Homocysteine: Is it a clinically important cardiovascular risk factor?

被引:77
作者
Lentz, SR
Haynes, WG
机构
[1] Univ Iowa, Dept Internal Med, Gen Clin Res Ctr, Iowa City, IA 52242 USA
[2] Vet Affairs Med Ctr, Iowa City, IA 52242 USA
关键词
D O I
10.3949/ccjm.71.9.729
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Elevated plasma homocysteine is associated with an increased risk of myocardial infarction, stroke, and venous thromboembolism. Folic acid and other B vitamins lower plasma homocysteine levels, but whether this therapy confers a clinical benefit has yet to be determined. Until we know the results of ongoing clinical trials of homocysteine-lowering therapy, testing for and treating elevated homocysteine is probably justified only in patients with known cardiovascular disease or who are at high risk.
引用
收藏
页码:729 / 734
页数:6
相关论文
共 45 条
[11]  
Friedman AN, 2001, J AM SOC NEPHROL, V12, P2181, DOI 10.1681/ASN.V12102181
[12]   Plasma homocysteine as a risk factor for vascular disease - The European concerted action project [J].
Graham, IM ;
Daly, LE ;
Refsum, HM ;
Robinson, K ;
Brattstrom, LE ;
Ueland, PM ;
PalmaReis, RJ ;
Boers, GHJ ;
Sheahan, RG ;
Israelsson, B ;
Uiterwaal, CS ;
Meleady, R ;
McMaster, D ;
Verhoef, P ;
Witteman, J ;
Rubba, P ;
Bellet, H ;
Wautrecht, JC ;
deValk, HW ;
Luis, ACS ;
ParrotRoulaud, FM ;
Tan, KS ;
Higgins, I ;
Garcon, D ;
Medrano, MJ ;
Candito, M ;
Evans, AE ;
Andria, G .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 277 (22) :1775-1781
[13]   Hyperhomocysteinemia enhances vascular inflammation and accelerates atherosclerosis in a murine model [J].
Hofmann, MA ;
Lalla, E ;
Lu, Y ;
Gleason, MR ;
Wolf, BM ;
Tanji, N ;
Ferran, LJ ;
Kohl, B ;
Rao, V ;
Kisiel, W ;
Stern, DM ;
Schmidt, AM .
JOURNAL OF CLINICAL INVESTIGATION, 2001, 107 (06) :675-683
[14]  
Jacques PF, 1999, AM J CLIN NUTR, V69, P482
[15]   The effect of folic acid fortification on plasma folate and total homocysteine concentrations [J].
Jacques, PF ;
Selhub, J ;
Bostom, AG ;
Wilson, PWF ;
Rosenberg, IH .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 340 (19) :1449-1454
[16]   Role of oxidant stress in endothelial dysfunction produced by experimental hyperhomocyst(e)inemia in humans [J].
Kanani, PM ;
Sinkey, CA ;
Browning, RL ;
Allaman, M ;
Knapp, HR ;
Haynes, WG .
CIRCULATION, 1999, 100 (11) :1161-1168
[17]   MTHFR 677C→T polymorphism and risk of coronary heart disease -: A meta-analysis [J].
Klerk, M ;
Verhoef, P ;
Clarke, R ;
Blom, HJ ;
Kok, FJ ;
Schouten, EG .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (16) :2023-2031
[18]   Folate therapy and in-stent restenosis after coronary stenting [J].
Lange, H ;
Suryapranata, H ;
De Luca, G ;
Börner, C ;
Dille, J ;
Kallmayer, K ;
Pasalary, MN ;
Scherer, E ;
Dambrink, JHE .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 350 (26) :2673-2681
[19]  
Lentz SR, 2001, HOMOCYSTEINE IN HEALTH AND DISEASE, P441
[20]   Renal insufficiency, vitamin B12 status, and population attributable risk for mild hyperhomocysteinemia among coronary artery disease patients in the era of folic acid-fortified cereal grain flour [J].
Liaugaudas, G ;
Jacques, PF ;
Selhub, J ;
Rosenberg, IH ;
Bostom, AG .
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 2001, 21 (05) :849-851