ORIGINAL RESEARCH
Interaction between risk factors and induced blood oxidation in patients with stable coronary artery disease
1 Regional Clinical Hospital, Yaroslavl, Russia
2 Yaroslavl State Medical University, Yaroslavl, Russia
Correspondence should be addressed: Marina V. Shereshneva
ul. Revolutsionnaya, 5, Yaroslavl, 150000, Russia; ur.xednay@avenhserehs.m
Author contribution: Shereshneva MV — review of up-to-date and foreign literature regarding the examined issue, formulation of the subject study, determining tasks and goals, laboratory research of induced blood oxidation values, mathematical and statistical treatment of data, making conclusions; Ilyin MV — development of research program, formulation of the subject study, determining tasks and goals, mathematical and statistical treatment of data, and making conclusions.
Compliance with ethical standards: the research underwent through an ethical expertise and was approved by the Ethics Committee of the Yaroslavl Medical University of the Ministry of Health of Russia. Prior to inclusion into research, patients received a detailed explanation of tasks and goals, and a voluntary informed consent was obtained.
Exposure on key modified risk factors, mainly hypercholesterolemia, arterial hypertension and diabetes mellitus, is an essential component of successful management of patients with coronary artery disease (CAD). As far as the concept of cardiovascular continuum goes, the predisposing behavioral factors that contribute to the development of these abnormal conditions include smoking, hypodynamia and obesity. Oxidative stress is closely associated with atherogenesis at every stage of progression. An open non-randomized prospective study is conducted. An observational group includes 89 patients with stable CAD. Key risk factors of cardiovascular diseases and their correlation with the values of induced blood oxidation were analyzed. Statistically significant (p < 0.05) positive correlation between hypercholesteremia and coefficient of oxidative activity (r = 0.22), smoking and initial rate of blood oxidation (r = 0.24), maximum rate of blood oxidation (r = 0.25), coefficient of oxidative activity (r = 0.24), diabetes mellitus and time of the initiation period (r = 0.25); negative correlation between smoking and time of the initiation period (r = –0.4) were detected. The results obtained show there is a correlation between a lifestyle and oxidative status of patients with stable CAD. Thus, influence on behavioral risk factors is the most important task of management of patients with cardiovascular pathology.
Keywords: atherosclerosis, oxidative stress, lifestyle, coronary artery disease