The relationship between severity of coronary artery disease and plasma level of vascular endothelial growth factor

Yasar Kucukardali1, Sebnem Aydogdu, Namik Ozmen

  • 1Department of Internal Medicine, Gulhane School of Medicine, Haydarpasha Training Hospital, Istanbul, Turkey. yasarkardali@yahoo.com <yasarkardali@yahoo.com>

Insights

Elevated vascular endothelial growth factor (VEGF) in patients with coronary artery disease indicates critical blockages. Increased VEGF may signal the need for revascularization in these patients.

Area of Science:

  • Cardiovascular Medicine
  • Biochemistry

Background:

  • Coronary artery disease (CAD) is a significant health concern.
  • Vascular Endothelial Growth Factor (VEGF) is known to increase with coronary artery occlusion in animal models.
  • The relationship between VEGF and human CAD, particularly the degree of coronary occlusion, requires further investigation.

Purpose of the Study:

  • To investigate the correlation between the degree of coronary artery occlusion and plasma VEGF levels in patients with established CAD.
  • To assess the relationship between plasma VEGF and other cardiac risk factors.

Main Methods:

  • The study included 77 patients with established coronary artery disease.
  • Patients were categorized into a control group (normal angiography) and groups with abnormal angiography (critical and non-critical lesions).
  • Plasma VEGF levels were measured and compared across groups, with logistic regression analysis performed.

Main Results:

  • Plasma VEGF levels were significantly higher in patients with critical coronary lesions compared to controls.
  • A negative correlation was observed between VEGF and hemoglobin, and a positive correlation with age.
  • No significant relationship was found between plasma VEGF and other common cardiac risk parameters.

Conclusions:

  • Elevated plasma VEGF levels in CAD patients may indicate critical coronary lesions.
  • VEGF may serve as a potential biomarker for identifying patients who require revascularization.
Abstract

Related Concept Videos

Coronary Artery Disease II: Pathophysiology01:26

Coronary Artery Disease II: Pathophysiology

Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
Regulation of Angiogenesis and Blood Supply01:24

Regulation of Angiogenesis and Blood Supply

Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits.  Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl hydroxylase and factor...
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...