Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Relationship between carotid artery stiffness index, BNP and high-sensitivity CRP

Abstract

Arterial stiffness is an independent predictor of cardiovascular morbidity and mortality. Brain natriuretic peptide (BNP) and high-sensitivity C-reactive protein (hs-CRP) are considered as novel biomarkers that are useful in the prediction of early cardiovascular risk. We studied the relationship between carotid artery stiffness index β and the cardiovascular biomarkers BNP and hs-CRP in 55 consecutive subjects. Carotid artery stiffness was assessed using the stiffness index β derived from brachial artery blood pressure measurement and carotid ultrasonography. Venous blood samples were obtained for BNP and hs-CRP. Pearson's correlation coefficient suggested a strong bivariate relationship between carotid stiffness index β and age (r=0.56, P<0.0001), BNP (r=0.45, P<0.004) and hs-CRP (r=0.26, P=0.06), respectively. On multiple regression analysis, significant correlations were found between carotid stiffness index β and age (P=0.004), BNP (P=0.027) and hs-CRP (P=0.029). These findings suggest that there is a relationship between intra-cardiac pressures (measured by BNP), vascular inflammation (measured by hs-CRP) and vascular stiffness. Cardiovascular biomarkers are thus associated with functional parameters of the vascular tree.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  1. Cohn JN . Arterial stiffness, vascular disease and risk of cardiovascular events. Circulation 2006; 113: 601–603.

    Article  Google Scholar 

  2. Lane HA, Smith JC, Davies JS . Noninvasive assessment of preclinical atherosclerosis. Vasc Health Risk Manag 2006; 2: 19–30.

    Article  Google Scholar 

  3. Zoungas S, Asmar RP . Arterial stiffness and cardiovascular outcome. Clin Exp Pharmacol Physiol 2007; 34: 647–651.

    Article  CAS  Google Scholar 

  4. Hirai T, Sasayama S, Kawasaki T, Yagi S . Stiffness of systemic arteries in patients with myocardial infarction. A noninvasive method to predict severity of coronary atherosclerosis. Circulation 1989; 80: 78–86.

    Article  CAS  Google Scholar 

  5. Alan S, Ulgen MS, Ozturk O, Alan B, Ozdemir L, Toprak N . Relation between coronary artery disease, risk factors and intima-media thickness of carotid artery, arterial distensibility and stiffness index. Angiology 2003; 54: 261–267.

    Article  Google Scholar 

  6. Salomaa V, Riley W, Kark JD, Nardo C, Folsom AR . Non-insulin-dependent diabetes mellitus and fasting glucose and insulin concentrations are associated with arterial stiffness indexes. The ARIC study. Circulation 1995; 91: 1432–1443.

    Article  CAS  Google Scholar 

  7. Packard RR, Libby P . Inflammation in atherosclerosis: from vascular biology to biomarker discovery and risk prediction. Clin Chem 2008; 54: 24–38.

    Article  CAS  Google Scholar 

  8. Ridker PM, Rifai N, Rose L, Buring JE, Cook JR . Comparison of C-reactive protein and low-density lipoprotein cholesterol levels in the prediction of first cardiovascular events. N Engl J Med 2002; 347: 1557–1565.

    Article  CAS  Google Scholar 

  9. Wang TJ, Larson MG, Levy D, Benjamin EJ, Leip EP, Omland T et al. Plasma natriuretic peptide levels and the risk of cardiovascular events and death. N Engl J Med 2004; 350: 655–663.

    Article  CAS  Google Scholar 

  10. Kawasaki T, Sasayama S, Yagi S, Asakawa T, Hirai T . Non-invasive assessment of the age related changes in stiffness of major branches of the human arteries. Cardiovasc Res 1987; 21: 678–687.

    Article  CAS  Google Scholar 

  11. Mattace-Raso FU, van der Cammen TJ, Hofman A, van Popele NM, Bos ML, Schalekamp MA et al. Arterial stiffness and risk of coronary heart disease and stroke: the Rotterdam Study. Circulation 2006; 113: 657–663.

    Article  Google Scholar 

  12. Blacher J, Pannier B, Guerin AP, Marchais SJ, Safar ME, London GM . Carotid arterial stiffness as a predictor of cardiovascular and all-cause mortality in end-stage renal disease. Hypertension 1998; 32: 570–574.

    Article  CAS  Google Scholar 

  13. Barenbrock M, Kosch M, Jöster E, Kisters K, Rahn KH, Hausberg M . Reduced arterial distensibility is a predictor of cardiovascular disease in patients after renal transplantation. J Hypertens 2002; 20: 79–84.

