High sensitive CRP (hs-CRP)‎ as a marker for coronary heart disease (CHD)‎ in Ramallah area- Palestine

Other Title(s)

س.ر.بي الحساس كعامل لأمراض القلب في منطقة رام الله-فلسطين

Dissertant

Dahir, Husam Arif

Thesis advisor

al-Khayri, Lina
Khuri, Juni

Comitee Members

Hammudah, Wail
Farraj, Muhammad A.

University

Birzeit University

Faculty

Faculty of Science

Department

Department Nutrition and Dietetics

University Country

Palestine (West Bank)

Degree

Master

Degree Date

2008

English Abstract

Mortality from (CHD) is the highest worldwide.

For long time it has been associated with high lipids concentration, mainly LDL-C.

About 50-60 % of cases associated with CHD were diagnosed by lipid screening profile.

This profile failed to diagnose people who had a high risk for CHD in certain cases, and in some cases associated with normal LDL-C.

Because of this, scientists are trying to identify other risk factors that may help in diagnosing people with high risk for developing future CHD.

Atherosclerosis is considered an inflammatory and atherogenic disease.

As a result, inflammatory factors are considered as the most important factors in this aspect.

C - reactive protein (CRP) measured by high sensitive methods is considered the most predictive factor associated with future coronary heart disease.

In this case–control study, we have selected 160 subjects (80 cases and 80 controls) from the West Bank.

Controls were free of CHD, while cases were diagnosed to have CHD.

Both groups had the same conditional risk factors, such as smoking, hypertension, diabetes, and dyslipidemia.

Hs-CRP measured by ELISA methods for both groups to find out the association between levels of hs- CRP and CHD.

In addition a comparison between hs-CRP and LDL-C in predicting future detection rate of CHD were studied.

It was found that there was a statistically significant relationship between hs-CRP and CHD, P < 0.005 using independent t-test.

The odds ratio for equal quartiles of hs-CRP between control and cases were found to be 4.25 95 % CI (2.34-7.22).

hs-CRP greater than 3.0 mg / L and LDL-C less than 130 mg/dl odds ratio was 7.66 with 95 % CI (2.5-23.4) compared to the reference group( Low CRP / Low LDL-C).

These finding indicated the importance of adding hs-CRP to lipid screening profile.

In this study it was found that hs-CRP can be considered a good predictor for events associated with CHD more than LDL-C, and clinically can be added with T-cholesterol / HDL-C ratio to predict the risk for CHD.

Main Subjects

Medicine

Topics

No. of Pages

31

Table of Contents

Table of contents.

Abstract.

Chapter One : introduction.

Chapter Two : materials and methods.

Chapter Three : results and discussion.

Chapter Four : conclusion.

Deferences.

American Psychological Association (APA)

Dahir, Husam Arif. (2008). High sensitive CRP (hs-CRP) as a marker for coronary heart disease (CHD) in Ramallah area- Palestine. (Master's theses Theses and Dissertations Master). Birzeit University, Palestine (West Bank)
https://search.emarefa.net/detail/BIM-303596

Modern Language Association (MLA)

Dahir, Husam Arif. High sensitive CRP (hs-CRP) as a marker for coronary heart disease (CHD) in Ramallah area- Palestine. (Master's theses Theses and Dissertations Master). Birzeit University. (2008).
https://search.emarefa.net/detail/BIM-303596

American Medical Association (AMA)

Dahir, Husam Arif. (2008). High sensitive CRP (hs-CRP) as a marker for coronary heart disease (CHD) in Ramallah area- Palestine. (Master's theses Theses and Dissertations Master). Birzeit University, Palestine (West Bank)
https://search.emarefa.net/detail/BIM-303596

Language

English

Data Type

Arab Theses

Record ID

BIM-303596