The prevalence of hyperhomocysteinemia, methylene tetrahydrofolate reductase C677T mutation, vitamin B12 and folate deficiency in patients with chronic venous insufficiency

RC Sam, PJ Burns, S Hobbs, Timothy Marshall, Stanley Silverman, Andrew Bradbury, Antonius Wilmink

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32 Citations (Scopus)

Abstract

INTRODUCTION: Hyperhomocysteinemia (HHcy) is a risk factor for venous thromboembolism, which in turn is a major cause of chronic venous insufficiency. HHcy may be more common in patients with chronic venous insufficiency, but the cause is unknown. METHODS: One hundred hospital outpatients (52 women; median age, 66.5 years [interquartile range, 53-77 years] with venous disease C(2-6) underwent assessment of serum vitamin B(12) and folate concentration, plasma Hcy concentration, and C677T methylene tetrahydrofolate reductase (MTHR) homozygosity with polymerase chain reaction. HHcy was defined as greater than 15 micromol/L, the 95th centile of the normal range. RESULTS: CEAP classification was C(2) in 39 patients, C(3) in 10 patients, C(4) in 13 patients, C(5) in 15 patients, and C(6) in 23 patients, with median Hcy concentration 11.6, 11.5, 12.5, 15.1, and 18.1 micromol/L, respectively (Kruskall-Wallis test, P
Original languageEnglish
Pages (from-to)904-908
Number of pages5
JournalJournal of Vascular Surgery
Volume38
Issue number5
DOIs
Publication statusPublished - 1 Nov 2003

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