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C-reactive protein; high sensitivity (hsCRP)

CPT4 code

Name of the Procedure:

C-reactive Protein; High Sensitivity (hsCRP)

Summary

The hs-CRP test is a blood test that measures low levels of C-reactive protein (CRP) in the blood. CRP is a protein produced by the liver in response to inflammation. The test helps identify the risk of cardiovascular disease.

Purpose

The hsCRP test addresses chronic inflammation and its role in cardiovascular diseases. It aims to identify individuals at higher risk of heart attacks, strokes, and other cardiovascular conditions due to ongoing low-level inflammation.

Indications

  • Patients with a family history of cardiovascular disease.
  • Individuals with conditions like high blood pressure, high cholesterol, or diabetes.
  • Patients experiencing unexplained fatigue or symptoms suggesting chronic inflammation.
  • Those undergoing regular health check-ups with a focus on cardiovascular risk.

Preparation

  • No special preparation is usually required for the hsCRP test.
  • However, patients should inform their healthcare provider about any medications or supplements they are taking, as certain drugs can affect CRP levels.
  • Fasting might be recommended in cases where the hsCRP test is part of a larger panel of blood tests.

Procedure Description

  1. The patient will have their blood drawn, typically from a vein in the arm.
  2. A healthcare professional will clean the area with an antiseptic, apply a tourniquet, and then insert a needle to collect a blood sample.
  3. The blood sample is then sent to a lab for analysis where the CRP levels are measured using high-sensitivity techniques.

Tools, Equipment, or Technology Used:

  • Standard blood collection tools: antiseptic wipes, tourniquet, needle, and collection tubes.
  • High-sensitivity assays in a laboratory setting.

Anesthesia or Sedation: Not applicable, as this is a simple blood draw.

Duration

The blood draw itself takes just a few minutes. Laboratory analysis may take a few hours to a few days, depending on the laboratory.

Setting

The procedure is performed in:

  • Hospitals
  • Outpatient clinics
  • Diagnostic centers

Personnel

  • Phlebotomists or nurses for the blood draw.
  • Laboratory technicians or medical technologists for the analysis.

Risks and Complications

  • Minor risks include slight pain, bruising, or bleeding at the needle site.
  • Rarely, there might be dizziness or fainting.
  • Infection at the needle site, although very uncommon, is another possible risk.

Benefits

  • Provides critical information about cardiovascular health.
  • Helps in early detection of cardiovascular risk, leading to timely intervention.
  • Aids in monitoring and managing chronic conditions associated with inflammation.

Recovery

  • No significant recovery time required.
  • The patient can resume normal activities immediately after the blood draw.
  • Follow-up depends on test results and doctor's recommendations.

Alternatives

  • Other inflammatory markers like erythrocyte sedimentation rate (ESR) or fibrinogen levels.
  • Imaging and stress tests for cardiovascular assessment.
  • Compared to these alternatives, hsCRP is more specific for detecting low levels of chronic inflammation linked to cardiovascular risk.

Patient Experience

  • During: Minor discomfort or pain from the needle insertion.
  • After: Possible slight soreness or bruising at the puncture site.
  • Pain Management and Comfort Measures: Applying a cold pack to the puncture site can help alleviate soreness. Any prolonged discomfort should be reported to a healthcare provider.

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