Chronic Kidney Disease Stage Is a Modulator on the Association between High-Sensitivity C-Reactive Protein and Coronary Vasospastic Angina

The prevalence of coronary vasospasm and also the factors associated with coronary vasospasm in CKD is still unclear. In this cross-sectional study of 859 consecutive CKD patients with angina pectoris received coronary catheterization, we evaluated the factors associated with coronary vasospasm. Pat...

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Published inTheScientificWorld Vol. 2014; no. 2014; pp. 1 - 9
Main Authors Tsai, Chi-Jen, Wu, Mai-Szu, Hung, Ming-Jui, Chen, Chun-Yu, Chou, Chia-Chi, Sun, Chiao-Yin, Lee, Chin-Chan, Wu, I-Wen, Hsu, Kuang-Hung, Yen, Chiung-Hui, Hsu, Heng-Jung, Yang, Shih-Ying
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 01.01.2014
John Wiley & Sons, Inc
Wiley
Subjects
Aged
Angina pectoris
Angina Pectoris - metabolism
Autoimmune diseases
C-reactive protein
C-Reactive Protein - metabolism
Cardiology
Cardiovascular disease
Chronic kidney failure
Clinical Study
Coronary Artery Disease - metabolism
Coronary vasospasm
Coronary Vasospasm - metabolism
Coronary vessels
Diabetes
Female
Health aspects
Heart attacks
Humans
Hypertension
Intubation
Kidney diseases
Male
Middle Aged
Multivariate Analysis
Oxidative stress
Physiological aspects
Population
Proteins
Regression analysis
Renal Insufficiency, Chronic - metabolism
Smoking
Veins & arteries
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Abstract The prevalence of coronary vasospasm and also the factors associated with coronary vasospasm in CKD is still unclear. In this cross-sectional study of 859 consecutive CKD patients with angina pectoris received coronary catheterization, we evaluated the factors associated with coronary vasospasm. Patients with vasospasm were older and had higher peripheral blood white cell counts, higher peripheral blood monocyte cell counts, higher haemoglobin levels, higher hs-CRP levels, and lower levels of serum creatinine than patients without vasospasm. The results of multivariate logistic regression analysis revealed that peripheral blood monocyte count and hs-CRP level were independently associated with coronary vasospasm in patients with stage 1 CKD. Only peripheral blood monocyte count but not hs-CRP was independently associated with coronary vasospasm in patients with stages 2 and 3 of CKD. In conclusion, peripheral blood monocyte count is independently associated with coronary vasospasm in patients with stage 1–3 CKD, whereas hs-CRP is only independently associated with coronary vasospasm in patients with stage 1 CKD.
AbstractList The prevalence of coronary vasospasm and also the factors associated with coronary vasospasm in CKD is still unclear. In this cross-sectional study of 859 consecutive CKD patients with angina pectoris received coronary catheterization, we evaluated the factors associated with coronary vasospasm. Patients with vasospasm were older and had higher peripheral blood white cell counts, higher peripheral blood monocyte cell counts, higher haemoglobin levels, higher hs-CRP levels, and lower levels of serum creatinine than patients without vasospasm. The results of multivariate logistic regression analysis revealed that peripheral blood monocyte count and hs-CRP level were independently associated with coronary vasospasm in patients with stage 1 CKD. Only peripheral blood monocyte count but not hs-CRP was independently associated with coronary vasospasm in patients with stages 2 and 3 of CKD. In conclusion, peripheral blood monocyte count is independently associated with coronary vasospasm in patients with stage 1–3 CKD, whereas hs-CRP is only independently associated with coronary vasospasm in patients with stage 1 CKD.
