Dyslipidemia Clinical Trial
Official title:
Hs-CRP as Clinical Marker of Inflammatory Atherogenic Dyslipidemia
The objective of this proposal is to study the applicability of the hs-CRP assay in the assessment of CV risk in daily clinical conditions where hyperlipidemic population with or without CHD are currently evaluated.
Coronary heart disease (CHD) is the major cause of death in the developed world. Cholesterol
screening has been used as a tool to identify individuals who are at increased risk of
developing future coronary events, but almost one-half of patients who develop myocardial
infarction have either normal or only moderately increased serum cholesterol concentrations.
In the last years, experimental and clinical evidence has demonstrated that atherosclerosis
is not simply a disease of lipid deposits. Rather, there is growing recognition that CHD has
an inflammatory component which plays a critical role in the arterial plaque rupture that
triggers most episodes of coronary thrombosis. In the last years, C-reactive protein (CRP),
an exquisitely sensitive marker of systemic inflammation, has emerged as a powerful
predictor of cardiovascular diseases, in particular of CHD, beyond what can be estimated by
traditional risk factors. The availability of high-sensitivity (hs) CRP assays has enabled
the detection of even low-grade inflammatory responses that have previously been regarded as
clinically not meaningful. However, for hs-CRP to make the transition from epidemiological
and clinical research to the routine clinical setting, several important issues must be
satisfactorily addressed.
Therefore, the overall objective of this proposal is to study the applicability of the
hs-CRP assay in the assessment of CV risk in daily clinical conditions where hyperlipidemic
population with or without CHD are currently evaluated and to evaluate hs-CRP response to
statins.
;
Allocation: Random Sample, Primary Purpose: Screening, Time Perspective: Longitudinal
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