Risk Factors in Ischemic Heart Disease: Comparison between Disturbance in Serum Lipid Profile and Total Homocysteine in Old Myocardial Infarction | ||||
Bulletin of Egyptian Society for Physiological Sciences | ||||
Article 5, Volume 27, Issue 2, December 2007, Page 63-72 PDF (139.18 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/besps.2007.37297 | ||||
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Authors | ||||
Mohamed Abd-Elmoaty* 1; Ahmed Bogdady2; Mervat Attia2; Lotfy Abo-Dahab2; Ali Kassem2 | ||||
1Department of Biochemistry, Sohag Faculty of Medicine, Sohag University | ||||
2Department of Internal Medicine, Sohag Faculty of Medicine, Sohag University | ||||
Abstract | ||||
Objectives: Disturbance in the Low-density lipoprotein cholesterol (LDL-C), High-density lipoprotein cholesterol (HDL-C), total cholesterol (TC), triglyceride (TG) and serum total homocysteine are predisposing factors in myocardial infarction.Design and methods: The study group consisted of 56 patients 35 male (aged 47.8±4.8 years), and 21 females (aged 46±4.3 years). The entry criterion for the patient group has a history of typical or atypical chest pain, unequivocal changes in the electrocardiogram. The control group consisted of 30 normal volunteers, 16 male (aged 48.4±5.2 years) and 14 females (aged 45.1±4.9 years). Measurement of serum total homocysteine was performed by enzyme linked immune sorbant assay (ELISA). Measurement of TC, TG, and HDL-C were performed using spectrophotometer. LDL-C was calculated.Results: Patients with myocardial infarction were found to have higher serum total homocysteine levels (23.93±2.99 mol/L in male and 25.82±3.82 mol/L in female) than controls (10.45±2.73 mol/L and 12.92±0.9 mol/L in both male and female respectively) (for each comparison; p < 0.001). Serum total homocysteine levels were significantly correlated with high Triglycerides and low HDL-C.Conclusions: The above mentioned findings suggest the potential usefulness of Triglycerides, HDL-C and serum total homocysteine as risk factors in myocardial infarction patients. These findings shouldbe used in the future studies on the etiology and pathogenesis of myocardial infarction and toascertain which patients are at risk for subsequent cardiovascular events and who will benefit from revascularization. | ||||
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