2012, Number 600
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Rev Med Cos Cen 2012; 69 (600)
Hiperhomocisteinemia y enfermedad arterial coronaria
Quesada AA, Bolaños CA
Language: Spanish
References: 39
Page: 83-90
PDF size: 256.00 Kb.
ABSTRACT
Hyperhomocysteinemia is associated with an increased risk of vascular disease in observational studies and in case-control studies. Elevations in Homocysteine (Hcy) induce pathological changes in the arterial wall, endothelium, oxidative stress, inflammation and clotting that leads to atherosclerosis, a common manifestation of cerebrovascular events, cardiovascular and peripheral vascular disease. Because of this, there have been many studies aimed at determining whether the decrease in plasma Hcy levels with folic acid or vitamin B complex may be useful to prevent coronary artery disease. Although, these studies showed an effective reduction of hyperhomocysteinemia, they couldn’t find a reduction in cardiovascular risk that calls into question whether hyperhomocysteinemia is a risk factor, a consequence or a marker of cardiovascular disease.
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