Skip to main content

Advertisement

Log in

Correlation of Serum Homocysteine Levels with the Severity of Coronary Artery Disease

  • Original Article
  • Published:
Indian Journal of Clinical Biochemistry Aims and scope Submit manuscript

Abstract

Coronary artery disease (CAD) has become the most common cause of mortality in the entire world. Homocysteine is implicated as an early atherosclerotic promoter. We studied the relationship between levels of serum homocysteine with severity of coronary artery disease. Total of 70 subjects who scheduled for coronary angiogram consented to participate in this study. In all the patients Gensini scoring system was used to assess the severity of CAD. Venous samples were taken from the patients in fasting state before angiography. Homocysteine levels in patients were measured by enzyme linked immunosorbant method and were compared with respective Genseni scores of participants. Fasting serum homocysteine levels in CAD patients were significantly higher than patients without coronary artery disease (p < 0.001). Also Homocyseine levels correlated significantly with increasing severity of CAD (p < 0.001). Serum homocysteine levels correlated well with the severity of CAD.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Patil SS, Joshi R, Gupta G, Reddy MV, Pai M, Kalantri SP. Risk factors for acute myocardial infarction in a rural population of central India: a hospital-based case control study. Natl Med J India. 2004;17:189–94.

    PubMed  Google Scholar 

  2. Goel PK, Bharti BB, Pandey CM, Singh U, Tewari S, Kapoor A, et al. A tertiary care hospital-based study of conventional risk factors including lipid profile in proven coronary artery disease. Ind Heart J. 2003;55:234–40.

    Google Scholar 

  3. Fuster V, Voute J. MDGs: chronic diseases are not on the agenda. Lancet. 2005;366(9496):1512–4.

    Article  PubMed  Google Scholar 

  4. Upadhyaya RP. An overview of the burden of non-communicable diseases in India. Iran J Public Health. 2012;41(3):1–8.

    Google Scholar 

  5. Goyal A, Yusuf S. The burden of cardiovascular disease in the Indian subcontinent. Indian J Med Res. 2006;124(3):235–44.

    PubMed  Google Scholar 

  6. Smith SC Jr. Current and future directions of cardiovascular risk prediction. Am J Cardiol. 2006;97:28A–32A.

    Article  PubMed  Google Scholar 

  7. Mallinow MR. Hyperhomocysteinemia A common and easily reversible risk factor for occlusive atherosclerosis. Circulation. 1990;81(6):2004–6.

    Article  Google Scholar 

  8. Abraham R, Joseph John M, Calton R, Dhanoa J. Raised serum homocysteine levels in patients of coronary artery disease and the effect of vitamin B12 and folate on its concentration. Indian J Clin Biochem. 2006;21(1):95–100.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Chambers J, Obeid O, Refsum H, et al. Plasma homocysteine concentrations and risk of coronary heart disease in UK Indian Asian and European men. Lancet. 2000;355(9203):523–7.

    Article  CAS  PubMed  Google Scholar 

  10. Refsum H. The Hordaland Homocysteine Study: a community-based study of homocysteine, its determinants, and associations with disease. J Nutr. 2006;136(6 Suppl):1731S–40S.

    CAS  PubMed  Google Scholar 

  11. Herrmann W, Schorr H, Obeid R, Geisel J. Vitamin B12 status particularly holotranscobalamin II and methylmalonic acid concentrations, and hyperhomocysteinemia in vegetarians. Am J Clin Nutr. 2003;78(1):131–6.

    CAS  PubMed  Google Scholar 

  12. Bissoli L, Di Francesco V, Ballarin A, Mandragona R, Trespidi R, Brocco G, et al. Effect of vegetarian diet on homocysteine levels. Ann Nutr Metab. 2002;46(2):73–79.

    Google Scholar 

  13. Verhoef P, Pasman W, Vleit T, Urgert R, Katan M. Contribution of caffeine to the homocysteine-raising effect of coffee: a randomized controlled trial in humans. Am J Clin Nutr. 2002;76(6):1244–8.

    CAS  PubMed  Google Scholar 

  14. Tsiaras EM. Influence of smoking on predictors of vascular disease. Angiology. 2003;54(5):507–30.

    Article  Google Scholar 

  15. Bazzano LA, He J, Muntner P, Vupputuri S, Whelton P. Relationship between cigarette smoking and novel risk factors for cardiovascular disease in the United States. Ann Intern Med. 2003;138(11):891–7.

    Article  PubMed  Google Scholar 

  16. Mizrahi EH, Jacobsen DW, Debanne SM, Traore F, Lerner AJ, Friedland RP, Petot GJ. Plasma total homocysteine levels, dietary vitamin B6 and folate intake in AD and healthy aging. J Nutr Health Aging. 2003;7(3):160–5.

    CAS  PubMed  Google Scholar 

  17. Ward M. Homocysteine, folate and cardiovascular disease. Int J Vitam Nutr Res. 2001;71(3):173–8.

    Article  CAS  PubMed  Google Scholar 

  18. Ueland PM, Refsum H, Beresford SA, Vollset SE. The controversy over homocysteine and cardiovascular risk. Am J Clin Nutr. 2000;72(2):324–32.

    CAS  PubMed  Google Scholar 

  19. Stampfer MJ, Malinow MR. Can lowering homocysteine levels reduce cardiovascular risk? N Engl J Med. 1995;332:328–9.

    Article  CAS  PubMed  Google Scholar 

  20. Chai H, Chen Y, Chung S, Tsai T, Yong C, Chen H, et al. Value and level of plasma homocysteine in patients with angina pectoris undergoing coronary angiographic study. Int Heart J. 2011;52:280–5.

    Article  CAS  PubMed  Google Scholar 

  21. Nygard O, Vollset SE, Refsum H, et al. Total plasma homocysteine and cardiovascular risk profile: the Hordaland Homocysteine Study. JAMA. 1995;274:1526–33.

    Article  CAS  PubMed  Google Scholar 

  22. Bilsborough W, Green DJ, Mamotte CDS, van Bockxmeer FM, O’Driscoll GJ, Taylor RR. Endothelial nitric oxide synthase gene polymorphism, homocysteine, cholesterol and vascular endothelial function. Atherosclerosis. 2003;169(1):131–8.

    Article  CAS  PubMed  Google Scholar 

  23. Kanani PM, Sinkey CA, Browning RL, Allaman M, Knapp HR, Haynes WG. Role of oxidant stress in endothelial dysfunction produced by experimental hyperhomocysteinemia in humans. Circulation. 1999;100(11):1161–8.

    Article  CAS  PubMed  Google Scholar 

  24. Cavalca V, Cighetti G, Bamonti F, Loaldi A, Bortone L, et al. Oxidative stress and homocysteine in coronary artery disease. Clin Chem. 2001;47(5):887–92.

    CAS  PubMed  Google Scholar 

  25. Mirdamadi A, Farzamnia H, Varzandeh P, Almasi N, Arasteh M. Association between serum homocysteine concentration with coronary artery disease in Iranian patients. ARYA Atheroscler. 2011;7(2):63–7.

    PubMed Central  PubMed  Google Scholar 

Download references

Acknowledgement

We are grateful to our Dean, Kasturba Medical College, Manipal University, Manipal for providing support to conduct study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Krishnananda Prabhu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shenoy, V., Mehendale, V., Prabhu, K. et al. Correlation of Serum Homocysteine Levels with the Severity of Coronary Artery Disease. Ind J Clin Biochem 29, 339–344 (2014). https://doi.org/10.1007/s12291-013-0373-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12291-013-0373-5

Keywords

Navigation