Coronary disease & ACS

Pro-C-Type Natriuretic Peptide in Women With Angina Pectoris and No Obstructive Coronary Artery Disease

JACC AdvPublished prospective cohort

Authors' conclusion

In women with ANOCA, a high circulating proCNP concentration is associated with a distinct cardiovascular risk profile beyond pro-inflammatory biomarkers and an increased risk of all-cause mortality.

Study context

Population
Women with angina pectoris but no obstructive coronary artery disease (ANOCA)women in baseline/follow-up analyses · baseline/follow-up analyses 1,508 · PLS analyses 1,598
Participants
1,508 women
Exposure
High proCNP concentration and outcome
  • High proCNPn = 223
Outcome
Baseline associations of high proCNP

Main finding

As reported in the abstract

Hypertension
P = 0.001
Diabetes mellitus
P < 0.001
Postmenopausal status
P < 0.001
Not age
P = 0.13

Observational data: associations, not effects.

Further findings

All-cause mortality

HRadjusted (95% CI)P value
High proCNPAdjusted (age, creatinine)1.57 (0.99–2.49)P = 0.06

Composite endpoint of cardiovascular events

HRadjusted (95% CI)P value
High proCNPAdjusted (age, creatinine)1.03 (0.68–1.56)P = 0.90
OutcomeHRcrude (95% CI)P value
All-cause mortalityHigh proCNP1.73 (1.10–2.73)P = 0.02
Composite endpoint of cardiovascular eventsHigh proCNP1.08 (0.72–1.62)P = 0.71

Exploratory PLS analyses with 185 cardiovascular plasma markers

proCNP positively associated with atherosclerotic markers and negatively associated with pro-inflammatory markers
  • Exploratory

Original publication

Pro-C-Type Natriuretic Peptide in Women With Angina Pectoris and No Obstructive Coronary Artery Disease. JACC Adv. Published 6 June 2025. doi:10.1016/j.jacadv.2025.101859

Composed by AI from the published abstract and checked against it. How Briefs are made →

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