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Circulation. 1993;87:1107-1113

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*Compound via MeSH
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*Carotid Artery Disease

Circulation, Vol 87, 1107-1113, Copyright © 1993 by American Heart Association


ARTICLES

Carotid artery intimal-medial wall thickening and plasma homocyst(e)ine in asymptomatic adults. The Atherosclerosis Risk in Communities Study

MR Malinow, FJ Nieto, M Szklo, LE Chambless and G Bond
Laboratory of Cardiovascular Diseases, Oregon Regional Primate Research Center, Beaverton 97006.

BACKGROUND. Plasma levels of homocyst(e)ine are elevated in certain patients with occlusive arterial diseases. We extended these findings to asymptomatic adults. METHODS AND RESULTS. We determined plasma homocyst(e)ine levels in 287 pairs of asymptomatic adults. Cases and controls were defined on the basis of intimal-medial thickness of the carotid wall as measured by B-mode ultrasound. Study subjects had no history of atherosclerotic disease and were selected from a probability sample of 15,800 men and women between 45 and 64 years old. Subjects with thickened intimal-medial carotid walls (cases) had higher plasma homocyst(e)ine levels than controls (p < 0.001). The odds ratio for having a thickened carotid artery wall was 3.15 (p < 0.001) for subjects in the top quintile of plasma homocyst(e)ine levels (> 10.5 mumol/L) compared with those in the bottom quintile (< 5.88 mumol/L). CONCLUSIONS. The present study as well as observations on the common occurrence of elevated plasma homocyst(e)ine levels in patients with occlusive arterial diseases suggest that clinical trials should be conducted to determine whether normalization of hyperhomocyst(e)inemia may prevent progression of atherosclerosis.


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A. Majors, L. A. Ehrhart, and E. H. Pezacka
Homocysteine as a Risk Factor for Vascular Disease : Enhanced Collagen Production and Accumulation by Smooth Muscle Cells
Arterioscler Thromb Vasc Biol, October 1, 1997; 17(10): 2074 - 2081.
[Abstract] [Full Text]


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CirculationHome page
K. Sutton-Tyrrell, A. Bostom, J. Selhub, and C. Zeigler-Johnson
High Homocysteine Levels Are Independently Related to Isolated Systolic Hypertension in Older Adults
Circulation, September 16, 1997; 96(6): 1745 - 1749.
[Abstract] [Full Text]


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NEJMHome page
O. Nygard, J. E. Nordrehaug, H. Refsum, P. M. Ueland, M. Farstad, and S. E. Vollset
Plasma Homocysteine Levels and Mortality in Patients with Coronary Artery Disease
N. Engl. J. Med., July 24, 1997; 337(4): 230 - 237.
[Abstract] [Full Text] [PDF]


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BloodHome page
A. D'Angelo and J. Selhub
Homocysteine and Thrombotic Disease
Blood, July 1, 1997; 90(1): 1 - 11.
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JAMAHome page
I. M. Graham, L. E. Daly, H. M. Refsum, K. Robinson, L. E. Brattstrom, P. M. Ueland, R. J. Palma-Reis, G. H. J. Boers, R. G. Sheahan, B. Israelsson, et al.
Plasma Homocysteine as a Risk Factor for Vascular Disease: The European Concerted Action Project
JAMA, June 11, 1997; 277(22): 1775 - 1781.
[Abstract] [PDF]


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CirculationHome page
J. Ma, M. J. Stampfer, C. H. Hennekens, P. Frosst, J. Selhub, J. Horsford, M. R. Malinow, W. C. Willett, and R. Rozen
Methylenetetrahydrofolate Reductase Polymorphism, Plasma Folate, Homocysteine, and Risk of Myocardial Infarction in US Physicians
Circulation, November 15, 1996; 94(10): 2410 - 2416.
[Abstract] [Full Text]


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CirculationHome page
F. J. Nieto, E. Adam, P. Sorlie, H. Farzadegan, J. L. Melnick, G. W. Comstock, and M. Szklo
Cohort Study of Cytomegalovirus Infection as a Risk Factor for Carotid Intimal-Medial Thickening, a Measure of Subclinical Atherosclerosis
Circulation, September 1, 1996; 94(5): 922 - 927.
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Arterioscler. Thromb. Vasc. Bio.Home page
S. Tonstad, O. Joakimsen, E. Stensland-Bugge, T. P. Leren, L. Ose, D. Russell, and K. H. Bonaa
Risk Factors Related to Carotid Intima-Media Thickness and Plaque in Children With Familial Hypercholesterolemia and Control Subjects
Arterioscler Thromb Vasc Biol, August 1, 1996; 16(8): 984 - 991.
[Abstract] [Full Text]


