C-reactive protein and atherosclerosis of the thoracic aorta: A population-based transesophageal echocardiographic study

Yoram Agmon, Bijoy K. Khandheria, Irene Meissner, Tanya M. Petterson, W. Michael O'Fallon, David O. Wiebers, T. J H Christianson, Joseph P. McConnell, Jack P. Whisnant, James B. Seward, A. Jamil Tajik

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background: An association between systemic inflammatory markers and the presence and severity of atherosclerotic plaques has not been demonstrated in a non-selected population. The purpose of this study was to examine the association of inflammatory markers with aortic atherosclerotic plaques in a sample of the general population and in a subgroup free of clinical vascular disease. Methods: Transesophageal echocardiography was performed in 386 subjects (median age, 66 years; 53% men). We examined the association between systemic inflammatory markers and aortic atherosclerotic plaques. Results: Aortic plaques were present in 267 subjects (69%). Plaques at least 4 and 6 mm thick and mobile debris were present in 114, 41, and 20 subjects, respectively. High-sensitivity C-reactive protein (hs-CRP) level was associated with the presence of aortic plaques, adjusting for age, sex, smoking status, and additional atherosclerosis risk factors. Among subjects with plaques, hs-CRP level was independently associated with plaques at least 6 mm thick; similar trends were observed for the associations of hs-CRP level with plaques at least 4 mm thick and mobile debris. In subjects with aortic plaques who were free of clinically apparent coronary artery or cerebrovascular disease, hs-CRP level was independently associated with plaques at least 6 mm thick. Conclusions: Level of hs-CRP is independently associated with the presence and severity of aortic atherosclerotic plaques. These observations establish the association of systemic inflammation with anatomically defined atherosclerosis in the general population.

Original languageEnglish (US)
Pages (from-to)1781-1787
Number of pages7
JournalArchives of Internal Medicine
Volume164
Issue number16
DOIs
StatePublished - Sep 13 2004

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Thoracic Aorta
C-Reactive Protein
Atherosclerotic Plaques
Atherosclerosis
Population
Cerebrovascular Disorders
Transesophageal Echocardiography
Vascular Diseases
Coronary Artery Disease
Smoking
Inflammation

ASJC Scopus subject areas

  • Internal Medicine

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C-reactive protein and atherosclerosis of the thoracic aorta : A population-based transesophageal echocardiographic study. / Agmon, Yoram; Khandheria, Bijoy K.; Meissner, Irene; Petterson, Tanya M.; O'Fallon, W. Michael; Wiebers, David O.; Christianson, T. J H; McConnell, Joseph P.; Whisnant, Jack P.; Seward, James B.; Tajik, A. Jamil.

In: Archives of Internal Medicine, Vol. 164, No. 16, 13.09.2004, p. 1781-1787.

Research output: Contribution to journalArticle

Agmon, Y, Khandheria, BK, Meissner, I, Petterson, TM, O'Fallon, WM, Wiebers, DO, Christianson, TJH, McConnell, JP, Whisnant, JP, Seward, JB & Tajik, AJ 2004, 'C-reactive protein and atherosclerosis of the thoracic aorta: A population-based transesophageal echocardiographic study', Archives of Internal Medicine, vol. 164, no. 16, pp. 1781-1787. https://doi.org/10.1001/archinte.164.16.1781
Agmon, Yoram ; Khandheria, Bijoy K. ; Meissner, Irene ; Petterson, Tanya M. ; O'Fallon, W. Michael ; Wiebers, David O. ; Christianson, T. J H ; McConnell, Joseph P. ; Whisnant, Jack P. ; Seward, James B. ; Tajik, A. Jamil. / C-reactive protein and atherosclerosis of the thoracic aorta : A population-based transesophageal echocardiographic study. In: Archives of Internal Medicine. 2004 ; Vol. 164, No. 16. pp. 1781-1787.
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