{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:56:53Z","timestamp":1775473013495,"version":"3.50.1"},"reference-count":41,"publisher":"Medical Association of Zenica-Doboj","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2018,1,25]]},"abstract":"<jats:p>&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Aim&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt; To determine the relationship of homocysteine (HCY), uric acid (UA) and C-reactive protein (CRP) in serum of patients with acute myocardial infarction (AMI) prior to application of percutaneous coronary intervention (PCI) and their level of correlation in serum of patients with normal and elevated CRP (predictor of worse cardiovascular outcomes). &amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Methods&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;The study involved 85 patients with diagnosed AMI. Before the PCI, venous blood samples were taken into the vacuum test tubes. The analysis of HCY, UA, inflammatory markers CRP and neutrophil to lymphocyte ratio (NLR) as well as lipoprotein status were performed on a different type of analysers and according to accepted protocols of the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC).&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt; Results&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt; Elevated level of both HCY and UA in AMI patients as well as a positive correlation between HCY and UA level was observed. Classification of patients on the basis of mean UA concentration showed significant difference at the level of HCY concentration (p=0.022). &amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Conclusion&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt; Since HCY and UA participate in the atherosclerotic process and their metabolism, as well as the effects on the cardiovascular system show significant overlaps, their serum level should be analysed synchronously with the level of CRP and NLR (indicators of significant inflammatory process in vessels). Considering a potential link between all parameters observed, further research involving a greater number of patients and including the post treatment effects should be conducted.&amp;lt;\/p&amp;gt;<\/jats:p>","DOI":"10.17392\/956-18","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T10:20:46Z","timestamp":1713694846000},"page":"101-108","source":"Crossref","is-referenced-by-count":3,"title":["A relation of serum homocysteine, uric acid and C-reactive protein level in patients with acute myocardial infarction"],"prefix":"10.17392","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5575-8893","authenticated-orcid":false,"given":"Marijana","family":"Markovi\u0107 Boras","sequence":"first","affiliation":[{"name":"University Clinical Hospital Mostar","place":["Mostar,Bosnia and Herzegovina"],"department":["Department of Laboratory Medicine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adlija","family":"\u010cau\u0161evi\u0107","sequence":"additional","affiliation":[{"name":"University of Sarajevo","place":["Sarajevo,Bosnia and Herzegovina"],"department":["Department of Biochemistry and Clinical Analysis"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivica","family":"Brizi\u0107","sequence":"additional","affiliation":[{"name":"University Clinical Hospital Mostar","place":["Mostar,Bosnia and Herzegovina"],"department":["Department of Cardiology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivanka","family":"Mikuli\u0107","sequence":"additional","affiliation":[{"name":"University Clinical Hospital Mostar","place":["Mostar,Bosnia and Herzegovina"],"department":["Department of Laboratory Medicine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"Vasilj","sequence":"additional","affiliation":[{"name":"University Clinical Hospital Mostar","place":["Mostar,Bosnia and Herzegovina"],"department":["Department of Laboratory Medicine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nevenka","family":"Jeli\u0107-Knezovi\u0107","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Mostar","place":["Mostar,Bosnia and Herzegovina"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"49509","published-online":{"date-parts":[[2018,1,25]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1093\/ije\/dyq165","article-title":"Writing group on behalf of the participating experts of the WHO consultation for revision of WHO definition of myocardial infarction. 