Heart and Vessels

, Volume 29, Issue 2, pp 186–190

Higher serum uric acid and lipoprotein(a) are correlated with coronary spasm

  • Masami Nishino
  • Naoki Mori
  • Takahiro Yoshimura
  • Daisuke Nakamura
  • Yasuharu Lee
  • Masayuki Taniike
  • Nobuhiko Makino
  • Hiroyasu Kato
  • Yasuyuki Egami
  • Ryu Shutta
  • Jun Tanouchi
  • Yoshio Yamada
Original Article

DOI: 10.1007/s00380-013-0346-x

Cite this article as:
Nishino, M., Mori, N., Yoshimura, T. et al. Heart Vessels (2014) 29: 186. doi:10.1007/s00380-013-0346-x

Abstract

It has been reported that a major cause of coronary vasospastic angina (VSA) is endothelial dysfunction of the coronary artery. On the other hand, some studies showed that serum uric acid and lipoprotein(a) are correlated with endothelial dysfunction. Thus, we examined whether uric acid and lipoprotein(a), are correlated with VSA. Four hundred forty-one patients with suspected VSA who underwent a coronary angiogram with acetylcholine provocation (ACh test) during an 8-year period were enrolled. We divided them into a VSA group, who showed coronary spasm by the ACh test, and an atypical chest pain (ACP) group, who showed negative ACh test. We compared serum markers between the two groups, including low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, high-sensitivity C-reactive protein (hs-CRP), lipoprotein(a), fibrinogen, total plasminogen activator inhibitor-1, and uric acid. Uric acid, hs-CRP, and lipoprotein(a) were significantly higher in the VSA group than in the ACP group (all P < 0.05) while there were no significant differences in the other parameters. Multivariate analyses identified uric acid and lipoprotein(a) as significant independent markers for VSA. Uric acid and lipoprotein(a) are correlated with VSA, and medical intervention to decrease uric acid and lipoprotein(a) might be effective in controlling VSA.

Keywords

Vasospasm Endothelial dysfunction Uric acid Lipoprotein(a) 

Copyright information

© Springer Japan 2013

Authors and Affiliations

  • Masami Nishino
    • 1
  • Naoki Mori
    • 1
  • Takahiro Yoshimura
    • 1
  • Daisuke Nakamura
    • 1
  • Yasuharu Lee
    • 1
  • Masayuki Taniike
    • 1
  • Nobuhiko Makino
    • 1
  • Hiroyasu Kato
    • 1
  • Yasuyuki Egami
    • 1
  • Ryu Shutta
    • 1
  • Jun Tanouchi
    • 1
  • Yoshio Yamada
    • 1
  1. 1.Division of CardiologyOsaka Rosai HospitalSakaiJapan