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Cardiovascular Diseases Risk Prediction by Homocysteine in Comparison to other Markers: A Study from Madhya Pradesh
Ashok Sahu1, Trapti Gupta2, Arvind Kavishwar3
1Associate Professor.
Insights
Elevated homocysteine levels significantly predict cardiovascular disease risk, showing higher accuracy than other inflammatory markers. This finding highlights homocysteine as a crucial factor in atherosclerosis and vascular disease.
Area of Science:
- Cardiovascular Medicine
- Biochemistry
- Inflammation Research
Background:
- Atherosclerosis is linked to heightened inflammation and vascular disease risk.
- The specific drivers of this inflammation remain unclear.
- Understanding these factors is crucial for disease prevention and management.
Purpose of the Study:
- To compare homocysteine levels with other cardiovascular disease risk markers.
- To evaluate the predictive value of homocysteine in patients with atherosclerosis.
- To identify key inflammatory factors associated with vascular disease.
Main Methods:
- A study involving 200 participants, with 100 diagnosed cardiovascular disease patients and 100 controls.
- Measurement of homocysteine, high-sensitivity C-reactive protein (hs-CRP), lipoprotein(a), HbA1c, and blood lipids.
- Collection of anthropometric and demographic data for comprehensive analysis.
Main Results:
- Homocysteine and other measured markers were significantly elevated in patients with cardiovascular disease compared to the control group.
- Homocysteine demonstrated a statistically significant increase in the diseased cohort.
- Comparative analysis revealed distinct marker levels between patient and control groups.
Conclusions:
- Homocysteine exhibits high sensitivity, specificity, and accuracy in identifying cardiovascular disease patients.
- With an 89% positive predictive value and an odds ratio of 39.48, homocysteine is a potent predictor.
- Homocysteine proves to be a more effective risk factor for cardiovascular disease than other evaluated markers.
Introduction:
Atherosclerosis is associated with increased inflammatory activity and risk of vascular disease. However, the factors that promote inflammation are not apparently clear. In the present study we aimed to evaluate levels of homocysteine in comparison with other markers including inflammatory risk predictor of cardiovascular disease.
Methods:
A total of 200 patients were included in the study, of these 100 were angiographically proven cardiovascular disease patients and 100 were not suffering from any cardiovascular disease. Levels of homocysteine, hs-CRP, lipoprotein(a), HbA1c and blood lipid were measured along with anthropometric and demographic parameters.
Results:
Levels of homocysteine and other markers were significantly increased in diseased group in comparisons to control.
Conclusion:
There is a very high sensitivity, specificity, and accuracy with 89% positive predictive value and 39.48 odds ratio for homocysteine in cardiovascular patients when compared to other risk factors.
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