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Published on: January 28, 2020
[Plasma renin activity in patients with coronary arteriosclerosis with different types of hyperlipoproteinemia]
Insights
Patients with coronary atherosclerosis exhibit elevated plasma renin activity, particularly those with hyperlipoproteinemia and arrhythmias. This finding suggests a link between renin levels and coronary artery disease severity.
Area of Science:
- Cardiology
- Endocrinology
- Biochemistry
Context:
- Coronary atherosclerosis is a significant health concern.
- Lipid metabolism disorders, such as hypercholesterolemia and hypertriglyceridemia, are common in patients with coronary atherosclerosis.
- Plasma renin activity is a key component of the renin-angiotensin-aldosterone system.
Purpose:
- To investigate the relationship between plasma renin activity and different clinical forms of coronary atherosclerosis.
- To explore the correlation between plasma renin activity and various types of hyperlipoproteinemia in patients with coronary atherosclerosis.
Summary:
- The study examined 142 patients with coronary atherosclerosis and 40 controls.
- Elevated plasma renin activity was observed in patients with coronary atherosclerosis, especially in the pain form and arrhythmic forms.
- Higher renin activity was associated with Type II and Type III hyperlipoproteinemia, paroxysmal arrhythmia, and cardiac fibrillation.
Impact:
- This research highlights the potential role of plasma renin activity as a biomarker in coronary atherosclerosis.
- Understanding the link between renin activity and hyperlipoproteinemia may lead to novel therapeutic strategies.
- Findings contribute to the understanding of the pathophysiology of coronary artery disease.
Abstract:
The examination was conducted in 142 patients with coronary atherosclerosis, aged 33 to 74 years, and in 40 normal persons, aged 25 to 48 years. The pain form of the disease was observed in 96 patients, the arrhythmic one--in 38, the painless one--in 8 patients. The arterial pressure was within the normal limits in the examined patients. In 67.6% of the patients hypercholesterolemia was diagnosed, in 47.3%--hypertriglyceridemia. Type II hyperlipoproteinemia was found in 67.6% of the cases, types III and IV--in 5.3 and 9.1%, respectively, type V--in 0.5% of the patients; the type of hyperlipoproteinemia could not be identified in 10.6%, and in 6.9% of the cases the blood level of lipoproteins did not differ from the normal. The plasma renin activity examined by the radioimmunoassay in normals comprised 1.26 +/- 0.21 ng/ml/hour; in patients with the pain form of coronary atherosclerosis--6.67 +/- 0.72 ng/ml/hour; in those with arrhythmias--6.89 +/- 1.20 ng/ml/hour; in those with the painless form--2.39 +/- 1.02 ng/ml/hour. The highest renin activity was revealed in types IIa, IIb and III hyperlipoproteinemia, as well as in paroxysmal arrhythmia and cardiac fibrillation.
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