Low plasma Chromium in patients with coronary artery and heart diseases

M Simonoff1, Y Llabador, C Hamon

  • 1Chimie Nucléaire, ERA 144, CENBG, 33170, Bordeaux- Gradignan, France.

Insights

Plasma chromium levels can help predict coronary artery disease (CAD). Lower chromium concentrations indicate a higher likelihood of CAD, potentially reducing the need for invasive cineangiographic examinations.

Area of Science:

  • Cardiovascular Medicine
  • Clinical Chemistry
  • Biomarker Discovery

Background:

  • Plasma chromium levels are being investigated as potential biomarkers.
  • Coronary artery disease (CAD) diagnosis often relies on invasive procedures.

Purpose of the Study:

  • To determine the relationship between plasma chromium concentrations and coronary artery disease.
  • To explore the potential of plasma chromium levels to non-invasively predict CAD risk.

Main Methods:

  • Plasma chromium concentrations were measured in 150 patients.
  • Patients were categorized into three groups: CAD, heart disease (HD) without CAD, and no CAD/HD (N) based on coronary artery cineangiography.
  • Weighted average chromium levels were calculated for each group.

Main Results:

  • Group N (no CAD/HD) had a significantly higher average plasma chromium level (8.51 ng/mL) compared to Group HD (1.72 ng/mL) and Group CAD (1.05 ng/mL).
  • A potential upper limit for plasma chromium was identified at 6 ng/mL, beyond which CAD is unlikely.

Conclusions:

  • Plasma chromium levels show a strong inverse correlation with the presence and severity of coronary artery disease.
  • Establishing an upper plasma chromium threshold could aid in risk stratification and potentially reduce the need for diagnostic cineangiography.

Related Concept Videos

Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
891
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers01:19

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers

Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
769
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...
1.8K
Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
1.1K
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
500
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...
627