C-reactive protein elevation in patients with atrial arrhythmias - Inflammatory mechanisms and persistence of atrial fibrillation

C-reactive protein elevation in patients with atrial arrhythmias - Inflammatory mechanisms and persistence of atrial fibrillation
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DOI:
10.1161/hc4901.101760
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发表时间:
2001-12-11
期刊:
影响因子:
37.8
通讯作者:
Van Wagoner, DR
Van Wagoner, DR
中科院分区:
医学1区
文献类型:
--
作者:
Chung, MK;Martin, DO;Van Wagoner, DR

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背景-由于炎症促进了心房结构的改变,房颤(AF)可能会持续存在。C反应蛋白(CRP)是全身炎症的标志,可以预测心血管事件和中风,这是房颤的常见后遗症。我们推测,房性心律失常患者的CRP水平升高。方法和结果:采用病例对照研究设计,将131例房性心律失常患者的CRP与71例对照组的CRP进行比较。心律失常患者中,6例为房性异位或心动过速,86例为阵发性房颤,39例为持续性房颤,70例为孤立性心律失常。心律失常组C反应蛋白水平高于对照组(中位数分别为0.21和0.096 mg/dL;P
Background-Atrial Fibrillation (AF) may persist due to structural changes in the atria that are promoted by inflammation. C-reactive protein (CRP), a marker of systemic inflammation, predicts cardiovascular events and stroke, a common sequela of AF. We hypothesized that CRP is elevated in patients, with atrial arrhythmias. Methods and Results-Using a case-control study design, CRP in 131 patients with atrial arrhythmias was compared with CRP in 71 control patients. Among arrhythmia patients, 6 had frequent atrial ectopy or tachycardia, 86 had paroxysmal AF, 39 had persistent AF lasting > 30 days, and 70 had lone arrhythmias. CRP was higher in arrhythmia than in control patients (median, 0.21 versus 0.096 mg/dL; P