not identified with cholesterol screening.

scholarly journals Roles of Achieved Levels of Low-Density Lipoprotein Cholesterol and High-Sensitivity C-Reactive Protein on Cardiovascular Outcome in Statin Therapy

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Myung Han Hyun ◽  
Yuchang Lee ◽  
Byoung Geol Choi ◽  
Jin Oh Na ◽  
Cheol Ung Choi ◽  
...  
Keyword(s):  
Statin Therapy ◽  
De Novo ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
High Sensitivity ◽  
Cardiovascular Outcome ◽  
Low Density ◽  
C Reactive Protein ◽  
Low Density Lipoprotein Cholesterol ◽  
Reactive Protein

In statin therapy, the prognostic role of achieved low-density lipoprotein cholesterol (LDL-C) and high-sensitivity C-reactive protein (hsCRP) in cardiovascular outcomes has not been fully elucidated. A total of 4,803 percutaneous coronary intervention (PCI)-naïve patients who prescribed moderate intensity of statin therapy were followed up. Total and each component of major adverse cardiovascular events (MACE) according to LDL-C and hsCRP quartiles were compared. The incidence of 5-year total MACEs in the highest quartile group according to the followed-up hsCRP was higher than that in the lowest quartile (hazard ratio (HR) = 2.16, p<0.001). However, there was no difference between the highest and lowest quartiles of the achieved LDL-C (HR = 0.95, p=0.743). After adjustment of potential confounders, the incidence of total death, de novo PCI, atrial fibrillation, and heart failure in the highest quartile of followed-up hsCRP, was higher than that in the lowest quartile (all p<0.05). However, other components except for de novo PCI in the highest quartile by achieved LDL-C was not different to that in the lowest quartile. These results suggest that followed-up hsCRP can be more useful for predicting future cardiovascular outcome than achieved LDL-C in PCI-naïve patients with statin therapy.

scholarly journals Changes in Blood Lipoproteins, Inflammation Response and Tissue Damage After a Single Bout of Exhaustive Exercise

2010 ◽  
Vol 16 (1) ◽  
pp. 67-72
Author(s):  
Chieh Chung LIU ◽  
Jui Kun CHUANG ◽  
Chun Hong LIN ◽  
Pu Hsi TSAI ◽  
Jun Yen LEE ◽  
...  
Keyword(s):  
Creatine Kinase ◽  
Lactate Dehydrogenase ◽  
Tissue Damage ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Lipoprotein Cholesterol ◽  
Low Density ◽  
C Reactive Protein ◽  
Low Density Lipoprotein Cholesterol ◽  
Reactive Protein

LANGUAGE NOTE | Document text in Chinese; abstract also in English. The objective of this study was to determine the effects on plasma lipoproteins, inflammation response and tissue-­damage markers level during their recovery following exhaustive run. These biochemical concentrations were measured before 30 min, immediately after, and 30 min, 1hr, 2hr, 24hr, 48hr, 72hr after an exhaustive run on treadmill in 15 health male subjects with 80%VO2max intensity. The result of one-way ANOVA with measure repeated analysis indicated that there were no significant changes in low-density lipoprotein cholesterol post run, and high-density lipoprotein cholesterol level was remain significant elevated (by 18%) until 2hr post run. The inflammatory marker of C-reactive protein level was significant elevated (by 42%) immediately and returned to baseline post 0.5hr. The neutrophils ratio remain significant increased (by 51%) during 0.5hr until 2hr and returned to baseline post 24hr. The tissue-damage markers were remain elevated by 23% immediately until 2hr in lactate dehydrogenase and only reach to peak (by 108%) significantly post 24hr in creatine kinase. It is concluded that an exhaustive exercise could induce the delay-onset damage and transient inflammatory response in tissue, and have enough rest or suitable antioxidant supplements for recovery. 目的：本研究旨在探討單次衰竭運動後恢復期對於血脂蛋白濃度變化與發炎損傷指標之影響。方法：受試者為15名健康男性(年齡22.8 ± 0.89歲，體重67. ± 1.81公斤)，以高強度(80%VO2max)的固定負荷運動至衰竭，並於運動前30分鐘、運動後立即、0.5hr、lhr、2hr、24hr、48hr、72hr等時間點靜脈採血進行生化值分析。結果：以單因子相依樣本變異數分析顯示，低密度脂蛋白膽固醇(low density lipoprotein-cholesterol, LDL-C)在運動後均無明顯變化；而高密度脂蛋白膽固醇(high den­sity lipoprotein-cholesterol, HDL-C)則在衰竭運動後2hr明顯持續增加約18.3% (p < .05)；發炎指標：C-反應蛋白(C-reactive protein, CRP)於衰竭後立即顯著上升約42%，隨即0.5hr後恢復。嗜中性球比例(neutrophils, net-s%)在運動後0.5hr至2hr持續增加約51%，於24hr之後恢復。組織損傷情形，乳酸脱氫酶(lactate dehydrogenase, LDH)活性在衰竭後立即至2hr期間顯著增加約23%，而肌酸激酶(creatine kinase, CK)活性則在24hr後才明顯增加約108%的峰值反應。結論：本研究血脂蛋白與發炎、損傷等生化反應結果，意味著單次衰竭運動後可能誘發體內組織的延遲性損傷與組織的短暫發炎反應，需要有足夠的休息時間或運用適當的抗氧化增補劑來進行運動恢復。

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