South American Society of Cardiology. morning sickness 2593 Garibaldi Avenue, Montevideo 11600, Uru

In spite of the association between C-reactive protein high sensitivity morning sickness (PCR) and recurring events in acute coronary syndromes without ST segment elevation (ACS) routine measurement of this marker has not been recommended. In order to assess whether the current scientific evidence justifying the inclusion of CRP for risk stratification in patients admitted to hospital with ACS, we performed a systematic review and meta-analysis morning sickness of papers indexed in MEDLINE, SciELO and LILACS, with the following criteria Inclusion: prospective cohort design and evaluation of the prognostic value of CRP, measured by high-sensitivity method, at the time of hospital admission of patients with ACS. Nineteen studies met the inclusion criteria. In relation to long-term monitoring, there were consistent association between CRP and cardiovascular events, with odds ratio (OR) 4.6 overall (95% CI = 2.3 to 7.6) and overall multivariate OR of 2.5 ( 95% CI = 1.8-3.4). As for the short-term, nine studies were positive and 6 negative studies, morning sickness with overall OR of 1.65 (95% CI = 1.2 to 2.3). The overall multivariate OR was not obtained for the short-term follow-up, because this measure was described in just three heterogeneous jobs. Only two jobs, short-term predictor analyzes were incremental value of CRP in relation to multivariate models, with conflicting morning sickness results. In conclusion, the lack of assessment of incremental value of CRP, combined with controversial results regarding the independent predictive value for short-term events, does not recommend the routine use of CRP for risk stratification in ACS admission Download the full article (pdf)
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South American Society of Cardiology. morning sickness 2593 Garibaldi Avenue, Montevideo 11600, Uruguay. Tel (5982) 4806567. Fax: (5982) 4872565