作者:Andrew U. Chai、Jonathan Abrams
DOI:10.1002/clc.4960240113
日期:2001.1
Elevated plasma homocysteine levels have recently been implicated as a new risk factor for coronary artery disease. In this article, homocysteine metabolism, secondary causes of elevated plasma homocysteine, and the potential mechanism of vascular damage in hyperhomocysteinemia are briefly reviewed. The current clinical evidence implicating hyperhomocysteinemia as a risk factor for coronary artery
最近,血浆高半胱氨酸水平升高被认为是冠状动脉疾病的新危险因素。在本文中,对高半胱氨酸血症的同型半胱氨酸代谢,血浆同型半胱氨酸升高的继发原因以及血管损伤的潜在机制进行了简要综述。还审查了目前的临床证据,认为高同型半胱氨酸血症是冠状动脉疾病的危险因素,以及有关补充B族维生素对同型半胱氨酸浓度影响的数据。作者目前的建议是用400微克叶酸补充剂治疗已知冠状动脉疾病的患者或被认为具有高冠状动脉疾病风险的患者。在获得前瞻性临床试验数据之前,