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Cited by 324

The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.

C-Reactive Protein, Carotid Intima-Media Thickness, and Incidence of Ischemic Stroke in the Elderly: The Cardiovascular Health Study

Open access
Cao, Jie J., Thach, Chau, Manolio, Teri A., Psaty, Bruce M., Kuller, Lewis H., Chaves, Paulo H.M., Polak, Joseph F., Sutton-Tyrrell, Kim, Herrington, David M., Price, Thomas R., Cushman, Mary·2003·Circulation

Abstract

Background— Increased carotid artery intima-media thickness (IMT) and elevated C-reactive protein (CRP) are both associated with the occurrence of stroke. We investigated whether elevated CRP is a risk factor for ischemic stroke independent of carotid IMT and studied the interaction between CRP and IMT. Methods and Results— We studied 5417 participants aged 65 years or older without preexisting stroke or chronic atrial fibrillation who were participants in the Cardiovascular Health Study. The hazard ratio of incident ischemic stroke was estimated by Cox proportional hazards regression. During 10.2 years of follow-up, 469 incident ischemic strokes occurred. The adjusted hazard ratios for ischemic stroke in the 2nd to 4th quartiles of baseline CRP, relative to the 1st quartile, were 1.19 (95% CI 0.92 to 1.53), 1.05 (95% CI 0.81 to 1.37), and 1.60 (95% CI 1.23 to 2.08), respectively. With additional adjustment for carotid IMT, there was little confounding. The association of CRP with stroke was significantly different depending on IMT ( P <0.02), with no association of CRP with stroke among those in the lowest IMT tertile and a significant association among those with higher levels of IMT. Conclusions— We conclude that elevated CRP is a risk factor for ischemic stroke, independent of atherosclerosis severity as measured by carotid IMT. The association of CRP with stroke is more apparent in the presence of a higher carotid IMT. CRP and carotid IMT may each be independent integrals in determining the risk of ischemic stroke.

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Crossref · 10.1161/01.cir.0000079160.07364.6a

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Metadata

Authors
Cao, J. J., Thach, C., Manolio, T. A., Psaty, B. M., Kuller, L. H., Chaves, P. H. M., Polak, J. F., Sutton-Tyrrell, K., Herrington, D. M., Price, T. R., & Cushman, M.
Venue
Circulation
Published
2003-07-15
Volume
108
Issue
2
Pages
166-170
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2136641821
Cited by
324
References
7
FWCI
20.63
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: C-Reactive Protein, Carotid Intima-Media Thickness, and Incidence of Ischemic Stroke in the Elderly: The Cardiovascular Health Study. https://app.cochat.ai/papers/10.1161/01.cir.0000079160.07364.6a
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Cao, J. J., Thach, C., Manolio, T. A., Psaty, B. M., Kuller, L. H., Chaves, P. H. M., Polak, J. F., Sutton-Tyrrell, K., Herrington, D. M., Price, T. R., & Cushman, M. (2003). C-Reactive Protein, Carotid Intima-Media Thickness, and Incidence of Ischemic Stroke in the Elderly: The Cardiovascular Health Study. Circulation. https://doi.org/10.1161/01.cir.0000079160.07364.6a

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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