High serum cholesterol levels are an important risk factor forcoronary disease, but most patients with myocardial infarctionhave normal cholesterol levels. Despite considerable advancesin our understanding of the causes of cardiovascular disease,the established risk factors cannot fully explain its occurrence.The article by Selhub and colleagues1 in this issue of the Journalcontributes importantly to the rapidly accumulating evidencethat elevated blood levels of homocysteine increase the riskof vascular disease.
The original hypothesis, proposed by McCully,2 was based onpostmortem findings of arteriosclerotic disease in patientswith extraordinarily high blood homocysteine levels due to raremetabolic . . . [Full Text of this Article]
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