Brief review and critical examination of the use of hs-CRP for cardiac risk assessment with the conclusion that it is premature to use this test

After adjustment for conventional risk factors, hs-CRP discriminates poorly between persons with coronary disease and those without over a range of from about 0.6 to 7 mg/L which includes most apparently well people. Nor does the evidence indicate that hs-CRP adds significant predictive value to the clinical traits that define metabolic syndrome.