MARKERS OF INFECTION AND INFLAMMATION INFLUENCE THE OUTCOME OF PATIENTS WITH BASELINE ASYMPTOMATIC CAROTID LESIONS IN A 5 YEARS FOLLOW-UP

Vitale, G.

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108 Citazioni (Scopus)

Abstract

Background and Purpose - It is still in debate whether the evaluation of markers of infection and inflammation may be of importance for cerebrovascular and cardiovascular prevention, and we aimed to investigate this field in a prospective 5-year clinical follow-up study in patients with early stages of atherosclerosis. Methods - We studied 668 subjects divided in 3 groups according to the results of carotid ultrasound examination: (1) normal subjects, if intima-media thickness (IMT) was <0.9 mm; (2) with IMT, if IMT was between 0.9 and 1.5 mm; and (3) with asymptomatic carotid plaque, if IMT was >1.5 mm. Traditional cardiovascular risk factors were investigated, and laboratory analysis included measurement of plasma lipids, fibrinogen, C-reactive protein, IgG antibodies for helicobacter pylori (HP), cytotoxic HP, cytomegalovirus, and chlamydia pneumoniae. Results - Cerebrovascular or cardiovascular events were registered in 18% of patients during the follow-up, and at multivariate analysis we found that the high levels of fibrinogen (P<0.0001) and C-reactive protein (P=0.014), the seropositivity to cytotoxic HP (P=0.001) and chlamydia pneumoniae (P=0.026), the presence of IMT or asymptomatic carotid plaque (P<0.0001), and the total burden of infections (P<0.0001) were the variables predictive of the clinical events. Conclusions - Beyond traditional cardiovascular risk factors, markers of inflammation and infections seem to significantly influence the occurrence of cerebrovascular and cardiovascular events in patients with baseline asymptomatic carotid lesions
Lingua originaleEnglish
pagine (da-a)482-486
Numero di pagine5
RivistaStroke
Volume37
Stato di pubblicazionePublished - 2006

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Helicobacter pylori
Chlamydophila pneumoniae
Inflammation
C-Reactive Protein
Fibrinogen
Infection
Cytomegalovirus
Atherosclerosis
Multivariate Analysis
Immunoglobulin G
Lipids
Antibodies

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Advanced and Specialised Nursing
  • Cardiology and Cardiovascular Medicine

Cita questo

@article{f3bf3fa11b404454a4a09d9bf38d2892,
title = "MARKERS OF INFECTION AND INFLAMMATION INFLUENCE THE OUTCOME OF PATIENTS WITH BASELINE ASYMPTOMATIC CAROTID LESIONS IN A 5 YEARS FOLLOW-UP",
abstract = "Background and Purpose - It is still in debate whether the evaluation of markers of infection and inflammation may be of importance for cerebrovascular and cardiovascular prevention, and we aimed to investigate this field in a prospective 5-year clinical follow-up study in patients with early stages of atherosclerosis. Methods - We studied 668 subjects divided in 3 groups according to the results of carotid ultrasound examination: (1) normal subjects, if intima-media thickness (IMT) was <0.9 mm; (2) with IMT, if IMT was between 0.9 and 1.5 mm; and (3) with asymptomatic carotid plaque, if IMT was >1.5 mm. Traditional cardiovascular risk factors were investigated, and laboratory analysis included measurement of plasma lipids, fibrinogen, C-reactive protein, IgG antibodies for helicobacter pylori (HP), cytotoxic HP, cytomegalovirus, and chlamydia pneumoniae. Results - Cerebrovascular or cardiovascular events were registered in 18{\%} of patients during the follow-up, and at multivariate analysis we found that the high levels of fibrinogen (P<0.0001) and C-reactive protein (P=0.014), the seropositivity to cytotoxic HP (P=0.001) and chlamydia pneumoniae (P=0.026), the presence of IMT or asymptomatic carotid plaque (P<0.0001), and the total burden of infections (P<0.0001) were the variables predictive of the clinical events. Conclusions - Beyond traditional cardiovascular risk factors, markers of inflammation and infections seem to significantly influence the occurrence of cerebrovascular and cardiovascular events in patients with baseline asymptomatic carotid lesions",
author = "{Vitale, G.} and Salvatore Novo and Manfredi Rizzo and Rosalba Tantillo and Muratori, {Ida Maria} and Francesca Bonura and Egle Corrado",
year = "2006",
language = "English",
volume = "37",
pages = "482--486",
journal = "Stroke",
issn = "0039-2499",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - MARKERS OF INFECTION AND INFLAMMATION INFLUENCE THE OUTCOME OF PATIENTS WITH BASELINE ASYMPTOMATIC CAROTID LESIONS IN A 5 YEARS FOLLOW-UP