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Korean \nCirc J 2013; 43:93-9.","journal-title":"Korean Circ J"},{"key":"ref18","first-page":"999","article-title":"Impact of combined C-reactive protein and high-density lipoprotein cholesterol levels on long-term outcomes in patients with coronary artery disease after a first percutaneous coronary intervention","author":"MOgitaM","year":"2015","unstructured":"Ogita M, Miyauchi K, Tsuboi S, Shitara J, Endo H, \nWada H, Doi S, Naito R, Konishi H, Dohi T, Kasai \nT, Tamura H, Okazaki S, Suwa S, Daida H. Impact \nof combined C-reactive protein and high-density li-\npoprotein cholesterol levels on long-term outcomes in \npatients with coronary artery disease after a first per-\ncutaneous coronary intervention. Am J Cardiol 2015; \n116:999-1002.","journal-title":"Am J Cardiol"},{"key":"ref19","first-page":"1","article-title":"Uricase based methods for determination of uric acid in serum","author":"YZhaoY","year":"2009","unstructured":"Zhao Y, Yang X, Lu W, Liao H, Liao F. Uricase ba-\nsed methods for determination of uric acid in serum. \nMicrochim Acta 2009; 164:1-6.","journal-title":"Microchim Acta"},{"key":"ref20","first-page":"8171","article-title":"A study of serum homocysteine levels in acute myocardial infarction patients","author":"PSorathiaiP","year":"2014","unstructured":"Sorathiai P, Pradhan R, Lekharu R. A study of serum \nhomocysteine levels in acute myocardial infarction \npatients. Int J Curr Res 2014; 8:8171-3.","journal-title":"Int J Curr Res"},{"key":"ref21","first-page":"9","article-title":"Elevated serum homocysteine level has a positive correlation with serum cardiac troponin I in patients with acute myocardial infarction","author":"NAlamN","year":"2012","unstructured":"Alam N, Khan HI, Chowdhury AW, Haque MS, \nAli MS, Sabah KM, Amin MG. Elevated serum ho-\nmocysteine level has a positive correlation with se-\nrum cardiac troponin I in patients with acute myocar-\ndial infarction. Bangladesh Med Res Counc Bull \n2012; 38:9-13.","journal-title":"Bangladesh Med Res Counc Bull"},{"key":"ref22","first-page":"339","article-title":"Correlation of serum homocysteine levels with the severity of coronary artery disease","author":"VShenoyV","year":"2014","unstructured":"Shenoy V, Mehendale V, Prabhu K, Shetty R, Rao P. \nCorrelation of serum homocysteine levels with the \nseverity of coronary artery disease. Indian J Clin Bio-\nchem 2014; 29:339-44.","journal-title":"Indian J Clin Biochem"},{"key":"ref23","first-page":"288","article-title":"Relationship between homocysteine and coronary artery disease. Results from a large prospective cohort study","author":"ASchafferA","year":"2014","unstructured":"Schaffer A, Verdoia M, Cassetti E, Marino P, Surya-\npranata H, De Luca G, Novara atherosclerosis study \ngroup (NAS). Relationship between homocysteine \nand coronary artery disease. Results from a large \nprospective cohort study. Thromb Res 2014; 134:288-\n93.","journal-title":"Thromb Res"},{"key":"ref24","first-page":"100","article-title":"Role of vitamin B6, B12 and folic acid on hyperhomocysteinemia in a Pakistani population of patient with acute myocardial infarction","author":"MIqbalM","year":"2005","unstructured":"Iqbal MP, Ishaq M, Kazmi KA, Yousuf FA, Mehboo-\nbali N, Ali SA, Khan AH, Waqar MA. Role of vitamin \nB6, B12 and folic acid on hyperhomocysteinemia in a \nPakistani population of patient with acute myocardial \ninfarction. Nutr Metab Cardiovasc Dis 2005; 15:100-\n8.","journal-title":"Nutr Metab Cardiovasc Dis"},{"key":"ref25","first-page":"127","article-title":"Hyper-homocysteinemia inducing hyperuricemia: what are the mechanisms?","author":"FCacciapuotiF","year":"2017","unstructured":"Cacciapuoti F. Hyper-homocysteinemia inducing \nhyperuricemia: what are the mechanisms? 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J Cardiovasc Pharmacol \n2015; 66:35-40.","journal-title":"J Cardiovasc Pharmacol"},{"key":"ref28","first-page":"5257","article-title":"Prospective study on role of CRP as an inflammatory marker in type-II diabetes mellitus in tertiary care hospital","author":"JShanmugapriyaJ","year":"2017","unstructured":"Shanmugapriya J, Geetha P, Santhosh Kumar V, Sha-\nnmugasundaram P. Prospective study on role of CRP \nas an inflammatory marker in type-II diabetes melli-\ntus in tertiary care hospital. Int J Pharm Sci Res 2017; \n8:5257-63.","journal-title":"Int J Pharm Sci Res"},{"key":"ref29","first-page":"13","article-title":"CRP levels are higher in patients with ST elevation than non-ST elevation acute coronary syndrome","author":"SHabibS","year":"2011","unstructured":"Habib SS, Kurdi MI, Al Aseri Z, Suriya MO. CRP \nlevels are higher in patients with ST elevation than \nnon-ST elevation acute coronary syndrome. 