C反应蛋白不是心血管病的干预靶点
运动、饮食结构的合理调节、降低体重、戒烟均可以达到一定程度的降低CRP水平的作用。
5 CRP不是心血管病干预的新靶点
综上所述,现有众多的证据显示血清中CRP水平长期增高是心血管病重要的危险因素之一。按照JUPITER研究的结论, hsCRP可以作为是否使用他汀用于心血管病一级预防的重要参考依据,因此在50岁以上的男性和60岁以上的女性测定血清hsCRP水平是有意义的。尤其是对于处在中等危险水平(Framingham 10年风险水平为10%~20%)和存在代谢综合征患者hsCRP的临床参考价值较大。目前hsCRP已被用做许多心血管危险度积分的重要指标。然而由于目前并无证据显示CRP参与了动脉粥样硬化和心血管病的发病过程,而且迄今为止还没有一项临床试验证实hsCRP的降低不依赖于降低血脂而能减少心血管病的发生,此外 JUPITER研究的结论需要在包括亚洲人在内的其他人群中进一步得到验证。现有的指南或共识并没有将hsCRP列为心血管病一级或二级预防中需要干预的指标,因此可见,CRP尚且不是心血管病干预的新靶点。
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