Elevated high sensitivity CRP levels in patients with mitral stenosis and left atrial thrombus

被引:17
作者
Karthikeyan, Ganesan [2 ]
Thachil, Ajit [2 ]
Sharma, Sanjeev [2 ]
Kalaivani, M. [1 ]
Ramakrishnan, Lakshmy [3 ]
机构
[1] All India Inst Med Sci, Dept Biostat, New Delhi 110029, India
[2] All India Inst Med Sci, Dept Cardiol, New Delhi 110029, India
[3] All India Inst Med Sci, Dept Cardiac Biochem, New Delhi 110029, India
关键词
mitral stenosis; left atrial thrombus; high sensitivity C-reactive protein (hsCRP); homocysteine;
D O I
10.1016/j.ijcard.2006.11.081
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Stasis of blood in the left atrium (LA) due to mitral obstruction is the principal mechanism of LA thrombus formation in patients with mitral stenosis (MS). The purpose of this case-control study was to determine the additional contributions of abnormal homosysteine/folate/B12 levels, chronic inflammation and markers of a procoagulant state. We found that elevated hsCRP levels were associated with the presence of left atrial thrombus, independent of the influence of conventional parameters indicating the severity of MS and its consequences. (C) 2007 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:252 / 254
页数:3
相关论文
共 6 条
[1]   Hyperhomocysteinemia is associated with the presence of left atrial thrombus in stroke patients with nonvalvular atrial fibrillation [J].
Ay, H ;
Arsava, EM ;
Tokgözoglu, SL ;
Özer, N ;
Saribas, O .
STROKE, 2003, 34 (04) :909-912
[2]   IMMUNOHISTOCHEMICAL CHARACTERIZATION OF ASCHOFF NODULES AND ENDOMYOCARDIAL INFLAMMATORY INFILTRATES IN LEFT ATRIAL APPENDAGES FROM PATIENTS WITH CHRONIC RHEUMATIC HEART-DISEASE [J].
CHOPRA, P ;
NARULA, J ;
KUMAR, AS ;
SACHDEVA, S ;
BHATIA, ML .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 1988, 20 (01) :99-105
[3]   Cardiac thrombi in a patient with protein-C and S deficiencies: A case report [J].
Ercan E. ;
Tengiz I. ;
Sekuri C. ;
Sahin F. ;
Aliyev E. ;
Akin M. ;
Ac Kel U. .
Thrombosis Journal, 2 (1)
[4]   Predictors of left atrial spontaneous echo contrast and thrombi in patients with mitral stenosis and atrial fibrillation [J].
González-Torrecilla, E ;
García-Fernández, MA ;
Pérez-David, E ;
Bermejo, J ;
Moreno, M ;
Delcán, JL .
AMERICAN JOURNAL OF CARDIOLOGY, 2000, 86 (05) :529-534
[5]   Clinical and echocardiographic predictors of left atrial clot and spontaneous echo contrast in patients with severe rheumatic mitral stenosis: a prospective study in 200 patients by transesophageal echocardiography [J].
Goswami, KC ;
Yadav, R ;
Rao, MB ;
Bahl, VK ;
Talwar, KK ;
Manchanda, SC .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2000, 73 (03) :273-279
[6]  
Nakajima K, 2000, Nihon Ronen Igakkai Zasshi, V37, P903