Is high-sensitivity C-reactive protein an effective screening test for cardiovascular risk?

被引:49
作者
Kushner, I
Sehgal, AR
机构
[1] Metrohlth Med Ctr, Div Nephrol, Cleveland, OH 44109 USA
[2] Metrohlth Med Ctr, Ctr Hlth Care Res & Policy, Cleveland, OH 44109 USA
[3] Case Western Reserve Univ, Ctr Biomed Eth, Cleveland, OH 44106 USA
[4] Case Western Reserve Univ, Dept Epidemiol & Biostat, Cleveland, OH 44106 USA
[5] Case Western Reserve Univ, Dept Pathol, Cleveland, OH 44106 USA
[6] Case Western Reserve Univ, Dept Med, Cleveland, OH 44106 USA
关键词
D O I
10.1001/archinte.162.8.867
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
W e evaluate the suggestion that high-sensitivity C-reactive protein testing be used for risk assessment in the primary prevention of cardiovascular disease, using the criteria proposed by the Guide to Clinical Preventive Services developed by the US Preventive Services Task Force. We conclude that at present, none of the 3 major criteria-accuracy, reliability, and likelihood of beneficial intervention-are satisfied.
引用
收藏
页码:867 / 869
页数:3
相关论文
共 30 条
[1]   Effect of statin therapy on C-reactive protein levels - The Pravastatin Inflammation/CRP Evaluation (PRINCE): A randomized trial and cohort study [J].
Albert, MA ;
Danielson, E ;
Rifai, N ;
Ridker, PM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (01) :64-70
[2]  
[Anonymous], 1996, GUID CLIN PREV SERV
[3]  
Buchwald D, 1997, J RHEUMATOL, V24, P372
[4]   COMPARATIVE-STUDY OF C-REACTIVE PROTEIN AND SERUM AMYLOID-A PROTEIN IN EXPERIMENTAL INFLAMMATION [J].
CHAMBERS, RE ;
HUTTON, CW ;
DIEPPE, PA ;
WHICHER, JT .
ANNALS OF THE RHEUMATIC DISEASES, 1991, 50 (10) :677-679
[5]  
de Maat M P, 2001, Ital Heart J, V2, P189
[6]   The effect of high-protein diets on coronary blood flow [J].
Fleming, RM .
ANGIOLOGY, 2000, 51 (10) :817-826
[7]   Mechanisms of disease: Acute-phase proteins and other systemic responses to inflammation [J].
Gabay, C ;
Kushner, I .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 340 (06) :448-454
[8]   Association between physical activity and markers of inflammation in a healthy elderly population [J].
Geffken, DF ;
Cushman, M ;
Burke, GL ;
Polak, JF ;
Sakkinen, PA ;
Tracy, RP .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2001, 153 (03) :242-250
[9]  
Horowitz GL, 2000, NEW ENGL J MED, V343, P512
[10]  
Ikeda U, 1999, LANCET, V353, P1274, DOI 10.1016/S0140-6736(05)75195-3