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Published on: January 28, 2020
Prooxidant-antioxidant balance as a new risk factor in patients with angiographically defined coronary artery disease
Daryoush Hamidi Alamdari1, Majid Ghayour-Mobarhan, Shima Tavallaie
1Department of Biological Chemistry, Medical School, Aristotle University of Thessaloniki, Thessaloniki 54124, Greece.
Insights
The prooxidant-antioxidant balance (PAB) is elevated in patients with coronary artery disease (CAD). This PAB value shows potential as a novel cardiovascular risk factor, warranting further investigation.
Area of Science:
- Biochemistry
- Cardiovascular Medicine
- Oxidative Stress Research
Background:
- Oxidative stress plays a role in cardiovascular disease pathogenesis.
- The prooxidant-antioxidant balance (PAB) is a marker of oxidative stress.
Purpose of the Study:
- To determine the PAB in patients with coronary artery disease (CAD).
- To evaluate the PAB value as a potential cardiovascular risk factor.
Main Methods:
- A modified PAB assay was used.
- PAB levels were measured in 61 CAD+ patients and 63 healthy controls.
- Correlations with clinical parameters were analyzed.
Main Results:
- Patients with CAD exhibited significantly higher PAB values compared to controls.
- PAB correlated positively with systolic and diastolic blood pressure, smoking, fasting blood sugar, and serum urea.
- PAB correlated negatively with serum creatinine and bilirubin.
Conclusions:
- The PAB value may serve as a valuable cardiovascular risk factor.
- Further clinical research is necessary to confirm the PAB value's clinical utility in risk assessment.
Objectives:
Determination of the prooxidant-antioxidant balance (PAB) in patients with angiographically defined coronary artery disease (CAD+) by a modified PAB assay and presentation of PAB value as a novel cardiovascular risk factor.
Design And Methods:
For 61 patients with CAD+ and 63 healthy volunteers, the PAB were measured and its correlation was determined with anthropological and clinical parameters.
Results:
A significant increase of the PAB value was observed in patients in comparison to control group. A correlation, which is not quite significant, was noted between angiographic finding (number of diseased vessel) and the PAB values in patients. A significant positive correlation was established between the PAB value and systolic blood pressure, diastolic blood pressure, smoking, fasting blood sugar and serum urea concentration; and a significant negative correlation was established between PAB value and serum creatinine and bilirubin.
Conclusions:
This study shows that the PAB value may be considered as a cardiovascular risk factor. Further clinical research is needed to substantiate the potency of the PAB value as a cardiovascular risk factor.
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