Sepideh Sokhanvar
1, Mohammad Kiani
1, Nouraddin Mousavinasab
1, Zahra Golmohammadi
2*1 Department of Cardiology, Zanjan University of Medical Sciences, Zanjan, Iran.
2 Cardiovascular ResearchCenter, Tabriz University ofMedical Sciences, Tabriz, Iran.
Abstract
Hyperhomocysteinemia is accompanied by many cardiovascular risk factors. However
it’s relation with other cardiac risk factors and with extent of coronary artery disease
(CAD) is still a controversial issue. This study was designed to investigate the
relationship between total plasma homocysteine (tHcy) levels and other cardiovascular
risk factors and the severity of CAD. Fasting plasma tHcy levels were measured in 60
patients with angiographically documented CAD and compared to 56 control subjects
matched for age, sex, and smoking habits. Also patients were classified into two groups of
low risk (with two or few risk factor) and high risk (with three and more risk factor)
according to their major risk factors. Mean of tHcy levels were significantly higher in
high risk patients compared to low risk patients (p=0.013). Also hyperhomocysteinemia
rate was higher in the high risk patients compared to low risk patients, OR=5 (CI
95%=1.6-16).There was relationship between coronary risk factors and severe coronary
artery disease (three vessels disease) but this relationship was statistically significant only
in smokers (P=0.012) and diabetic patients (P=0.035) . Plasma tHcy level was an
independent risk factor for high risk patients.