Association of uric acid, HDL-C, and homocysteine with coronary artery disease and stenosis - Takeaways - MDSpire

Links Between Uric Acid, HDL Cholesterol, Homocysteine Levels, and the Presence of Coronary Artery Disease and Stenosis

  • By

  • Lei Zha

  • Yu Ma

  • Lianghui Wan

  • Pingan Xie

  • Ximing Li

  • July 20, 2026

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  • 1

    The study involved 100 participants, including 58 with coronary heart disease (CHD) and 42 controls, to assess biomarker associations with CHD severity.

  • 2

    Serum levels of homocysteine (Hcy), uric acid (UA), and high-density lipoprotein cholesterol (HDL-C) were significantly altered in CHD patients compared to controls.

  • 3

    Gensini scores positively correlated with Hcy and UA, while negatively correlating with HDL-C, indicating their relationship with coronary stenosis severity.

  • 4

    The combined detection of Hcy, UA, and HDL-C improved the explained variance of the Gensini score from 31% to 48%, enhancing diagnostic accuracy.

  • 5

    The study concluded that Hcy, UA, and HDL-C are significant biomarkers for assessing CHD severity and may aid in early detection of coronary stenosis.

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