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Published on: October 12, 2017
Relationship of plasma homocysteine with lipid profile parameters in ischemic heart disease
A S Yadav1, V R Bhagwat, I M Rathod
1Department of Biochemistry, MIMSR Medical College, 413 531 Latur.
Insights
Elevated plasma homocysteine levels are linked to ischemic heart disease and myocardial infarction. This suggests a potential increased need for B vitamins like folic acid and B12 to regulate homocysteine metabolism.
Area of Science:
- Biochemistry
- Cardiology
- Nutritional Science
Background:
- Ischemic heart disease (IHD) is a significant global health concern.
- Elevated plasma homocysteine is a recognized risk factor for cardiovascular diseases.
- Understanding the biochemical factors associated with IHD is crucial for developing effective prevention and treatment strategies.
Purpose of the Study:
- To investigate the association between plasma homocysteine levels and other biochemical markers in patients with ischemic heart disease.
- To compare plasma homocysteine levels in IHD patients with those in healthy controls.
Main Methods:
- Plasma total homocysteine levels were quantified using High-Performance Liquid Chromatography (HPLC) with fluorescence detection.
- A cohort of 60 ischemic heart disease patients (including myocardial infarction and chronic stable IHD) was studied.
- A control group of 30 age-matched healthy individuals was included for comparison.
Main Results:
- Patients with both myocardial infarction and chronic stable ischemic heart disease exhibited significantly higher plasma homocysteine levels compared to healthy controls.
- The observed hyperhomocysteinemia in IHD patients suggests a potential metabolic derangement.
Conclusions:
- Elevated plasma homocysteine is a significant finding in ischemic heart disease patients.
- Hyperhomocysteinemia may result from an increased bodily requirement for vitamins (folic acid, B12, B6, B2) essential for homocysteine metabolism.
- Further research into vitamin supplementation could be beneficial for managing IHD.
Abstract:
The present study was undertaken to explore the relationship of plasma homocysteine with other biochemical parameters in ischemic heart disease. Plasma levels of total homocysteine was measured by HPLC-fluorescence detection with internal standard in 60 ischemic heart disease patients and were compared with 30 age matched normal healthy controls. The significant increase of plasma homocysteine was observed in both myocardial infarction and chronic stable ischemic heart disease patients when compared with the controls. The hyperhomocysteinemia appears be to due to increased body demand of vitamins such as folic acid, vitamin B(12), B(6), B(2) either alone or in combination to regulate normal homocysteine metabolism.
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