Cardiologists person agelong known that up to half of each bosom attacks and strokes hap among apparently patient individuals who do not fume and do not person precocious humor pressure, precocious cholesterol, aliases diabetes, nan "standard modifiable consequence factors" which doctors often telephone "SMuRFs." How to place consequence among nan "SMuRF-Less" has been an elusive extremity successful preventive cardiology, peculiarly successful women who are often under-diagnosed and under-treated. A caller study by Mass General Brigham researchers that leverages information from nan Women's Health Study has recovered hsCRP-a marker of inflammation-can thief place women who are astatine consequence but are missed by existent screening algorithms. Results are presented astatine a late-breaking objective subject convention astatine nan European Society of Cardiology Congress (ESC) and simultaneously published successful The European Heart Journal.
Women who suffer from bosom attacks and strokes yet person nary modular modifiable consequence factors are not identified by nan consequence equations doctors usage successful regular practice. Yet our information intelligibly show that apparently patient women who are inflamed are astatine important life risk. We should beryllium identifying these women successful their 40s, astatine a clip erstwhile they tin initiate preventive care, not hold for nan illness to found itself successful their 70s erstwhile it is often excessively precocious to make a existent difference."
Paul Ridker, MD, MPH, preventive cardiologist astatine Mass General Brigham's Heart and Vascular Institute
As portion of nan federally funded study, researchers studied 12,530 initially patient women pinch nary modular modifiable consequence factors who had nan inflammatory biomarker hsCRP measured astatine study introduction and who were past followed complete 30 years. Despite nan deficiency of accepted risks, women who were inflamed arsenic defined by hsCRP levels > 3 mg/L had a 77% accrued life consequence of coronary bosom disease, a 39% accrued life consequence of stroke, and a 52% accrued life consequence of immoderate awesome cardiovascular event.
Additionally, researchers released a caller study of randomized proceedings information showing that "SMuRF-Less but Inflamed" patients tin trim their consequence of bosom onslaught and changeable by 38% utilizing statin therapy.
"While those pinch inflammation should aggressively initiate manner and behavioral preventive efforts, statin therapy could besides play an important domiciled successful helping trim consequence among these individuals," said Ridker.
Source:
Journal reference:
Ridker, P. M., et al. (2025). C-reactive macromolecule and cardiovascular consequence among women pinch nary modular modifiable consequence factors: evaluating nan “SMuRF-less but inflamed.” European Heart Journal. doi.org/10.1093/eurheartj/ehaf658