Coronary disease & ACS

Significance of Persistent Inflammation in Patients With Chronic Coronary Syndrome: Insights From the REAL-CAD Study

JACC AdvPublished Secondary analysis of the REAL-CAD randomised trial

Authors' conclusion

The study shows that persistent low-grade inflammation is associated with poor outcomes

Study context

Population
Japanese patients with chronic coronary syndrome in REAL-CAD, event-free to 6 months with high-sensitivity C-reactive protein (hs-CRP) at baseline and 6 months
Participants
10,460 patients
Comparison
Persistently high, elevated or reduced hs-CRP vs persistently low hs-CRP
Primary endpoint
CV mortality, MI, stroke and unstable angina hospitalization
Methodological detailsprespecified subanalysis, landmark analysis
  • Prespecified subanalysis
  • Landmark analysis

Primary result

As reported in the abstract

Each group vs persistently lowEstimate (95% CI)P value
Persistently high
adjusted HR 1.48(1.18–1.89)
P = 0.001
Elevated
HR 1.07(0.77–1.49)
P = 0.68
Reduced
HR 0.92(0.66–1.27)
P = 0.60

Original publication

Significance of Persistent Inflammation in Patients With Chronic Coronary Syndrome: Insights From the REAL-CAD Study. JACC Adv. Published 5 June 2024. doi:10.1016/j.jacadv.2024.100996

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