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Evaluation of Antioxidant Status and Serum Lipoprotein(a) in Coronary Heart Diseases

Received: 27 November 2013    Accepted:     Published: 20 January 2014
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Abstract

Coronary heart disease (CHD) has become the most important cause of premature morbidity and mortality. The chief risk factors for CHD includes Smoking, Hypertension, Diabetes mellitus, Hypercholesterolemia, Low high density lipoprotein, Obesity, Mental stress, Type A personality and Genetic factors. Lipoprotein (a) has been established as a strong independent risk factor for premature CHD, which is highly thrombogenic and antifibrinolytic which begins to block the arteries much earlier than other risk factors. This study is planned to determine the antioxidant status and to estimate Serum lipoprotein (a) levels in patients of CHD and in patients with risk factors for CHD. Among all the patients, majority of patients belongs to upper and middle class. In routine investigations an increase in serum cholesterol, serum LDL, TC/HDL and LDL/HDL ratio were seen in all five groups including MI, HT, DM, Smokers and obesity cases, which were statistically significant. Serum Triglycerides were increased in MI, DM, Smokers and obesity cases, which were statistically significant, where as significant increase was not seen in HT cases. Serum VLDL showed a statistically significant increase in MI, Smokers and obesity cases, where as significant increases was not seen in HT and DM cases. Blood glucose showed a significant increase in DM cases, where as no significant increase were seen in MI, HT, smokers and obesity cases. A statistically significant decrease in serum HDL were seen in all five groups including MI, HT, DM, Smokers and obesity cases. In special investigations, there is significant increase in MDA, Lipoprotein (a) levels and significant decrease of antioxidants such as blood glutathione, Serum vitamin E, vitamin C and vitamin A in cases of coronary heart diseases and also in cases with risk factors for Coronary heart diseases including hypertension, diabetes mellitus, smoking and obesity. Hence, it is therefore concluded that MDA, Lipoprotein (a) and antioxidants like glutathione, vitamin E, Vitamin C and Vitamin A, be evaluated as biochemical parameters for preclinical assessment of “at risk group” for Coronary heart diseases and for assessing and monitoring cases of Coronary heart diseases.

Published in Advances in Biochemistry (Volume 2, Issue 1)
DOI 10.11648/j.ab.20140201.11
Page(s) 1-8
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Coronary Heart Diseases, Lipoprotein (A), MDA, Antioxidants

References
[1] Assmann G.,Cullen P.,Schulte H.,The Miinister Heart Study(PROCAM):results of fallow-up at 8 years.Eur Heart Journal 1998; 19( Suppl A): A2-A11.
[2] Boston A G.,Cupples L A.,Jenner J L.,Ordovas J M.,Seman L J.,Wilson P W.,Schaefer E J.,Castelli W P., Elevated plasma Lipoprotein (a) and Coronary heart disease in men aged 55 years and younger.A prospective study.JAMA 1996;276:544-548.
[3] Harrison’s principle of Internal medicine,15th ed,2003.
[4] Leo J S.,Carl D.,Jennifer L J.,Adriene C L.,Judith R M.,Peter W F M.,William P C.,Jose M O.,Ernst J S., Lipoprotein(a)-cholesterol and coronary heart disease in the Framingham heart study. Clin Chem 1999;45:1039-1046.
[5] Matthias N.,Winfried M.,Heinrich W.,Is Lipoprotein(a) Cholesterol a significant indicator of cardiovascular risk?.Clin Chem 2000;46:436-437.
[6] Mc Cord J M.,Oxygen derived free radicals in post-ischaemic tissue injury.N Eng J Med 1985;312:159.
[7] P.S.M. 17th ed.Park JE, Park K,2003.
[8] Practical clinical Biochemistry,5th ed,Varley 1980.
[9] Rajasekhar D.,Saibaba KSS.,Srinivasa Rao PVLN., Latheef SAA.,Subramanyam G., Lipoprotein(a): Better assessor of Coronary heart disease risk in South Indian population.Ind J Clin Biochem2004;19(2):53-59.
[10] Rath M.,Niendorf A.,Reblin T.,Dietel M.,Krebber HJ.,Beisiegel U.,Detection and quantification of Lipoprotein(a) in the arterial wall of 107 coronary bypass patients.Athersclerosis 1989;9:579-92.
[11] Sarah H W.,Stehen P F.,Santica M M.,A Prospective case control study of Lipoprotein(a) levels and Apo(a) size and risk of coronary heart disease in Stanford five-city project participants.Arterioscler Thromb Vasc Biol 1997;17:239-245.
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    Sudeep. R. Lokapure, Jano Zore, Kavitha. Y. Ullikashi, Chitra Dhume. (2014). Evaluation of Antioxidant Status and Serum Lipoprotein(a) in Coronary Heart Diseases. Advances in Biochemistry, 2(1), 1-8. https://doi.org/10.11648/j.ab.20140201.11

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    ACS Style

    Sudeep. R. Lokapure; Jano Zore; Kavitha. Y. Ullikashi; Chitra Dhume. Evaluation of Antioxidant Status and Serum Lipoprotein(a) in Coronary Heart Diseases. Adv. Biochem. 2014, 2(1), 1-8. doi: 10.11648/j.ab.20140201.11

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    AMA Style

    Sudeep. R. Lokapure, Jano Zore, Kavitha. Y. Ullikashi, Chitra Dhume. Evaluation of Antioxidant Status and Serum Lipoprotein(a) in Coronary Heart Diseases. Adv Biochem. 2014;2(1):1-8. doi: 10.11648/j.ab.20140201.11