AU - Vitale, G.

AU - Novo, Salvatore

AU - Rizzo, Manfredi

AU - Tantillo, Rosalba

AU - Muratori, Ida Maria

AU - Bonura, Francesca

AU - Corrado, Egle

PY - 2006

Y1 - 2006

N2 - Background and Purpose - It is still in debate whether the evaluation of markers of infection and inflammation may be of importance for cerebrovascular and cardiovascular prevention, and we aimed to investigate this field in a prospective 5-year clinical follow-up study in patients with early stages of atherosclerosis. Methods - We studied 668 subjects divided in 3 groups according to the results of carotid ultrasound examination: (1) normal subjects, if intima-media thickness (IMT) was <0.9 mm; (2) with IMT, if IMT was between 0.9 and 1.5 mm; and (3) with asymptomatic carotid plaque, if IMT was >1.5 mm. Traditional cardiovascular risk factors were investigated, and laboratory analysis included measurement of plasma lipids, fibrinogen, C-reactive protein, IgG antibodies for helicobacter pylori (HP), cytotoxic HP, cytomegalovirus, and chlamydia pneumoniae. Results - Cerebrovascular or cardiovascular events were registered in 18% of patients during the follow-up, and at multivariate analysis we found that the high levels of fibrinogen (P<0.0001) and C-reactive protein (P=0.014), the seropositivity to cytotoxic HP (P=0.001) and chlamydia pneumoniae (P=0.026), the presence of IMT or asymptomatic carotid plaque (P<0.0001), and the total burden of infections (P<0.0001) were the variables predictive of the clinical events. Conclusions - Beyond traditional cardiovascular risk factors, markers of inflammation and infections seem to significantly influence the occurrence of cerebrovascular and cardiovascular events in patients with baseline asymptomatic carotid lesions

AB - Background and Purpose - It is still in debate whether the evaluation of markers of infection and inflammation may be of importance for cerebrovascular and cardiovascular prevention, and we aimed to investigate this field in a prospective 5-year clinical follow-up study in patients with early stages of atherosclerosis. Methods - We studied 668 subjects divided in 3 groups according to the results of carotid ultrasound examination: (1) normal subjects, if intima-media thickness (IMT) was <0.9 mm; (2) with IMT, if IMT was between 0.9 and 1.5 mm; and (3) with asymptomatic carotid plaque, if IMT was >1.5 mm. Traditional cardiovascular risk factors were investigated, and laboratory analysis included measurement of plasma lipids, fibrinogen, C-reactive protein, IgG antibodies for helicobacter pylori (HP), cytotoxic HP, cytomegalovirus, and chlamydia pneumoniae. Results - Cerebrovascular or cardiovascular events were registered in 18% of patients during the follow-up, and at multivariate analysis we found that the high levels of fibrinogen (P<0.0001) and C-reactive protein (P=0.014), the seropositivity to cytotoxic HP (P=0.001) and chlamydia pneumoniae (P=0.026), the presence of IMT or asymptomatic carotid plaque (P<0.0001), and the total burden of infections (P<0.0001) were the variables predictive of the clinical events. Conclusions - Beyond traditional cardiovascular risk factors, markers of inflammation and infections seem to significantly influence the occurrence of cerebrovascular and cardiovascular events in patients with baseline asymptomatic carotid lesions

UR - http://hdl.handle.net/10447/56449

M3 - Article

VL - 37

SP - 482

EP - 486

JO - Stroke

JF - Stroke

SN - 0039-2499

ER -