CARDIOVASCULAR JOURNAL OF AFRICA:
VOLUME 15, ISSUE 5, SEP 2004
Title: Cellular injury in ischaemia
: editorial comment
Authors: Lochner, A.; Koeslag, J.H.; Du Toit,
E.F.; Huisamen, B.; Moolman, J.A.; Van Rooyen,
J.
From: Cardiovascular Journal of South Africa,
Vol 15, Issue 5, Sep / Oct
Published: 2004
Pages: p.205-206
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Title: Hyperhomocyst(e)inemia is an
important risk factor for vascular disease in
subjects with high-molecular weight apo(a)
isoforms : cardiovascular topics
Authors: Delport, Rhena; Lingenhel, Arnulf W.;
Ubbink, Johan B.; Kraft, Hans G.
From: Cardiovascular Journal of South Africa,
Vol 15, Issue 5, Sep / Oct
Published: 2004
Pages: p.207-213
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Abstract: Background: Homocyst(e)ine is reported
to increase the binding of lipoprotein(a)
[Lp(a)] to fibrin, which may increase the
thrombogenic effects of Lp(a) in vivo. The aim
of this study was to investigate whether there
is a relationship between homocyst(e)ine and
Lp(a) levels and vascular disease risk, and if
the relationship depends on the apo(a) isoforms.
Methods: A case-control study was performed in
91 Caucasian male subjects with vascular disease
due to athersclerosis, and in 100 healthy age-
and sex-matched control subjects.
Results: Both hyperhomocyst(e)inemia and
elevated Lp(a) were significantly more prevalent
in patients. Concordant elevated Lp(a) and
hyperhomocyst(e)inemia were not associated with
increased vascular disease risk (relative odds
2.96; 95% CI: 0.90-9.80), while
hyperhomocyst(e)inemia in the absence of
elevated Lp(a) was associated with increased
vascular disease risk (relative odds 7.20; 95%
CI: 2.37-21.91). Hyperhomocyst(e)inemia in
individuals with high-molecular weight apo(a)
isoforms [smaller apo(a) isoform > S3] was
observed to be associated with increased
vascular disease risk (relative odds 11.02; 95%
CI: 3.54-34.30), while vascular disease risk in
subjects with low-molecular weight apo(a)
isoforms [smaller apo(a) isoform < S3] was not
significantly increased, the relative odds being
1.92; 95% CI: 0.51-7.24.
Conclusions: We conclude that
hyperhomocyst(e)inemia is an important risk
factor in individuals with highmolecular weight
apo(a) isoforms.
Title: Risk factors and
complications of hypertension in Yaounde,
Cameroon : cardiovascular topics
Authors: Shey Wiysonge, C.U.; Ngu Blackett, K.;
Mbuagbaw, J.N.
From: Cardiovascular Journal of South Africa,
Vol 15, Issue 5, Sep / Oct
Published: 2004
Pages: p.215-219
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Abstract: Aim: To determine the risk factors and
complications of hypertension, isolated systolic
hypertension (ISH) and isolated diastolic
hypertension (IDH) in Yaounde.
Methods and Results: Between January and
September 1998 we examined 813 consecutive adult
patients (46.5% men) in the Yaounde University
Teaching Hospital, with special focus on risk
factors of hypertension and clinical findings in
the cardiovascular system. We measured systolic
blood pressure, diastolic blood pressure, body
mass index and plasma glucose, and recorded
chest X-ray, electrocardiogram and
echocardiogram. Hypertension, ISH and IDH were
defined using the WHO-ISH 1999 criteria. After
controlling for the confounding effects of age
and sex, hypertension was significantly
associated with obesity, family history of
hypertension, alcohol intake, heart failure,
stroke and left ventricular hypertrophy (p <
0.01); smoking was significantly associated with
ISH (p = 0.04), and no factor was independently
associated with IDH.
Conclusions: A prevention strategy for
hypertension and its resultant complications in
Cameroon should include measures aimed at
obesity and alcohol consumption, as well as
early diagnosis with the institution of
effective and affordable therapy.
Title: Metabolic Cardiomyopathy, H.
Böhles, A.C. Sewell : book review
Authors: Brink, P.A.
From: Cardiovascular Journal of South Africa,
Vol 15, Issue 5, Sep / Oct
Published: 2004
Pages: p.220
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Title: SA Heart Association National
Congress, 6-8 October 2004, ICC, Durban :
abstracts
From: Cardiovascular Journal of South Africa,
Vol 15, Issue 5, Sep / Oct
Published: 2004
Pages: p.221-246
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Title: New pathophysiological
insights explain life-saving benefits of
perindopril in coronary artery disease patients
: drug trends in cardiology
From: Cardiovascular Journal of South Africa,
Vol 15, Issue 5, Sep / Oct
Published: 2004
Pages: p.248-249
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Title: ACTION with nifedipine GITS
(Adalat XL) provides evidence for safety and
improved outcome in angina patients : drug
trends in cardiology
From: Cardiovascular Journal of South Africa,
Vol 15, Issue 5, Sep / Oct
Published: 2004
Pages: p.249-251
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Title: CHARM study in CHF patients
with impaired LV function reinforces benefits of
candesartan cilexetil (Atacand(R)) : drug trends
in cardiology
From: Cardiovascular Journal of South Africa,
Vol 15, Issue 5, Sep / Oct
Published: 2004
Pages: p.252
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Title: Fixed-combination therapy for
hypertension increases success rate : drug
trends in cardiology
From: Cardiovascular Journal of South Africa,
Vol 15, Issue 5, Sep / Oct
Published: 2004
Pages: p.254-255
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Title: Significant reduction in
heart attacks in patients taking Pfizer's
Lipitor : drug trends in cardiology
From: Cardiovascular Journal of South Africa,
Vol 15, Issue 5, Sep / Oct
Published: 2004
Pages: p.255
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Title: Teveten(R) (eprosartan)
reduces future risk in hypertensive stroke
patients : drug trends in cardiology
From: Cardiovascular Journal of South Africa,
Vol 15, Issue 5, Sep / Oct
Published: 2004
Pages: p.255-256
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Title: Cardio news
From: Cardiovascular Journal of South Africa,
Vol 15, Issue 5, Sep / Oct
Published: 2004
Pages: p.256
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