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  • @article{10.11648/j.ab.20140201.11,
      author = {Sudeep. R. Lokapure and Jano Zore and Kavitha. Y. Ullikashi and Chitra Dhume},
      title = {Evaluation of Antioxidant Status and Serum Lipoprotein(a) in Coronary Heart Diseases},
      journal = {Advances in Biochemistry},
      volume = {2},
      number = {1},
      pages = {1-8},
      doi = {10.11648/j.ab.20140201.11},
      url = {https://doi.org/10.11648/j.ab.20140201.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ab.20140201.11},
      abstract = {Coronary heart disease (CHD) has become the most important cause of premature morbidity and mortality. The chief risk factors for CHD includes Smoking, Hypertension, Diabetes mellitus, Hypercholesterolemia, Low high density lipoprotein, Obesity, Mental stress, Type A personality and Genetic factors. Lipoprotein (a) has been established as a strong independent risk factor for premature CHD, which is highly thrombogenic and antifibrinolytic which begins to block the arteries much earlier than other risk factors. This study is planned to determine the antioxidant status and to estimate Serum lipoprotein (a) levels in patients of CHD and in patients with risk factors for CHD. Among all the patients, majority of patients belongs to upper and middle class. In routine investigations an increase in serum cholesterol, serum LDL, TC/HDL and LDL/HDL ratio were seen in all five groups including MI, HT, DM, Smokers and obesity cases, which were statistically significant. Serum Triglycerides were increased in MI, DM, Smokers and obesity cases, which were statistically significant, where as significant increase was not seen in HT cases. Serum VLDL showed a statistically significant increase in MI, Smokers and obesity cases, where as significant increases was not seen in HT and DM cases. Blood glucose showed a significant increase in DM cases, where as no significant increase were seen in MI, HT, smokers and obesity cases. A statistically significant decrease in serum HDL were seen in all five groups including MI, HT, DM, Smokers and obesity cases. In special investigations, there is significant increase in MDA, Lipoprotein (a) levels and significant decrease of antioxidants such as blood glutathione, Serum vitamin E, vitamin C and vitamin A in cases of coronary heart diseases and also in cases with risk factors for Coronary heart diseases including hypertension, diabetes mellitus, smoking and obesity. Hence, it is therefore concluded that MDA, Lipoprotein (a) and antioxidants like glutathione, vitamin E, Vitamin C and Vitamin A, be evaluated as biochemical parameters for preclinical assessment of “at risk group” for Coronary heart diseases and for assessing and monitoring cases of Coronary heart diseases.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Evaluation of Antioxidant Status and Serum Lipoprotein(a) in Coronary Heart Diseases
    AU  - Sudeep. R. Lokapure
    AU  - Jano Zore
    AU  - Kavitha. Y. Ullikashi
    AU  - Chitra Dhume
    Y1  - 2014/01/20
    PY  - 2014
    N1  - https://doi.org/10.11648/j.ab.20140201.11
    DO  - 10.11648/j.ab.20140201.11
    T2  - Advances in Biochemistry
    JF  - Advances in Biochemistry
    JO  - Advances in Biochemistry
    SP  - 1
    EP  - 8
    PB  - Science Publishing Group
    SN  - 2329-0862
    UR  - https://doi.org/10.11648/j.ab.20140201.11
    AB  - Coronary heart disease (CHD) has become the most important cause of premature morbidity and mortality. The chief risk factors for CHD includes Smoking, Hypertension, Diabetes mellitus, Hypercholesterolemia, Low high density lipoprotein, Obesity, Mental stress, Type A personality and Genetic factors. Lipoprotein (a) has been established as a strong independent risk factor for premature CHD, which is highly thrombogenic and antifibrinolytic which begins to block the arteries much earlier than other risk factors. This study is planned to determine the antioxidant status and to estimate Serum lipoprotein (a) levels in patients of CHD and in patients with risk factors for CHD. Among all the patients, majority of patients belongs to upper and middle class. In routine investigations an increase in serum cholesterol, serum LDL, TC/HDL and LDL/HDL ratio were seen in all five groups including MI, HT, DM, Smokers and obesity cases, which were statistically significant. Serum Triglycerides were increased in MI, DM, Smokers and obesity cases, which were statistically significant, where as significant increase was not seen in HT cases. Serum VLDL showed a statistically significant increase in MI, Smokers and obesity cases, where as significant increases was not seen in HT and DM cases. Blood glucose showed a significant increase in DM cases, where as no significant increase were seen in MI, HT, smokers and obesity cases. A statistically significant decrease in serum HDL were seen in all five groups including MI, HT, DM, Smokers and obesity cases. In special investigations, there is significant increase in MDA, Lipoprotein (a) levels and significant decrease of antioxidants such as blood glutathione, Serum vitamin E, vitamin C and vitamin A in cases of coronary heart diseases and also in cases with risk factors for Coronary heart diseases including hypertension, diabetes mellitus, smoking and obesity. Hence, it is therefore concluded that MDA, Lipoprotein (a) and antioxidants like glutathione, vitamin E, Vitamin C and Vitamin A, be evaluated as biochemical parameters for preclinical assessment of “at risk group” for Coronary heart diseases and for assessing and monitoring cases of Coronary heart diseases.
    VL  - 2
    IS  - 1
    ER  - 

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Author Information
  • Department of Biochemistry,Goa Medical college,Bambolim-Goa

  • Department of Biochemistry,Goa Medical college,Bambolim-Goa

  • Subject Matter Specialist (Home science), Krishi vigyan kendra,Hagari,Bellary,Karnataka

  • Department of Biochemistry,Goa Medical college,Bambolim-Goa

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