Homocysteine
Blood Test
Homocystine first described in 1932
By Butz and du Vigneaud .
Homocystine (Hcy) is a sulphur containg amino
Acid that is closely related to essential amino acid methionine and cysteine.
Folic acid vitamin B12 and Vitamin B6 are essential in maintaining normal Hcy levels.
Fasting Ref(1) blood is taken for Hcy test.
Normal range 5 to 15micro mol/L
16 to 30 micromole moderate
31 to 100 micrro mol e intermediate
Above 100 micromole severe
Hyperhomocystenemia rise due to deficiencies
Of folate vitamin B12 and Vitamin B6.
Hyperhomocystenemia is observed in
1 Cardiovascular disease
2 Heart attack
3 Hypertension
4 stroke
5 coronary heart disease
6 Atherosclerosis
McCully in 1969 first reported hyper homocystenemia in atherosclerosis.
Ref (2)Allan D Kaye et al 2020
Reported folic acid supplementation
In patients with elevated homocysteine levels.
Folic acid 0.5 --- 5mg typically lowers
Plasma homocysteine by approximately
25%
Folic acid may likely reduced vascular disease
Folic acid supplementation should be recommended to any patient who has an
Elevated homocysteine levels.
In the early 1990s Homocysteine become
A recognized risk factor for atherosclerotic disease . For atherosclerotic disease Homocysteine levels greater than 15 micromoles/ L
Ref 1 Paul Ganguly and Streyyoshi Fatima
Alam
Nutr J 2015 :14 :6
Published On line 2015 Jan 10
Ref 2 Alan D Kaye ,
George M Jeha ......and Christopher
G . Keval
Adv Ther 2020 :37(10):4149--–4164
Published on line 2020 Aug
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