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Arterioscler. Thromb. Vasc. Bio.Home page
M. van den Berg, C. D.A. Stehouwer, E. Bierdrager, and J. A. Rauwerda
Plasma Homocysteine and Severity of Atherosclerosis in Young Patients With Lower-Limb Atherosclerotic Disease
Arterioscler Thromb Vasc Biol, January 1, 1996; 16(1): 165 - 171.
[Abstract] [Full Text]


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JAMAHome page
O. Nygard, S. E. Vollset, H. Refsum, I. Stensvold, A. Tverdal, J. E. Nordrehaug, P. M. Ueland, and G. Kvale
Total Plasma Homocysteine and Cardiovascular Risk Profile: The Hordaland Homocysteine Study
JAMA, November 15, 1995; 274(19): 1526 - 1533.
[Abstract] [PDF]


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CirculationHome page
M. R. Adams, A. Nakagomi, A. Keech, J. Robinson, R. McCredie, B. P. Bailey, S. B. Freedman, and D. S. Celermajer
Carotid Intima-Media Thickness Is Only Weakly Correlated With the Extent and Severity of Coronary Artery Disease
Circulation, October 15, 1995; 92(8): 2127 - 2134.
[Abstract] [Full Text]


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C. J. Boushey, S. A. A. Beresford, G. S. Omenn, and A. G. Motulsky
A Quantitative Assessment of Plasma Homocysteine as a Risk Factor for Vascular Disease: Probable Benefits of Increasing Folic Acid Intakes
JAMA, October 4, 1995; 274(13): 1049 - 1057.
[Abstract] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
P. N. Hopkins, L. L. Wu, J. Wu, S. C. Hunt, B. C. James, G. M. Vincent, and R. R. Williams
Higher Plasma Homocyst(e)ine and Increased Susceptibility to Adverse Effects of Low Folate in Early Familial Coronary Artery Disease
Arterioscler Thromb Vasc Biol, September 1, 1995; 15(9): 1314 - 1320.
[Abstract] [Full Text]


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StrokeHome page
W. H. Giles, S. J. Kittner, R. F. Anda, J. B. Croft, and M. L. Casper
Serum Folate and Risk for Ischemic Stroke : First National Health and Nutrition Examination Survey Epidemiologic Follow-up Study
Stroke, July 1, 1995; 26(7): 1166 - 1170.
[Abstract] [Full Text]


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StrokeHome page
A. Lindgren, L. Brattstrom, B. Norrving, B. Hultberg, A. Andersson, and B. B. Johansson
Plasma Homocysteine in the Acute and Convalescent Phases After Stroke
Stroke, May 1, 1995; 26(5): 795 - 800.
[Abstract] [Full Text]


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CirculationHome page
P. H. Rolland, A. Friggi, A. Barlatier, P. Piquet, V. Latrille, M. M. Faye, J. Guillou, P. Charpiot, H. Bodard, O. Ghiringhelli, et al.
Hyperhomocysteinemia-Induced Vascular Damage in the Minipig : Captopril-Hydrochlorothiazide Combination Prevents Elastic Alterations
Circulation, February 15, 1995; 91(4): 1161 - 1174.
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NEJMHome page
J. Selhub, P. F. Jacques, A. G. Bostom, R. B. D'Agostino, P. W.F. Wilson, A. J. Belanger, D. H. O'Leary, P. A. Wolf, E. J. Schaefer, and I. H. Rosenberg
Association between Plasma Homocysteine Concentrations and Extracranial Carotid-Artery Stenosis
N. Engl. J. Med., February 2, 1995; 332(5): 286 - 291.
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NEJMHome page
M. J. Stampfer and M. R. Malinow
Can Lowering Homocysteine Levels Reduce Cardiovascular Risk?
N. Engl. J. Med., February 2, 1995; 332(5): 328 - 329.
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Arch Intern MedHome page
H. B. Simon
Patient-Directed, Nonprescription Approaches to Cardiovascular Disease
Arch Intern Med, October 24, 1994; 154(20): 2283 - 2296.
[Abstract] [PDF]