Familial history of heart disease and increased risk for elevated troponin in apparently healthy individuals

Noa Cohen, Rafael Y. Brzezinski, Michal Ehrenwald, Itzhak Shapira, David Zeltser, Shlomo Berliner, Shani Shenhar-Tsarfaty, Assi Milwidsky, Ori Rogowski*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Family history of heart disease (FH-HD) is associated with an increase drisk of subsequent HD. High sensitive cardiac troponin T (hs-cTnT) is arecognized biomarker of myocyte injury even in HD free patients. We examined the association between FH-HD and hs-cTnT in apparently healthy individuals. Hypothesis: FH-HD is associated with elevated hs-cTnT in apparently healthy individuals. Methods: In a cross sectional study we analyzed data of apparently healthy individuals (n=3,821) recruited for the Tel-Aviv Medical Center Inflammation Survey (TAMCIS). Blood samples were obtained for hs-cTnT and high sensitive CRP (hs-CRP) among other tests. FH-HD was defined as first degree family member with HD diagnosis and classified as premature if the diagnosis was done before the age of 55 for men or 65 for women. Results: Elevated hs-cTnT (>14 ng/L) was more common in FH-HD of any age, and in premature FH-HD (FH-P-HD) participants than in participants without FH-HD (4.4% vs 2.0%, p<0.001 and 4.3% vs 2.0%, p=0.001, respectively). Adjustmentfor potential risk factors with association to elevated hs-cTnT (age, sex, BMI, hypertension, diabetes, hs-CRP, smoking and physical activity), showed that FH-HD and FH-P-HD remained significantly associated with elevated hs-cTnT (OR=1.62, p=0.025 and OR=1.70, p=0.039, respectively). Furthermore, we found that a significant interaction between FH-HD or FH-P-HD and high levels ofhs-CRP (>3 mg/L) increased the risk for elevated hs-cTnT (OR=3.07, p=0.036 for FH-HD and OR=3.25, p=0.053 for FH-P-HD). Conclusions: FH-HD and its interaction with elevated hs-CRP levels were significantly associated with elevated hs-cTnT in apparently healthy individuals suggesting that an inflammatory process may be involved in this association.

Original languageEnglish
Pages (from-to)760-767
Number of pages8
JournalClinical Cardiology
Volume42
Issue number8
DOIs
StatePublished - 2019

Keywords

  • apparently healthy
  • family history
  • heart disease
  • high sensitive C reactive protein
  • high sensitive cardiac troponin

Fingerprint

Dive into the research topics of 'Familial history of heart disease and increased risk for elevated troponin in apparently healthy individuals'. Together they form a unique fingerprint.

Cite this