Hyperhomocysteinemia and acute phase proteins in various forms of ischemic heart disease

Aim. To determine clinical significance of high concentrations of homocystein, C-reactive protein, fibrinogen in various forms of ischemic heart disease. Material and methods. Enzyme immunoassay was made to measure serum concentrations of homocystein, C-reactive protein, fibrinogen in 60 patients wi...

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Main Authors: A D Paramonov, S V Moiseev, V V Fomin, M V Kopeleva, L I Stankevich, A I Martynov, N A Mukhin
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2004-06-01
Series:Терапевтический архив
Subjects:
Online Access:https://ter-arkhiv.ru/0040-3660/article/view/29849
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author A D Paramonov
S V Moiseev
V V Fomin
M V Kopeleva
L I Stankevich
A I Martynov
N A Mukhin
author_facet A D Paramonov
S V Moiseev
V V Fomin
M V Kopeleva
L I Stankevich
A I Martynov
N A Mukhin
author_sort A D Paramonov
collection DOAJ
description Aim. To determine clinical significance of high concentrations of homocystein, C-reactive protein, fibrinogen in various forms of ischemic heart disease. Material and methods. Enzyme immunoassay was made to measure serum concentrations of homocystein, C-reactive protein, fibrinogen in 60 patients with ischemic heart disease (IHD) in the form of stable effort angina (n = 20), painless myocardial ischemia (n = 19), unstable angina pectoris (n = 21) and 20 control patients free of IHD. Myocardial ischemia was confirmed at dobutamine stress echocardiography. Results. Serum concentrations of homocysteine, C-reactive protein and fibrinogen were higher in patients with unstable angina than in the other examinees with IHD. A statictically significant correlation exists between homocysteine serum levels and acute phase proteins (C-reactive protein, fibrinogen) in patients with unstable angina. In the other groups it was absent. Conclusion. Correlation between serum levels of homocysteine and acute phase proteins in patients with unstable angina suggests a direct participation of this amino acid in destabilization of atherosclerotic plaques and development of acute coronary syndromes.
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spelling doaj.art-9a4b5293c004481895cf91ff5f4a700c2022-12-21T18:51:26Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422004-06-01796677026877Hyperhomocysteinemia and acute phase proteins in various forms of ischemic heart diseaseA D ParamonovS V MoiseevV V FominM V KopelevaL I StankevichA I MartynovN A MukhinAim. To determine clinical significance of high concentrations of homocystein, C-reactive protein, fibrinogen in various forms of ischemic heart disease. Material and methods. Enzyme immunoassay was made to measure serum concentrations of homocystein, C-reactive protein, fibrinogen in 60 patients with ischemic heart disease (IHD) in the form of stable effort angina (n = 20), painless myocardial ischemia (n = 19), unstable angina pectoris (n = 21) and 20 control patients free of IHD. Myocardial ischemia was confirmed at dobutamine stress echocardiography. Results. Serum concentrations of homocysteine, C-reactive protein and fibrinogen were higher in patients with unstable angina than in the other examinees with IHD. A statictically significant correlation exists between homocysteine serum levels and acute phase proteins (C-reactive protein, fibrinogen) in patients with unstable angina. In the other groups it was absent. Conclusion. Correlation between serum levels of homocysteine and acute phase proteins in patients with unstable angina suggests a direct participation of this amino acid in destabilization of atherosclerotic plaques and development of acute coronary syndromes.https://ter-arkhiv.ru/0040-3660/article/view/29849ischemic heart diseasehyperhomocysteinemiac-reactive proteinfibrinogenunstable anginastress-echocardiography
spellingShingle A D Paramonov
S V Moiseev
V V Fomin
M V Kopeleva
L I Stankevich
A I Martynov
N A Mukhin
Hyperhomocysteinemia and acute phase proteins in various forms of ischemic heart disease
Терапевтический архив
ischemic heart disease
hyperhomocysteinemia
c-reactive protein
fibrinogen
unstable angina
stress-echocardiography
title Hyperhomocysteinemia and acute phase proteins in various forms of ischemic heart disease
title_full Hyperhomocysteinemia and acute phase proteins in various forms of ischemic heart disease
title_fullStr Hyperhomocysteinemia and acute phase proteins in various forms of ischemic heart disease
title_full_unstemmed Hyperhomocysteinemia and acute phase proteins in various forms of ischemic heart disease
title_short Hyperhomocysteinemia and acute phase proteins in various forms of ischemic heart disease
title_sort hyperhomocysteinemia and acute phase proteins in various forms of ischemic heart disease
topic ischemic heart disease
hyperhomocysteinemia
c-reactive protein
fibrinogen
unstable angina
stress-echocardiography
url https://ter-arkhiv.ru/0040-3660/article/view/29849
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