Association of Hyperhomocysteinemia with Early Onset Atherosclerotic Peripheral Arterial Occlusive Diseases

Md Shamim Reza, AM Asif Rahim, AHM Bashar, M Shahidul Islam, SAN Alam

Background: Homocysteine is increasingly recognized as an independent risk factor for vascular
disease specially peripheral arterial occlusive diseases. In the present study, an attempt was made to
find out the association between the raised fasting plasma total homocysteine level and early onset
atherosclerotic peripheral arterial occlusive diseases (PAOD).
Methods: In this prospective observational study a total of 50 study subjects were included. All
patients were clinically and angiographically documented for atherosclerotic PAOD. All patients
underwent surgical intervention as well as estimation of serum total homocysteine level. Arterial
segment was sent for histopathological examination to find out whether atherosclerosis was present
or not. Patients were divided into two groups- Group-1 included patients of 20-40 years of age and
group-II included those of 41-60 years of age. The groups were compared to see association between
elevated level of plasma homocysteine and atherosclerotic peripheral arterial occlusive diseases in
elderly as well as in early age.
Results: 41 (82%) patients were male and 9 (18%) patients were female. Serum homocysteine level
was higher in group I than group II (71.4% vs. 40.9%). Besides, the level of mean serum homocysteine
level was significantly (p=0.02) higher in group I than group II (21.18±9.53 vs. 17.24±8.92 µmol/L).
Conclusion: In conclusion, this study suggests that serum homocysteine has an association with
early onset atherosclerotic PAOD. Therefore, a raised serum homocysteine level can be used as an
independent biochemical predictor of early onset atherosclerotic PAOD.