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Letters |
1
Department of Pathology, Saint Louis University, School of Medicine, St. Louis, MO 63104,
2
Pathology and, Laboratory Medical Service, John Cochran Veterans Affairs, Medical Center, St. Louis, MO 63106
a Address correspondence to this author at: Clinical Laboratories, 3635 Vista at Grand, St. Louis, MO 63110-0250. Fax 314-289-7073; e-mail ritterdg@slu.edu.
To the Editor:
Total plasma homocysteine consists of free homocysteine and
homocysteine that is complexed with itself or with other amino acids or
proteins. Free homocysteine has been measured previously as part of a
biochemical screen for inherited metabolic disorders. More recently,
increased total plasma homocysteine has been suggested as an
independent risk factor for atherosclerotic coronary artery disease
[reviewed in Ref. (1)]. In addition, increased total
homocysteine is associated with a poor prognosis in patients with
angiographically demonstrated coronary artery disease(2).
These studies have prompted clinicians to include total homocysteine
analysis as part of the risk assessment profile of patients with
premature coronary artery disease.
References
The following articles in journals at HighWire Press have cited this article:
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N. L. Duarte, X. L. Wang, and D. E. L. Wilcken Effects of Anticoagulant and Time of Plasma Separation on Measurement of Homocysteine Clin. Chem., April 1, 2002; 48(4): 665 - 668. [Full Text] [PDF] |
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