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Panel Confirms hs-CRP Value for Patients at Risk

January 28, 2003
An expert panel convened by the American Heart Association (AHA) and the Centers for Disease Control (CDC) has confirmed the benefits of hs-CRP (high-sensitivity C-reactive protein) for some patients at risk of a heart attack but recommends against its use as a screen for the general population.

The panel's conclusions, reported in Circulation: Journal of the American Heart Association, confirm that hs-CRP may be of value to physicians who are deciding on treatment options for patients who have a 10 to 20 percent risk of heart attack in the next 10 years. In such situations, the hs-CRP test can help determine whether the physician recommends an aggressive treatment or something more moderate. The report further points out that no evidence currently suggests that hs-CRP testing in high risk patients has an impact on their treatment outcomes, and so, testing in high risk patients is not recommended.

hs-CRP is a relatively new test that has been widely publicized as a means to evaluate a patient's risk of heart attack or other heart conditions. The hs-CRP test differs from the CRP test in its ability to detect small amounts of CRP in the blood; hence the term "high-sensitivity" CRP. Studies suggest that hs-CRP is useful in detecting the small amounts of CRP in patients with atherosclerosis, an inflammatory disease that exhibits a low level of chronic inflammation. Atherosclerosis, or "hardening of the arteries", reduces the flow of blood to the heart and puts the patient at risk of a heart attack.

The panel's recommendations regarding hs-CRP are the first formal guidance provided to physicians.
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Tests: hs-CRP, CRP
Conditions: Heart attack

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This article last reviewed on January 30, 2003.
 
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