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Increased concentrations of lipoprotein(a), circadian rhythms and metabolic reactions evoked by acute myocardial infarction, associated with acute reactions in relation to large breakfasts

Of 54 patients with acute coronary artery disease (CAD) that were included in this study, 41 patients had acute myocardial infarction (AMI), five patients possible MI, four patients unstable angina and the remaining four angina pectoris. The control subjects ( n=85) were randomly selected from the g...

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Published in:Biomedicine & pharmacotherapy 2004-10, Vol.58, p.S116-S122
Main Authors: Singh, Ram B., Pella, Daniel, Sharma, Jagdish P., Rastogi, Saurabh, Kartikey, Kumar, Goel, Vijay K., Sharma, Rakesh, Neki, Narankar S., Kumar, Adarsh, Otsuka, Kuniaki
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description Of 54 patients with acute coronary artery disease (CAD) that were included in this study, 41 patients had acute myocardial infarction (AMI), five patients possible MI, four patients unstable angina and the remaining four angina pectoris. The control subjects ( n=85) were randomly selected from the general population of the city of Moradabad of similar age range after exclusion for CAD ( n=9), diabetes ( n=6) and excess intake of trans fatty acids ( n=20). The incidence of lipoprotein(a) excess (>30 mg/dl; 42.6 vs 24.7%; P
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The control subjects ( n=85) were randomly selected from the general population of the city of Moradabad of similar age range after exclusion for CAD ( n=9), diabetes ( n=6) and excess intake of trans fatty acids ( n=20). The incidence of lipoprotein(a) excess (&gt;30 mg/dl; 42.6 vs 24.7%; P&lt;0.05) and mean concentration of lipoprotein(a) (Lp[a], 6.4 mg/dl, 95% confidence interval: 2.8–10.5; P&lt;0.05) was significantly greater in the acute CAD group compared with control subjects. Mean total cholesterol and triglycerides were significantly higher and mean nitrite level lower in the study group as compared with the control group. There was a significant greater incidence of cardiac events in the second quarter of the day compared with the fourth quarter. Lp(a), triglycerides, blood glucose, plasma insulin, malondialdehyde, diene conjugates, TBARS and TNF-alpha and IL-6 levels, which were significantly greater during the acute phase, showed a significant decline and serum nitrite and coenzyme Q demonstrated an increase at 4 weeks of follow-up when the acute reactions evoked by MI had been controlled. Large breakfasts were a predisposing factor for cardiac events in the second quarter of the day and it was significantly associated with metabolic reactions. The findings indicate that acute reactions as a result or as circadian rhythms appear to be important in the pathogenesis of AMI-associated complications and that a large breakfast in association with nitrite deficiency may further trigger the circadian rhythms. 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All rights reserved</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-d7bf57e3902219dd8d604f6002b7580eb4c0d3c50558c0c7322c29e425147d9d3</citedby><cites>FETCH-LOGICAL-c393t-d7bf57e3902219dd8d604f6002b7580eb4c0d3c50558c0c7322c29e425147d9d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,23930,23931,25140,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=16217674$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15754849$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Singh, Ram B.</creatorcontrib><creatorcontrib>Pella, Daniel</creatorcontrib><creatorcontrib>Sharma, Jagdish P.</creatorcontrib><creatorcontrib>Rastogi, Saurabh</creatorcontrib><creatorcontrib>Kartikey, Kumar</creatorcontrib><creatorcontrib>Goel, Vijay K.</creatorcontrib><creatorcontrib>Sharma, Rakesh</creatorcontrib><creatorcontrib>Neki, Narankar S.</creatorcontrib><creatorcontrib>Kumar, Adarsh</creatorcontrib><creatorcontrib>Otsuka, Kuniaki</creatorcontrib><title>Increased concentrations of lipoprotein(a), circadian rhythms and metabolic reactions evoked by acute myocardial infarction, associated with acute reactions in relation to large breakfasts</title><title>Biomedicine &amp; pharmacotherapy</title><addtitle>Biomed Pharmacother</addtitle><description>Of 54 patients with acute coronary artery disease (CAD) that were included in this study, 41 patients had acute myocardial infarction (AMI), five patients possible MI, four patients unstable angina and the remaining four angina pectoris. 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Lp(a), triglycerides, blood glucose, plasma insulin, malondialdehyde, diene conjugates, TBARS and TNF-alpha and IL-6 levels, which were significantly greater during the acute phase, showed a significant decline and serum nitrite and coenzyme Q demonstrated an increase at 4 weeks of follow-up when the acute reactions evoked by MI had been controlled. Large breakfasts were a predisposing factor for cardiac events in the second quarter of the day and it was significantly associated with metabolic reactions. The findings indicate that acute reactions as a result or as circadian rhythms appear to be important in the pathogenesis of AMI-associated complications and that a large breakfast in association with nitrite deficiency may further trigger the circadian rhythms. 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Lp(a), triglycerides, blood glucose, plasma insulin, malondialdehyde, diene conjugates, TBARS and TNF-alpha and IL-6 levels, which were significantly greater during the acute phase, showed a significant decline and serum nitrite and coenzyme Q demonstrated an increase at 4 weeks of follow-up when the acute reactions evoked by MI had been controlled. Large breakfasts were a predisposing factor for cardiac events in the second quarter of the day and it was significantly associated with metabolic reactions. The findings indicate that acute reactions as a result or as circadian rhythms appear to be important in the pathogenesis of AMI-associated complications and that a large breakfast in association with nitrite deficiency may further trigger the circadian rhythms. 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subjects Acute Disease
Biological and medical sciences
Biotransformation
Blood Glucose
Cardiac event
Cholesterol - blood
Circadian rhythm
Circadian Rhythm - physiology
Coenzyme Q
Coronary Artery Disease - blood
Coronary Artery Disease - complications
Coronary Artery Disease - diagnosis
Cytokines
Diet - adverse effects
Diet - methods
Glucose
Humans
India - ethnology
Insulin
Large breakfast
Lipoprotein(a)
Lipoproteins - blood
Male
Medical sciences
Middle Aged
Myocardial Infarction - complications
Myocardial Infarction - metabolism
Myocardial Infarction - physiopathology
Nitric oxide
Nitrite
Pharmacology. Drug treatments
Total cholesterol
Triglycerides - blood
title Increased concentrations of lipoprotein(a), circadian rhythms and metabolic reactions evoked by acute myocardial infarction, associated with acute reactions in relation to large breakfasts
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