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September 24, 2008Circulation Heart FailureOpen Access

Metabolic Syndrome, Inflammation, and Incident Heart Failure in the Elderly

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Key result

Metabolic syndrome and elevated inflammation markers were independently associated with increased risk of incident heart failure (HR 1.32 for MetS; HR 1.53 for CRP; HR 1.37 for IL-6).

Why the study?

Do metabolic syndrome and inflammation markers predict incident congestive heart failure in elderly adults without baseline CHF or diabetes?

Population

4017 men and women ≥65 years old, without baseline congestive heart failure or diabetes, participating in…

Comparison

Presence of metabolic syndrome and elevated… vs Absence of metabolic syndrome and/or elevated…

Design

Cohort

Follow-up

12.2 years

Authors

TSTakeki SuzukiElectrophysiologyRKRonit KatzUniversity of VermontNJNancy S. JennyGeneral / Preventive / Lipids

Discussion

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Implication

May aid HF risk stratification in elderly without diabetes; leaves open causal effects and intervention benefits.

Study Design

Type

Observational (n=4,017)

Structured PICO

Do metabolic syndrome and inflammation markers predict incident congestive heart failure in elderly adults without baseline CHF or diabetes?

P
Population
4017 men and women ≥65 years old, without baseline congestive heart failure (CHF) or diabetes, participating in the Cardiovascular Health Study
I
Intervention
Presence of metabolic syndrome (MetS) and elevated inflammation markers (CRP ≥3 mg/L or IL-6 ≥2.21 pg/mL), including modified definitions 'CRP-MetS' and 'IL-6-MetS'
C
Comparator
Absence of metabolic syndrome and/or elevated inflammation markers
O
Outcome
Incident congestive heart failure (CHF)hard clinical

Main Result

Effect estimate: HR 1.32 (95% CI 1.16 to 1.51)

Incorporating inflammation markers like CRP and IL-6 into the definition of metabolic syndrome identifies more elderly individuals at high risk for incident heart failure.

Cite This Study

Suzuki et al. (2008) conducted an observational in Incident congestive heart failure (n=4,017). Metabolic syndrome and inflammation markers (CRP, IL-6) vs. Absence of metabolic syndrome and elevated inflammation markers was evaluated on Incident congestive heart failure (HR 1.32, 95% CI 1.16 to 1.51). Metabolic syndrome and elevated inflammation markers were independently associated with increased risk of incident heart failure (HR 1.32 for MetS; HR 1.53 for CRP; HR 1.37 for IL-6).

synapsesocial.com/papers/6a092ecc89dc12f767d25fe9https://doi.org/10.1161/circheartfailure.108.785485

Topics

Heart failureHFrEF treatment
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The epidemiology of heart failure: The Framingham Study1993 · 2,263 citations
  2. 2Myocardial proteases and matrix remodeling in inflammatory heart disease2006 · 99 citations
  3. 3Diagnosis and Management of the Metabolic Syndrome2005 · 11,942 citations
  4. 4Variability in the measurement of C-reactive protein in healthy subjects: implications for reference intervals and epidemiological applications1997 · 798 citations
  5. 5Surveillance and ascertainment of cardiovascular events1995 · 689 citations