医疗小组揭示炎症在心脏病中起到的重要作用。
Medical Group Reveals Major Role Inflammation Plays In Heart Disease

原始链接: https://www.zerohedge.com/medical/medical-group-reveals-major-role-inflammation-plays-heart-disease

## 炎症现在是心脏疾病预测的关键因素 美国心脏病学会现在建议将炎症视为评估心脏疾病风险的关键因素。最近发表在《美国心脏病学会杂志》上的一份报告强调,高灵敏度C反应蛋白(hsCRP)血液检测——一种测量炎症的指标——是心血管疾病(CVD)的重要预测指标。 学会表示,hsCRP水平对未来心脏事件的预测能力*与*低密度脂蛋白(“坏”)胆固醇一样,甚至在已经服用他汀类药物的患者中也是如此。hsCRP升高应促使采取生活方式干预,例如改善饮食(侧重于水果、蔬菜和omega-3脂肪酸)和锻炼。在某些情况下,可以考虑加强他汀类药物治疗或使用如低剂量秋水仙碱等药物。 研究还将摄入超加工食品与更高的hsCRP水平联系起来。美国心脏病学会强调提高医生对炎症的认识,并采用抗炎疗法来对抗CVD,认识到炎症在传统胆固醇管理之外的重要作用。

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原文

Authored by Jack Phillips via The Epoch Times (emphasis ours),

The American College of Cardiology recently released recommendations indicating that inflammation should be considered when trying to predict heart disease.

A man walks in a hospital hallway in Irvine, Calif., on Oct. 11, 2016. John Fredricks/The Epoch Times

In a report issued in the Journal of the American College of Cardiology on Sept. 29, the college said that the high-sensitivity C-reactive protein (hsCRP) blood test that measures CRP, a known inflammatory marker that increases in response to inflammation in the body, can determine whether a person is at risk of developing cardiovascular disease (CVD).

“Because clinicians will not treat what they do not measure, universal screening of hsCRP in both primary and secondary prevention patients, in combination with cholesterol, represents a major clinical opportunity and is therefore recommended,” said the American College of Cardiology.

In patients with known CVD, hsCRP level is at least as predictive of future events as LDL cholesterol levels, even in patients treated with statin therapy,” the college said in a separate statement.

It is referring to low-density lipoprotein that is sometimes called “bad” cholesterol, and statins, meanwhile, are a class of drugs that are used to lower cholesterol in the blood.

“In individuals with increased inflammatory burden, an early initiation of lifestyle interventions is recommended to reduce inflammatory risk,” the report said, adding that a “finding of a persistently elevated hsCRP level should lead to consideration of initiation or intensification statin therapy, irrespective of LDL cholesterol.”

The report further stated that for people who have cardiovascular disease who are either taking or not taking statins, the inflammation measurement “is at least as powerful a predictor of recurrent vascular events as that of LDL cholesterol” and shows the importance of evaluating residual inflammation in patients.

It also noted that a low dose of colchicine, a medication that is used to treat gout and sometimes a type of heart inflammation called pericarditis, has been shown to reduce cardiovascular events in individuals with chronic stable atherosclerosis, or the buildup of fats and cholesterol on artery walls.

A type of monoclonal antibody called canakinumab has been shown to reduce major adverse cardiovascular events, they said.

The researchers noted that some anti-inflammatory drugs such as methotrexate, corticosteroids, and TNF inhibitors have not shown benefits in major trials. (ZH: Methotrexate is particularly 'problematic' as they say for multiple reasons)

The group recommended that health providers should encourage people to focus on the “consumption of fruits, vegetables, whole grains, legumes, nuts, and olive oil” and increase the intake of omega-3 fatty acids by including fish in their diet.

They’re also encouraged to focus on minimizing red and processed meats, refined carbohydrates, and sugary beverages, it said, adding that other lifestyle changes that may be recommended for individuals with high inflammatory markers include more exercise, quitting smoking, and maintaining a healthy weight.

A study published last month, conducted by researchers at Florida Atlantic University, found that there is a correlation between people whose diets have the most ultra-processed foods and higher levels of hsCRP, the marker of inflammation.

“The time is also ripe for the development of strategies to promote increased physician awareness of the crucial role of inflammation in CVD and accelerate the adoption of evidence-based, guideline-directed anti-inflammatory therapy through dissemination and implementation research,” the college said.

*  *  * Anti-Inflammatory supplements in order of effectiveness

Turmeric

Berberine

Astaxanthin

Resveratrol

Mushroom 10x (specifically the Chaga)

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