The problem of prevention and treatment of coronary artery disease (CAD) is a variety of diseases associated with this pathology. Until now, the mechanisms of the formation of polymorbidity (PM) remain unclear and biochemical markers of PM have not been identified, which is necessary for the development of effective measures for the prevention and correction of this condition.
OBJECTIVE
To study the relationship between the level of concentration in blood serum of uric acid (UA) with PM and some hemodynamic and metabolic risk factors for chronic non-infectious diseases (CNID) in patients with coronary artery disease.
MATERIAL AND METHODS
A retrospective study of the clinical and biochemical data of patients with chronic coronary artery disease who were examined and treated at the clinic of the Novosibirsk Federal Research Center for Fundamental and Translational Medicine was carried out. The analysis included data from 3073 patients who were divided into 2 groups depending on the concentration of UA in the blood serum: normal and elevated levels. A comparative analysis of the severity of PM, as well as clinical, hemodynamic and biochemical parameters characterizing the risk factors for CNID, in the selected groups was carried out.
RESULTS
It was found that patients with coronary artery disease with increased values of the concentration of UA in the blood serum had higher indicators of trans-system and transnosological PM, systolic blood pressure, body mass index, lipid metabolism disorders (in the form of an increase in the content of total cholesterol, triglycerides, an increase in the atherogenic index). Among patients with coronary artery disease with hyperuricemia, hypercholesterolemia, hypertriglyceridemia, high-density hypolipoproteinemia and hyperglycemia were more often recorded.
CONCLUSION
The concentration of UA in the blood serum of patients with coronary artery disease can serve as one of the biochemical markers of PM. The results obtained can serve as a basis for the development of a method for assessing a patient’s condition in this disease.