    Article  CAS  Google Scholar 

  14. Dijk JM, van der Graaf Y, Grobbee DE, Bots ML, SMART Study Group. Carotid stiffness indicates risk of ischemic stroke and TIA in patients with internal carotid artery stenosis: the SMART study. Stroke 2004; 35: 2258–2262.

    Article  Google Scholar 

  15. Shokawa T, Imazu M, Yamamoto H, Toyofuku M, Tasaki N, Okimoto T et al. Pulse wave velocity predicts cardiovascular mortality: findings from the Hawaii-Los Angeles-Hiroshima study. Circ J 2005; 69: 259–264.

    Article  Google Scholar 

  16. Willum-Hansen T, Staessen JA, Torp-Pedersen C, Rasmussen S, Thijs L, Ibsen H et al. Prognostic value of aortic pulse wave velocity as index of arterial stiffness in the general population. Circulation 2006; 113: 664–670.

    Article  Google Scholar 

  17. Mahmud A, Feely J . Arterial stiffness is related to systemic inflammation in essential hypertension. Hypertension 2005; 46: 1118–1122.

    Article  CAS  Google Scholar 

  18. Duprez DA, Somasundaram PE, Sigurdsson G, Hoke L, Florea N, Cohn JN . Relationship between C-reactive protein and arterial stiffness in an asymptomatic population. J Hum Hypertens 2005; 19: 515–519.

    Article  CAS  Google Scholar 

  19. Kim JS, Kang TS, Kim JB, Seo HS, Park S, Kim C et al. Significant association of C-reactive protein with arterial stiffness in treated non-diabetic hypertensive patients. Atherosclerosis 2007; 192: 401–406.

    Article  CAS  Google Scholar 

  20. Yasmin, McEniery CM, Wallace S, Mackenzie IS, Cockcroft JR, Wilkinson IB . C-reactive protein is associated with arterial stiffness in apparently healthy individuals. Arterioscler Thromb Biol 2004; 24: 969–974.

    Article  CAS  Google Scholar 

  21. Wilkinson IB, Franklin SS, Cockcroft JR . Nitric oxide and the regulation of large artery stiffness: from physiology to pharmacology. Hypertension 2004; 44: 112–116.

    Article  CAS  Google Scholar 

  22. Yasmin, McEniery CM, Wallace S, Dakham Z, Pulsalkar P, Maki-Petaja K et al. Matrix metalloproteinase-9 (MMP-9), MMP-2, and serum elastase activity are associated with systolic hypertension and arterial stiffness. Arterioscler Thromb Vasc Biol 2005; 25: 372.

    Article  CAS  Google Scholar 

  23. Ridker PM, Danielson E, Fonseca FA, Genest J, Gotto Jr AM, Kastelein JJ et al. Rosuvastatin to prevent vascular events in men and women with elevated C-reactive protein. N Engl J Med 2008; 359: 2195–2207.

    Article  CAS  Google Scholar 

  24. Sakuragi S, Okawa K, Iwasaki J, Tokunaga N, Kakishita M, Ohe T . Aortic stiffness is an independent determinant of B-type natriuretic peptide in patients with coronary artery disease. Cardiology 2007; 107: 140–146.

    Article  CAS  Google Scholar 

  25. Yambe M, Tomiyama H, Koji Y, Motobe K, Shiina K, Gulnisia Z et al. B-type natriuretic peptide and arterial stiffness in healthy Japanese men. Am J Hypertens 2006; 19: 443–447.

    Article  CAS  Google Scholar 

  26. Cohn JN . B-type natriuretic peptide and artery stiffness. Am J Hypertens 2006; 19: 437–438.

    Article  Google Scholar 

  27. Mottram PM, Haluska BA, Leano R, Carlier S, Case C, Marwick TH . Relation of arterial stiffness to diastolic dysfunction in hypertensive heart disease. Heart 2005; 91: 1551–1556.

    Article  CAS  Google Scholar 

  28. Redfield MM, Jacobsen SJ, Borlaug BA, Rodeheffer RJ, Kass DA . Age and gender related ventricular-vascular stiffening: a community based study. Circulation 2005; 112: 2254–2262.

    Article  Google Scholar 

  29. Rifai N, Ridker PM . High-sensitivity C-reactive protein: a novel and promising marker of coronary heart disease. Clin Chem 2001; 47: 403–411.

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

We acknowledge Dr Charles A Herzog, MD, for his support and guidance during this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to G R Shroff.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shroff, G., Cen, YY., Duprez, D. et al. Relationship between carotid artery stiffness index, BNP and high-sensitivity CRP. J Hum Hypertens 23, 783–787 (2009). https://doi.org/10.1038/jhh.2009.17

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/jhh.2009.17

Keywords

This article is cited by

Search

Quick links