CC chemokine ligands in patients presenting with stable chest pain: association with atherosclerosis and future cardiovascular events

M. O. Versteylen*, M. Manca, I. A. Joosen, D. E. Schmidt, Marco Das, L. Hofstra, H. J. Crijns, E. A. Biessen, B. L. Kietselaer

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background CC chemokine ligands (CCLs) are elevated during acute coronary syndrome (ACS) and correlate with secondary events. Their involvement in plaque inflammation led us to investigate whether CCL3-5-18 are linked to the extent of coronary artery disease (CAD) and prognostic for primary events during follow-up. Methods We measured CCL3-5-18 serum concentrations in 712 patients with chest discomfort referred for cardiac CT angiography. Obstructive CAD was defined as >= 50% stenosis. The extent of CAD was measured by calcium score and segment involvement score (number of coronary segments with any CAD, range 0-16). Patients were followed up for all-cause mortality, ACS and revascularisation, for a mean 26 +/- 7 months. Results Patients with obstructive CAD had significantly higher CCL5 (p = 0.02), and borderline significantly elevated CCL18 plasma levels as compared with patients with
Original languageEnglish
Pages (from-to)722-729
Number of pages8
JournalNetherlands Heart Journal
Volume24
Issue number12
DOIs
Publication statusPublished - Dec 2016

Keywords

  • CC chemokine ligands
  • Cardiac computed tomographic angiography
  • Coronary artery disease
  • Cardiac events
  • Prognosis

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