The Correlation between High Sensitive C-reactive Protein Levels and Gensini Score in Diabetes Patients

Authors

  • Linda Rotty Department of Internal Medicine
  • Frans Wantania Department of Internal Medicine, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia
  • Ribka Wowor Department of Public Health, Faculty of Public Health, Universitas Sam Ratulangi, Manado, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2023.11099

Keywords:

coronary artery disease, hsCRP, Gensini score, Diabetes

Abstract

BACKGROUND: Coronary artery disease is a disease caused by atherosclerotic plaques in the coronary arteries. The severity of coronary artery disease can be assessed objectively by coronary angiography. Many prospective studies have shown that inflammatory biomarkers with high sensitivity C-reactive protein (hsCRP) are independent predictors of cardiovascular events.

AIM: The aim of this study was to determine the correlation of hsCRP and Gensini score in subjects with coronary artery disease and diabetic patients.

METHODS: This study used an analytical observational design with a cross-sectional study to see the correlation between hsCRP and Gensini score in coronary artery disease subjects. The total sample was 40 subjects with a diagnosis of coronary artery disease and diabetes. Examination of angiography and hsCRP levels was performed on all subjects.

RESULTS: A total of 40 diabetic patients were included in the analysis. The mean age in this study was 57.98 ± 8.71 years old. The mean Gensini score in this study was 63.90 ± 40.79 years old. The median hsCRP level in this study was 13.05 (0.3–245.6). There was a significant correlation between hsCRP levels and the Gensini score (r = 0.346, p = 0.029).

CONCLUSION: There was a significant positive relationship between hsCRP levels and Gensini score, where an increase in the hsCRP value was also followed by an increase in the Gensini score; therefore, the hsCRP value can be used to assess the degree of coronary artery disease lesions.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Centers for Disease Control and Prevention. Heart Disease Facts. United States of America: Centers for Disease Control and Prevention; 2022. Available from: https://www.cdc.gov/heartdisease/facts.htm [Last accessed on 2022 Oct 30].

Purnamasari D. The emergence of non-communicable disease in Indonesia. Acta Med Indones. 2018;50(4):273-4. PMid:30630990

Kamath DY, Xaview D, Sigamani A, Pais P. High sensitivity C-reactive protein (hsCRP) and cardiovascular disease: An Indian perspective. Indian J Med Res. 2015;142(3):261-8. https://doi.org/10.4103/0971-5916.166582 PMid:26458341 DOI: https://doi.org/10.4103/0971-5916.166582

Charach L, Blatt A, Jonas M, Teodorovitz N, Haberman D, Gendelman G, et al. Using the Gensini score to estimate severity of STEMI, NSTEMI, unstable angina, and anginal syndrome. Medicine (Baltimore). 2021;100(41):e27331. https://doi.org/10.1097/MD.0000000000027331 PMid:34731103 DOI: https://doi.org/10.1097/MD.0000000000027331

Ramandika EA, Limantoro C, Puwoko Y. The relationship between major risk factor of coronary heart disease with coronary vascular score from coronary angiography result in Dr. Kariadi hospital Semarang. J Kedokteran Diponegoro. 2012;1(1).

Rachmawati C, Martini S, Artanti KD. Modifiable risk factor analysis of coronary heart disease in Surabaya Haji hospital

Media Gizi Kesmas. 2021;10(1):47-55. https://doi.org/10.20473/mgk.v10i1.2021.47-55 DOI: https://doi.org/10.20473/mgk.v10i1.2021.47-55

Wicaksono A, Komalasari I, Mulyati S. The relationship between hs-CRP with the severity of angiography lesion according to Gensini score in stable angina patients in Surabaya. Hang Tuah Med J. 2021;18(2):146-59. https://doi.org/10.30649/htmj.v18i2.120 DOI: https://doi.org/10.30649/htmj.v18i2.120

Hosseini K, Mortazavi HS, Sadeghian S, Ayati A, Nalini M, Aminorroaya A, et al. Prevalence and trends of coronary artery disease risk factors and their effect on age of diagnosis in patients with established coronary artery disease: Tehran heart center (2005-2015). BMC Cardiovasc Disord. 2021;21(1):477. https://doi.org/10.1186/s12872-021-02293-y PMid:34607557 DOI: https://doi.org/10.1186/s12872-021-02293-y

Hajar R. Risk factors for coronary artery disease: Historical perspective. Heart Views. 2017;18(3);109-14. https://doi.org/10.4103/heartviews.heartviews_106_17 PMid:29184622 DOI: https://doi.org/10.4103/HEARTVIEWS.HEARTVIEWS_106_17

Perez-Lopez FR, Larrad-Mur L, Kallen A, Chedraui P, Taylor HS. Gender differences in cardiovascular disease: Hormonal and biochemical influences. Reprod Sci. 2010;17(6):511-31. https://doi.org/10.1177/1933719110367829 PMid:20460551 DOI: https://doi.org/10.1177/1933719110367829

Otaki Y, Gransar H, Cheng VY, Dey D, Labounty T, Lin FY, et al. Gender differences in the prevalence, severity, and composition of coronary artery disease in the young: A study of 1635 individuals undergoing coronary CT angiography from the prospective, multinational confirm registry. Eur Heart J Cardiovasc Imaging. 2015;16(5):490-9. https://doi.org/10.1093/ehjci/jeu281 PMid:25539786 DOI: https://doi.org/10.1093/ehjci/jeu281

Masood A, Jafar SS, Akram Z. Serum high sensitivity C-reactive protein levels and the severity of coronary atherosclerosis assessed by angiographic Gensini score. J Pak Med Assoc. 2011;61(4):325-7. https://doi.org/10.21088/jcms.2454.7123.4218.5 PMid:21465964 DOI: https://doi.org/10.21088/jcms.2454.7123.4218.5

Ahmed I, Sarkar A, Pande A, Chandra GS, Patil S, Chanchal K, et al. Vascular inflammation and angiographic severity of coronary artery disease in young Asian Indians. J Cardiovasc Dis Res. 2014;5(1):15-21. https://doi.org/10.5530/jcdr.2014.1.3 DOI: https://doi.org/10.5530/jcdr.2014.1.3

Jia Y, Wen W, Yang Y, Huang M, Ning Y, Jiao X, et al. The clinical role of combined serum C1q and hsCRP in predicting coronary artery disease. Clin Biochem. 2021;95:50-8. https://doi.org/10.1016/j.clinbiochem.2021.04.004 PMid:33861985 DOI: https://doi.org/10.1016/j.clinbiochem.2021.04.004

Piranfar MA. The correlation between high-sensitivity C-reactive protein (hsCRP) serum levels and severity of coronary atherosclerosis. Int Cardiovasc Res J. 2014;8(1):6-8. PMid:24757644

Yu N, Rifai N. High-sensitivity C-reactive protein and atherosclerosis: From theory to therapy. Clin Biochem. 2000;33(8):601-10. https://doi.org/10.1016/s0009-9120(00)00186-7 PMid:11166006 DOI: https://doi.org/10.1016/S0009-9120(00)00186-7

Downloads

Published

2023-01-23

How to Cite

1.
Rotty L, Wantania F, Wowor R. The Correlation between High Sensitive C-reactive Protein Levels and Gensini Score in Diabetes Patients. Open Access Maced J Med Sci [Internet]. 2023 Jan. 23 [cited 2024 Apr. 30];11(B):212-5. Available from: https://oamjms.eu/index.php/mjms/article/view/11099