Association of Serum Homocysteine and Coronary Heart Disease in an Iranian Urban Population

作者: Hossein Fakhrzadeh , Ramin Heshmat , Fatemeh Bandarian , Masoumeh Nouri , Bagher Larijani

DOI:

关键词:

摘要: Background: Several studies have shown that elevated serum homocysteine levels are associated with an increased risk of coronary heart disease (CHD). This survey was designed to investigate the association between hyperhomocysteinemia and CHD in Iranian urban population. Methods: In a cross-sectional study, 358 residents (129 men 229 women) 17 th District Tehran, Iran aged 25-64 years old (mean 44.08 11.77 years) were assessed for ischemic (IHD) according Rose questionnaire resting electrocardiographic (ECG) analysis by Minnesota code, factors (including homocysteine) compared non-ischemic groups. Results: Crude prevalence this population 53.4%. Mean plasma total (tHcy) significantly higher than women (P = 0.001). There no significant difference mean vitamin B12, folate non- groups 0.31, 0.16 0.51, respectively). Conclusion: According results, high level tHcy itself is not factor healthy population, but it should be considered reduction patients.

参考文章(26)
Ottar Nygård, Jan Erik Nordrehaug, Helga Refsum, Per Magne Ueland, Mikael Farstad, Stein Emil Vollset, Plasma Homocysteine Levels and Mortality in Patients with Coronary Artery Disease The New England Journal of Medicine. ,vol. 337, pp. 230- 236 ,(1997) , 10.1056/NEJM199707243370403
G A Rose, H Blackburn, Cardiovascular survey methods. Monograph series. World Health Organization. ,vol. 56, pp. 1- 188 ,(1968)
Henry Blackburn, Electrocardiographic classification for population comparisons. The Minnesota code Journal of Electrocardiology. ,vol. 2, pp. 5- 9 ,(1969) , 10.1016/S0022-0736(69)80044-0
Hossein Fakhrzadeh, Sara Ghotbi, Rasoul Pourebrahim, Masoumeh Nouri, Ramin Heshmat, Fatemeh Bandarian, Alireza Shafaee, Bagher Larijani, Total plasma homocysteine, folate, and vitamin b12 status in healthy Iranian adults: the Tehran homocysteine survey (2003–2004)/a cross – sectional population based study BMC Public Health. ,vol. 6, pp. 29- 29 ,(2006) , 10.1186/1471-2458-6-29
H Fakhrzadeh, S Ghotbi, R Pourebrahim, R Heshmat, M Nouri, A Shafaee, B Larijani, Plasma homocysteine concentration and blood pressure in healthy Iranian adults: the Tehran Homocysteine Survey (2003-2004). Journal of Human Hypertension. ,vol. 19, pp. 869- 876 ,(2005) , 10.1038/SJ.JHH.1001911
Ellen K. Hoogeveen, Pieter J. Kostense, Pieter J. Beks, Albert J. C. Mackaay, Cornelis Jakobs, Lex M. Bouter, Robert J. Heine, Coen D. A. Stehouwer, Hyperhomocysteinemia is associated with an increased risk of cardiovascular disease, especially in non-insulin-dependent diabetes mellitus: a population-based study. Arteriosclerosis, Thrombosis, and Vascular Biology. ,vol. 18, pp. 133- 138 ,(1998) , 10.1161/01.ATV.18.1.133
S. T. Nikkari, A. Kalela, T. A. Koivu, T. Koivula, H. Alho, H. Jokela, P. Sillanaukee, Serum homocysteine does not associate with uncomplicated coronary heart disease. European Journal of Clinical Investigation. ,vol. 31, pp. 581- 585 ,(2001) , 10.1046/J.1365-2362.2001.00853.X
Jacques J. Genest, Judith R. McNamara, Deeb N. Salem, Peter W.F. Wilson, Ernst J. Schaefer, M.Rene Malinow, Plasma homocyst(e)ine levels in men with premature coronary artery disease. Journal of the American College of Cardiology. ,vol. 16, pp. 1114- 1119 ,(1990) , 10.1016/0735-1097(90)90542-W
Torbjørn Omland, Anita Samuelsson, Marianne Hartford, Johan Herlitz, Thomas Karlsson, Benedicte Christensen, Kenneth Caidahl, Serum Homocysteine Concentration as an Indicator of Survival in Patients With Acute Coronary Syndromes Archives of Internal Medicine. ,vol. 160, pp. 1834- 1840 ,(2000) , 10.1001/ARCHINTE.160.12.1834