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Ren Fail \n2015; 37:254-61.","journal-title":"Ren Fail"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.phrs.2013.04.010","article-title":"Homocysteine is a novel risk factor for suboptimal response of blood platelets to acetylsalicylic acid in coronary artery disease: a randomized multicenter study","author":"KKarolczakK","year":"2013","unstructured":"Karolczak K, Kamysz W, Karafova A, Drzewoski J, \nWatala C. Homocysteine is a novel risk factor for su-\nboptimal response of blood platelets to acetylsalicylic \nacid in coronary artery disease: a randomized multi-\ncenter study. Pharmacol Res 2013; 74:7-22.","journal-title":"Pharmacol Res"},{"key":"ref35","first-page":"950","article-title":"Multimarker analysis for new biomarkers in relation to central arterial stiffness and hemodynamics in a Chinese community-dwelling population","author":"SFuS","year":"2015","unstructured":"Fu S, Luo L, Ye P, Xiao W. Multimarker analysis for \nnew biomarkers in relation to central arterial stiffness \nand hemodynamics in a Chinese community-dwelling \npopulation. Angiology 2015; 66:950-6.","journal-title":"Angiology"},{"key":"ref36","first-page":"27","article-title":"Serum uric acid level as an independent mortality marker in patients with acute myocardial infarction","author":"VShettyV","year":"2016","unstructured":"Shetty V, Jain HR, Singh GS, Shetty S. Serum uric \nacid level as an independent mortality marker in pa-\ntients with acute myocardial infarction. Int J Sci Stud \n2016; 4:27-35.","journal-title":"Int J Sci Stud"},{"key":"ref37","first-page":"166","article-title":"Relation of serum uric acid levels with the presence and severity of angiographic coronary artery disease","author":"MGurM","year":"2008","unstructured":"Gur M, Yilmaz R, Demirbag R, Aksoy N. Relation of \nserum uric acid levels with the presence and severity \nof angiographic coronary artery disease. Angiology \n2008; 59:166-71.","journal-title":"Angiology"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1016\/j.jare.2016.11.004","article-title":"Uric acid in the pathogenesis of metabolic, renal, and cardiovascular diseases: A review","author":"SharafEl DinSharaf","year":"2017","unstructured":"Sharaf El Din UAA, Salem MM, Abdulazim DO. \nUric acid in the pathogenesis of metabolic, renal, and \ncardiovascular diseases: A review. J Adv Res 2017; \n8:537-48.","journal-title":"J Adv Res"},{"key":"ref39","first-page":"106","article-title":"Neutrophil to lymphocyte ratio might help prediction of acute myocardial infarction in patients with elevated serum creatinine","author":"ANalbantA","year":"2016","unstructured":"Nalbant A, Cinemre H, Kaya T, Varim C, Varim P, \nTamer A. Neutrophil to lymphocyte ratio might help \nprediction of acute myocardial infarction in patients \nwith elevated serum creatinine. Pak J Med Sci 2016; \n32:106-10.","journal-title":"Pak J Med Sci"},{"key":"ref40","first-page":"213","article-title":"Hematologic parameters and angiographic progression of coronary atherosclerosis","author":"NKalayN","year":"2012","unstructured":"Kalay N, Dogdu O, Koc F, Yarlioglues M, Ardic I, \nAkpek M, Cicek D, Oguzhan A, Ergin A, Kaya MG. \nHematologic parameters and angiographic progres-\nsion of coronary atherosclerosis. Angiology 2012; \n63:213-7.","journal-title":"Angiology"},{"key":"ref41","first-page":"383","article-title":"Combined use of neutrophil to lymphocyte ratio and C-reactive protein level to predict clinical outcomes in acute myocardial infarction patients undergoing percutaneous coronary intervention","author":"HShinH","year":"2017","unstructured":"Shin HC, Jang JS, Jin HY, Seo JS, Yang TH, Kim DK, \nKim DS. Combined use of neutrophil to lymphocyte \nratio and C-reactive protein level to predict clinical \noutcomes in acute myocardial infarction patients un-\ndergoing percutaneous coronary intervention. Korean \nCirc J 2017; 47:383-91.","journal-title":"Korean Circ J"}],"container-title":["Medicinski Glasnik"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medicinskiglasnik.ba\/article\/39\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicinskiglasnik.ba\/article\/39\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:43:44Z","timestamp":1775468624000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicinskiglasnik.ba\/article\/id\/109\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,25]]},"references-count":41,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2018,1,25]]},"published-print":{"date-parts":[[2018,1,25]]}},"URL":"https:\/\/doi.org\/10.17392\/956-18","archive":["Internet Archive"],"relation":{"is-cited-by":[{"id-type":"doi","id":"10.3389\/fcvm.2023.1277427","asserted-by":"object"}]},"ISSN":["1840-0132","1840-0132"],"issn-type":[{"value":"1840-0132","type":"electronic"},{"value":"1840-0132","type":"print"}],"subject":[],"published":{"date-parts":[[2018,1,25]]}}}