Serum homocysteine and long-term risk of myocardial infarction and sudden death in patients with coronary heart disease

Moti Haim*, David Tanne, Uri Goldbourt, Ram Doolman, Valentina Boyko, Daniel Brunner, Ben Ami Sela, Solomon Behar

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

We have prospectively evaluated the risk of incident coronary events in association with serum total homocysteine in patients with preexisting chronic coronary heart disease. A nested case-control design was used. Total homocysteine concentration was measured in baseline fasting serum samples from patients with chronic coronary heart disease enrolled in the Bezafibrate Infarction Prevention Study (n = 3,090) who developed coronary events during 6.2 years of follow-up (n = 69). They were matched for age and gender with controls without subsequent cardiovascular events. Elevated homocysteine levels were associated with 2.5 times higher risk of subsequent coronary events and each 5 μmol/l increment was associated with a 25% higher risk.

Original languageEnglish
Pages (from-to)52-56
Number of pages5
JournalCardiology
Volume107
Issue number1
DOIs
StatePublished - Dec 2006

Keywords

  • Homocysteine
  • Myocardial infarction
  • Risk factors

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