1.
Studies showing associations between elevated level of hs-CRP and short- and long-term risks during and following acute myocardial infarction.
| Author | Study design, country | Population | Type of risk, condition | Key findings for associations |
| AMI: acute myocardial infarction; CI: confidence interval; GRACE: Global Registry of Acute Coronary Events score; HR: hazard ratio; hs-CRP: high sensitivity C-reactive protein; NSTEMI: non ST-elevation myocardial infarction; OR: odds ratio; STEMI: ST-elevation myocardial infarction; TIMI: Thrombolysis in Myocardial Infarction risk score; *Adjusted for age, sex, body mass index, and other confounding variables. | ||||
| Liu, et al.[1] | Prospective, obser- vational study in a single center, China | Patients with AMI, n = 10, 020 Age: 58.1 ± 10.1 yrs 22.7% female | Long-term sign: predicting the number of stenotic coronary arteries | *OR = 1.72 (95% CI: 1.08–2.74); P = 0.022 |
| Karadeniz, et al.[3] | Population study, Turkey | Patients with STEMI and NSTEMI, n = 321 Age: 63 ± 13 yrs | Short-term risk: the strongest predictor of SS | *OR = 1.14 (95% CI: 1.05–1.25); P = 0.002 |
| Mayr, et al.[26] | Population study, Austria | Patients within eight days after first STEMI with PCI, n = 118 Age: 55.7 ± 11.7 yrs, 16.1% female | Short-term sign: infarct size prediction (cardiac magnetic resonance) | Correlation: r = 0.60, P < 0.0001 |
| Yoshizaki, et al.[34] | Prospective observational trial, Japan | Patients with STEMI, n = 259 Age: 74 ± 10 yrs, 25% female | Short-term risk: atrial fibrillation | *Adjusted OR: 1.15 (95% CI: 1.04–1.27) |
| Kobayashi, et al.[32] | Retrospective observational study, Japan | Patients with STEMI, n = 6033 Age: 74 ± 10 yrs, 25% female | Short-term risk: an independent predictor of in-hospital ventricular tachycardia/fibrillation storm | *Adjusted OR: 1.073 (95% CI: 1.004–1.148); P = 0.039 |
| Raposeiras- Roubín, et al.[23] | Population study, Spain | Patients with AMI, n = 98 Age: 60.0 ± 13.5 yrs, 26.5% female | Short-term risk: a predictor of worse in-hospital outcomes independently of GRACE risk score | *Adjusted OR: 1.122 (95% CI: 1.005–1.252) P = 0.040 |
| Bursi, et al. [41] | Prospective study, USA | Patients with STEMI and NSTEMI, n = 329 Age: 69 ± 16 yrs, 48% female | Long-term risk: a predictor of heart failure and death | *For heart failure adjusted HR: 2.47 (95% CI: 1.27–4.82) *For death Adjusted HR: 3.96 (95% CI: 1.78–8.83) |
| Ribeiro, et al.[15] | Prospective cohort study, Brazil | Patients with STEMI and NSTEMI, n = 300 Age: 59 ± 11 yrs, 30.7% female | Long-term risk: an independent predictor of 30-day mortality | Adjusted for TIMI, OR: 1.27 (95% CI: 1.07–1.51), P = 0.005 Adjusted for GRACE, OR: 1.26 (95% CI: 1.06–1.49), P = 0.007 |
| Stumpf, et al. [40] | Single-center prospective observational cohort trial, Germany | Patients with STEMI and NSTEMI, n = 81 Age: 69 ± 11 yrs, 31% female | Long-term risk: predicting one-year total mortality and HF mortality | Higher in patients with peak > 47.5 mg/L than in below level (P < 0.001) |
| Milano, et al. [16] | Retrospective cohort study, Brazil | Patients admitted with STEMI, n = 118 Age: 60 yrs (interquartile range of 19.75 yrs) 30.6% female | Short-term risk: predicting in-hospital mortality | Binary logistic regression analysis. *Adjusted OR = 1.15 (95% CI: 1.06 to 1.28 per unit increase), P = 0.0017 |
| Tello- Montoliu, et al.[35] | Prospective study, Spain and UK | Non-ST ACS patients with 6-months follow-up, n = 358 Age: 67.4 ± 12.4 yrs 35.8% female | Long-term risk: a predictor of adverse events (cardiovascular death, recurrent ACS, nonselective revascularization and /or admission for acute heart failure) | *Adjusted OR: 1.90 (95% CI: 1.24–2.92), P = 0.0034 |
| Suleiman, et al.[36] | Prospective study, Israel | Patients with STEMI, n = 448 Age: 60 ± 12 yrs; 16.1% female | Long-term risk: predicting 30-day mortality and heart failure | *OR: 3.0 (95% CI 1.3–7.2), P = 0.01 *OR: 2.6 (95% CI: 1.5–4.6), P = 0.0006 |
| Yanishi, et al. [37] | AMI-Kyoto registry, Japan | Patients with STEMI, n = 1060 Age: 70.0 ± 12.4 yrs; 29% female | Short-term risk: predicting in-hospital mortality | *Adjusted OR: 2.19 (95% CI: 1.38–3.51) |
| Ahmed, et al. [21] | Korea AMI registry, Korea | Overweight/obese patients with STEMI and NSTEMI, n = 8174 Age: 62.7 ± 12.4 yrs; 24% female | Long-term risk: predicting all-cause mortality at 12 months | For hs-CRP level ≥ 4.08 mg/dL HR: 2.382 (95% CI: 1.079–5.259), *P = 0.032 |