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Homocysteine, folate and vitamin B12 as risk factors for acute myocardial infarction in a Southeast Asian population.
Ann Acad Med Singapore 2002; 31(5):636-40AA

Abstract

INTRODUCTION

Hyperhomocysteinaemia is an emerging risk factor for coronary artery disease (CAD) and most studies done to date are in Caucasian populations. We aimed to determine whether hyperhomocysteinaemia is a risk factor for acute myocardial infarction (AMI) in a Southeast Asian population comprising different ethnic groups and relate it to the traditional risk factors and plasma vitamin B12 and folate levels.

MATERIALS AND METHODS

This was a case-control study comprising 168 AMI patients and 141 controls with a median age of 55 years (range, 27 to 77 years), living in Singapore. Homocysteine was measured by fluorescence polarisation immunoassay and vitamin B12 and folate were measured by electrochemiluminescence immunoassay. Logistic regression analysis was use to test the association of homocysteine, vitamin B12 and folate with the occurrence of AMI. The study was approved by the Tan Tock Seng Ethics Committee.

RESULTS

We found that the odds of having AMI was higher for subjects with hypertension, smoking habit, lower plasma folate and vitamin B12 levels and non-Chinese ethnic group. On the other hand, plasma homocysteine level was not significantly associated with AMI. The baseline levels of plasma total homocysteine in both AMI patients and controls were higher than other studies (median values between 12 and 14 umol/L).

CONCLUSION

In our population, plasma total homocysteine levels were not associated with AMI but low plasma levels of folate and vitamin B12 were independently associated.

Authors+Show Affiliations

Department of Cardiology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12395652

Citation

Ng, K C., et al. "Homocysteine, Folate and Vitamin B12 as Risk Factors for Acute Myocardial Infarction in a Southeast Asian Population." Annals of the Academy of Medicine, Singapore, vol. 31, no. 5, 2002, pp. 636-40.
Ng KC, Yong QW, Chan SP, et al. Homocysteine, folate and vitamin B12 as risk factors for acute myocardial infarction in a Southeast Asian population. Ann Acad Med Singap. 2002;31(5):636-40.
Ng, K. C., Yong, Q. W., Chan, S. P., & Cheng, A. (2002). Homocysteine, folate and vitamin B12 as risk factors for acute myocardial infarction in a Southeast Asian population. Annals of the Academy of Medicine, Singapore, 31(5), pp. 636-40.
Ng KC, et al. Homocysteine, Folate and Vitamin B12 as Risk Factors for Acute Myocardial Infarction in a Southeast Asian Population. Ann Acad Med Singap. 2002;31(5):636-40. PubMed PMID: 12395652.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Homocysteine, folate and vitamin B12 as risk factors for acute myocardial infarction in a Southeast Asian population. AU - Ng,K C, AU - Yong,Q W, AU - Chan,S P, AU - Cheng,A, PY - 2002/10/25/pubmed PY - 2003/2/7/medline PY - 2002/10/25/entrez SP - 636 EP - 40 JF - Annals of the Academy of Medicine, Singapore JO - Ann. Acad. Med. Singap. VL - 31 IS - 5 N2 - INTRODUCTION: Hyperhomocysteinaemia is an emerging risk factor for coronary artery disease (CAD) and most studies done to date are in Caucasian populations. We aimed to determine whether hyperhomocysteinaemia is a risk factor for acute myocardial infarction (AMI) in a Southeast Asian population comprising different ethnic groups and relate it to the traditional risk factors and plasma vitamin B12 and folate levels. MATERIALS AND METHODS: This was a case-control study comprising 168 AMI patients and 141 controls with a median age of 55 years (range, 27 to 77 years), living in Singapore. Homocysteine was measured by fluorescence polarisation immunoassay and vitamin B12 and folate were measured by electrochemiluminescence immunoassay. Logistic regression analysis was use to test the association of homocysteine, vitamin B12 and folate with the occurrence of AMI. The study was approved by the Tan Tock Seng Ethics Committee. RESULTS: We found that the odds of having AMI was higher for subjects with hypertension, smoking habit, lower plasma folate and vitamin B12 levels and non-Chinese ethnic group. On the other hand, plasma homocysteine level was not significantly associated with AMI. The baseline levels of plasma total homocysteine in both AMI patients and controls were higher than other studies (median values between 12 and 14 umol/L). CONCLUSION: In our population, plasma total homocysteine levels were not associated with AMI but low plasma levels of folate and vitamin B12 were independently associated. SN - 0304-4602 UR - https://www.unboundmedicine.com/medline/citation/12395652/Homocysteine_folate_and_vitamin_B12_as_risk_factors_for_acute_myocardial_infarction_in_a_Southeast_Asian_population_ L2 - https://medlineplus.gov/heartattack.html DB - PRIME DP - Unbound Medicine ER -