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HDL-C levels modify the association between C-reactive protein and coronary artery calcium score

Abstract Backgrounds and aims C-reactive protein (CRP) levels predict incident and recurrent cardiovascular disease (CVD) events; however, associations between CRP and pre-clinical atherosclerosis is less certain. Since high concentrations of high-density lipoprotein cholesterol (HDL-C) are inversel...

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Bibliographic Details
Published in:Nutrition, metabolism, and cardiovascular diseases metabolism, and cardiovascular diseases, 2014-11, Vol.24 (11), p.1240-1245
Main Authors: Sung, K.-C, Cho, E.-J, Lim, Y.-H, Shin, J, Pyun, W.B, Kang, S.-M, Rosenson, R.S
Format: Article
Language:English
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Summary:Abstract Backgrounds and aims C-reactive protein (CRP) levels predict incident and recurrent cardiovascular disease (CVD) events; however, associations between CRP and pre-clinical atherosclerosis is less certain. Since high concentrations of high-density lipoprotein cholesterol (HDL-C) are inversely associated with CVD risk, we investigated whether HDL-C modified the association between CRP concentration and measures of preclinical atherosclerosis. Methods and results Data were analyzed from a Korean occupational cohort of 12,030 male subjects who underwent a cardiac computed tomography (CT) estimation of coronary artery calcification (CAC) score and an assessment of CVD risk factors. Logistic regression was used to describe associations between CRP and measures of pre-clinical atherosclerosis, such as CAC scores >0. As many as 1351 (11.2%) participants had a CAC score>0. CRP was stratified into 3 groups based on clinical category:
ISSN:0939-4753
1590-3729
DOI:10.1016/j.numecd.2014.06.003