The association between C-reactive protein and coronary artery calcification: a systematic review and meta-analysis
Abstract Background While coronary artery calcification (CAC) is recognized as a reliable marker for coronary atherosclerosis, the relationship between the concentration of C-reactive protein (CRP) and the incidence and progression of CAC remains controversial. Method PubMed, Embase, Web of Science,...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Cardiovascular Disorders |
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| Online Access: | https://doi.org/10.1186/s12872-024-03856-5 |
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| author | Amirhossein Tajani Masoumeh Sadeghi Navid Omidkhoda Amir Hooshang Mohammadpour Sara Samadi Vahid Jomehzadeh |
| author_facet | Amirhossein Tajani Masoumeh Sadeghi Navid Omidkhoda Amir Hooshang Mohammadpour Sara Samadi Vahid Jomehzadeh |
| author_sort | Amirhossein Tajani |
| collection | DOAJ |
| description | Abstract Background While coronary artery calcification (CAC) is recognized as a reliable marker for coronary atherosclerosis, the relationship between the concentration of C-reactive protein (CRP) and the incidence and progression of CAC remains controversial. Method PubMed, Embase, Web of Science, and Scopus were systematically searched to identify relevant observational studies until October 2023. The methodological quality of the included studies was evaluated using the Newcastle-Ottawa Scale (NOS). A random-effects meta-analysis was employed to calculate pooled odd ratios (OR) and corresponding 95% confidence intervals, considering heterogeneity among the studies. Results Out of the 2545 records, 42 cross-sectional and 9 cohort studies were included in the systematic review. The meta-analysis on 12 eligible cross-sectional studies revealed no significant association between CAC and CRP [pooled OR: 1.03 (1.00, 1.06)]. Additionally, an insignificant association was found between CAC and CRP through meta-analysis on three eligible cohort studies [pooled OR: 1.05 (0.95, 1.15)] with no considerable heterogeneity across studies. Sensitivity analyses indicated that the meta-analysis models were robust. There was no evidence of publication bias. Conclusion Based on the meta-analysis findings, elevated levels of CRP did not emerge as a valuable prognostic maker for CAC incidence and progression prediction. |
| first_indexed | 2024-04-24T09:56:11Z |
| format | Article |
| id | doaj.art-28abbaf6640d48a99a6db1ac331d24eb |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-04-24T09:56:11Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-28abbaf6640d48a99a6db1ac331d24eb2024-04-14T11:07:16ZengBMCBMC Cardiovascular Disorders1471-22612024-04-0124111410.1186/s12872-024-03856-5The association between C-reactive protein and coronary artery calcification: a systematic review and meta-analysisAmirhossein Tajani0Masoumeh Sadeghi1Navid Omidkhoda2Amir Hooshang Mohammadpour3Sara Samadi4Vahid Jomehzadeh5Department of Clinical Pharmacy, School of Pharmacy, Pharmaceutical Research Center, Mashhad University of Medical SciencesMetabolic Syndrome Research Center, Mashhad University of Medical SciencesDepartment of Clinical Pharmacy, School of Pharmacy, Pharmaceutical Research Center, Mashhad University of Medical SciencesDepartment of Clinical Pharmacy, School of Pharmacy, Pharmaceutical Research Center, Mashhad University of Medical SciencesDepartment of Internal Medicine, Faculty of Medicine, Mashhad University of Medical SciencesDepartment of Surgery, Faculty of Medicine, Mashhad University of Medical SciencesAbstract Background While coronary artery calcification (CAC) is recognized as a reliable marker for coronary atherosclerosis, the relationship between the concentration of C-reactive protein (CRP) and the incidence and progression of CAC remains controversial. Method PubMed, Embase, Web of Science, and Scopus were systematically searched to identify relevant observational studies until October 2023. The methodological quality of the included studies was evaluated using the Newcastle-Ottawa Scale (NOS). A random-effects meta-analysis was employed to calculate pooled odd ratios (OR) and corresponding 95% confidence intervals, considering heterogeneity among the studies. Results Out of the 2545 records, 42 cross-sectional and 9 cohort studies were included in the systematic review. The meta-analysis on 12 eligible cross-sectional studies revealed no significant association between CAC and CRP [pooled OR: 1.03 (1.00, 1.06)]. Additionally, an insignificant association was found between CAC and CRP through meta-analysis on three eligible cohort studies [pooled OR: 1.05 (0.95, 1.15)] with no considerable heterogeneity across studies. Sensitivity analyses indicated that the meta-analysis models were robust. There was no evidence of publication bias. Conclusion Based on the meta-analysis findings, elevated levels of CRP did not emerge as a valuable prognostic maker for CAC incidence and progression prediction.https://doi.org/10.1186/s12872-024-03856-5High sensitivity C-reactive proteinCRPhs-CRPCACCalcium scoreMeta-analysis |
| spellingShingle | Amirhossein Tajani Masoumeh Sadeghi Navid Omidkhoda Amir Hooshang Mohammadpour Sara Samadi Vahid Jomehzadeh The association between C-reactive protein and coronary artery calcification: a systematic review and meta-analysis BMC Cardiovascular Disorders High sensitivity C-reactive protein CRP hs-CRP CAC Calcium score Meta-analysis |
| title | The association between C-reactive protein and coronary artery calcification: a systematic review and meta-analysis |
| title_full | The association between C-reactive protein and coronary artery calcification: a systematic review and meta-analysis |
| title_fullStr | The association between C-reactive protein and coronary artery calcification: a systematic review and meta-analysis |
| title_full_unstemmed | The association between C-reactive protein and coronary artery calcification: a systematic review and meta-analysis |
| title_short | The association between C-reactive protein and coronary artery calcification: a systematic review and meta-analysis |
| title_sort | association between c reactive protein and coronary artery calcification a systematic review and meta analysis |
| topic | High sensitivity C-reactive protein CRP hs-CRP CAC Calcium score Meta-analysis |
| url | https://doi.org/10.1186/s12872-024-03856-5 |
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