The prevalence of coronary vasospasm and also the factors associated with coronary vasospasm in CKD is still unclear. In this cross-sectional study of 859 consecutive CKD patients with angina pectoris received coronary catheterization, we evaluated the factors associated with coronary vasospasm. Patients with vasospasm were older and had higher peripheral blood white cell counts, higher peripheral blood monocyte cell counts, higher haemoglobin levels, higher hs-CRP levels, and lower levels of serum creatinine than patients without vasospasm. The results of multivariate logistic regression analysis revealed that peripheral blood monocyte count and hs-CRP level were independently associated with coronary vasospasm in patients with stage 1 CKD. Only peripheral blood monocyte count but not hs-CRP was independently associated with coronary vasospasm in patients with stages 2 and 3 of CKD. In conclusion, peripheral blood monocyte count is independently associated with coronary vasospasm in patients with stage 1-3 CKD, whereas hs-CRP is only independently associated with coronary vasospasm in patients with stage 1 CKD.The prevalence of coronary vasospasm and also the factors associated with coronary vasospasm in CKD is still unclear. In this cross-sectional study of 859 consecutive CKD patients with angina pectoris received coronary catheterization, we evaluated the factors associated with coronary vasospasm. Patients with vasospasm were older and had higher peripheral blood white cell counts, higher peripheral blood monocyte cell counts, higher haemoglobin levels, higher hs-CRP levels, and lower levels of serum creatinine than patients without vasospasm. The results of multivariate logistic regression analysis revealed that peripheral blood monocyte count and hs-CRP level were independently associated with coronary vasospasm in patients with stage 1 CKD. Only peripheral blood monocyte count but not hs-CRP was independently associated with coronary vasospasm in patients with stages 2 and 3 of CKD. In conclusion, peripheral blood monocyte count is independently associated with coronary vasospasm in patients with stage 1-3 CKD, whereas hs-CRP is only independently associated with coronary vasospasm in patients with stage 1 CKD.
Audience Academic
Author Wu, Mai-Szu
Chou, Chia-Chi
Hsu, Kuang-Hung
Hsu, Heng-Jung
Yang, Shih-Ying
Sun, Chiao-Yin
Hung, Ming-Jui
Lee, Chin-Chan
Wu, I-Wen
Yen, Chiung-Hui
Chen, Chun-Yu
Tsai, Chi-Jen
AuthorAffiliation 1 Department of Nephrology, Chang Gung Memorial Hospital, Keelung 20401, Taiwan
2 The Graduate Institute of Clinical Medical Sciences, Chang Gung University Medical College, Taoyuan 33302, Taiwan
5 Laboratory of Epidemiology, Department of Health Care Management, Chang Gung University, Taoyuan 33302, Taiwan
3 Department of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
6 Department of Cardiology, Chang Gung Memorial Hospital, Keelung 20401, Taiwan
4 Department of Pediatrics, Taipei Medical University Hospital, Taipei 11031, Taiwan
AuthorAffiliation_xml – name: 3 Department of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
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Copyright Copyright © 2014 Heng-Jung Hsu et al.
COPYRIGHT 2014 John Wiley & Sons, Inc.
Copyright © 2014 Heng-Jung Hsu et al. Heng-Jung Hsu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright © 2014 Heng-Jung Hsu et al. 2014
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– notice: Copyright © 2014 Heng-Jung Hsu et al. Heng-Jung Hsu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Snippet The prevalence of coronary vasospasm and also the factors associated with coronary vasospasm in CKD is still unclear. In this cross-sectional study of 859...
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StartPage 1
SubjectTerms Aged
Angina pectoris
Angina Pectoris - metabolism
Autoimmune diseases
C-reactive protein
C-Reactive Protein - metabolism
Cardiology
Cardiovascular disease
Chronic kidney failure
Clinical Study
Coronary Artery Disease - metabolism
Coronary vasospasm
Coronary Vasospasm - metabolism
Coronary vessels
Diabetes
Female
Health aspects
Heart attacks
Humans
Hypertension
Intubation
Kidney diseases
Male
Middle Aged
Multivariate Analysis
Oxidative stress
Physiological aspects
Population
Proteins
Regression analysis
Renal Insufficiency, Chronic - metabolism
Smoking
Veins & arteries
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Title Chronic Kidney Disease Stage Is a Modulator on the Association between High-Sensitivity C-Reactive Protein and Coronary Vasospastic Angina
URI https://search.emarefa.net/detail/BIM-1051345
https://dx.doi.org/10.1155/2014/852507
https://www.ncbi.nlm.nih.gov/pubmed/24737995
https://www.proquest.com/docview/1511348568
https://www.proquest.com/docview/1517877311
https://pubmed.ncbi.nlm.nih.gov/PMC3967392
https://doaj.org/article/75629cd9f19740a2833b6bcfed573318
Volume 2014
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