ReviewFrontiers in immunology2026
Persistent residual inflammatory risk at 1 month after contemporary PCI: rationale for routine hsCRP reassessment and dual-target therapy.
Review in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Targeting Inflammation Across the Myocardial Infarction Continuum: Biomarkers, Imaging, and Emerging Therapies.Journal of clinical medicine · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite major advances in lipid-lowering therapy and stent technology, a substantial proportion of patients undergoing contemporary percutaneous coronary intervention (PCI) experience recurrent major adverse cardiovascular events (MACE) driven by persistent residual inflammatory risk (RIR). This Perspective highlights that, once LDL-C is optimized below 70 mg/dL, RIR-quantified by high-sensitivity C-reactive protein (hsCRP ≥2 mg/L)-emerges as the dominant modifiable driver of recurrent events. Landmark meta-analyses and large registries demonstrate that persistent elevation of hsCRP at 1 month post-PCI occurs in approximately 43% of patients and independently predicts 12-month MACE (RR 1.64), all-cause mortality (RR 3.25), and other adverse outcomes, outperforming residual cholesterol risk after multivariable adjustment. Mechanistically, the acute-phase hsCRP surge induced by procedural injury resolves by 4-6 weeks, after which the 1-month value reliably reflects ongoing NLRP3 inflammasome activation, IL-1β/IL-6 signaling, and macrophage-driven plaque inflammation rather than transient artefacts. Accordingly, we propose a new "dual-target" definition of optimal secondary prevention: achievement of both LDL-C <70 mg/dL and hsCRP <2 mg/L at the 1-month landmark. This biomarker-guided approach represents a hypothesis-generating framework to enable precision deployment of low-dose colchicine or IL-6 pathway inhibitors (e.g., ziltivekimab) in patients with persistent RIR, directly addressing the enrichment gap observed in neutral broad anti-inflammatory trials such as CLEAR-SYNERGY. We therefore propose consideration of routine 1-month hsCRP reassessment as a potential future Class IIa recommendation in ESC/ACC guidelines. This strategy may transform silent residual inflammatory risk into a precisely treatable immunologic target, pending prospective validation in dedicated trials.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.