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Cited by 746

The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.

Inflammatory Markers and Risk of Heart Failure in Elderly Subjects Without Prior Myocardial Infarction: The Framingham Heart Study

Vasan, Ramachandran S., Sullivan, Lisa M., Roubenoff, Ronenn, Dinarello, Charles A., Harris, Tamara, Benjamin, Emelia J., Sawyer, Douglas B., Levy, Daniel, Wilson, Peter W.F., D’Agostino, Ralph B.·2003·Circulation

Abstract

Background— Experimental studies support a key role for cytokines in left ventricular remodeling. In congestive heart failure (CHF) patients, elevated plasma cytokine levels are associated with worse functional status and adverse prognosis. It is unclear whether cytokine levels can predict the incidence of CHF in asymptomatic individuals. Methods and Results— We investigated the relations of serum interleukin-6 (IL-6), C-reactive protein (CRP), and spontaneous production of tumor necrosis factor-α (TNFα) by peripheral blood mononuclear cell (PBMC) to CHF incidence among 732 elderly Framingham Study subjects (mean age 78 years, 67% women) free of prior myocardial infarction and CHF. On follow-up (mean 5.2 years), 56 subjects (35 women) developed CHF. After adjustment for established risk factors, including the occurrence of myocardial infarction on follow-up, there was a 60 (PBMC TNFα) to 68% (serum IL-6) increase in risk of CHF per tertile increment in cytokine concentration ( P =0.04, and 0.03, respectively, for trend). A serum CRP level ≥5 mg/dL was associated with a 2.8-fold increased risk of CHF ( P =0.02). Subjects with elevated levels of all 3 biomarkers (serum IL-6 and PBMC TNFα >median values, CRP≥5 mg/dL) had a markedly increased risk of CHF (hazards ratio 4.07 [95% CI 1.34 to 12.37], P =0.01) compared with the other subjects. Conclusions— In our elderly, community-based sample, a single determination of serum inflammatory markers, particularly elevated IL-6, was associated with increased risk of CHF in people without prior myocardial infarction. Additional epidemiological investigations are warranted to confirm the contribution of inflammation to the pathogenesis of CHF in the general population.

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Crossref · 10.1161/01.cir.0000057810.48709.f6

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Metadata

Authors
Vasan, R. S., Sullivan, L. M., Roubenoff, R., Dinarello, C. A., Harris, T., Benjamin, E. J., Sawyer, D. B., Levy, D., Wilson, P. W. F., & D’Agostino, R. B.
Venue
Circulation
Published
2003-03-25
Volume
107
Issue
11
Pages
1486-1491
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2109348687
Cited by
746
References
39
FWCI
29.12
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Inflammatory Markers and Risk of Heart Failure in Elderly Subjects Without Prior Myocardial Infarction: The Framingham Heart Study. https://app.cochat.ai/papers/10.1161/01.cir.0000057810.48709.f6
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Vasan, R. S., Sullivan, L. M., Roubenoff, R., Dinarello, C. A., Harris, T., Benjamin, E. J., Sawyer, D. B., Levy, D., Wilson, P. W. F., & D’Agostino, R. B. (2003). Inflammatory Markers and Risk of Heart Failure in Elderly Subjects Without Prior Myocardial Infarction: The Framingham Heart Study. Circulation. https://doi.org/10.1161/01.cir.0000057810.48709.f6

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