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Am J Med. 2002 May;112(7):556-65.

Homocysteine and cardiovascular disease: current evidence and future prospects.

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Department of Health Care of the Elderly, Guy's, King's, and St. Thomas' School of Medicine, King's College, London, United Kingdom.


Hyperhomocysteinemia is an independent risk factor for cardiovascular disease. Despite the well-known effectiveness of vitamin supplementation in reducing homocysteine levels, it is not known whether lowering of homocysteine levels is associated with a reduction in cardiovascular morbidity and mortality. The aim of this review is to discuss the epidemiologic evidence about the relation between homocysteine and cardiovascular disease, the pathophysiologic mechanisms responsible for the deleterious vascular and hemostatic effects of homocysteine, and studies of the potential benefits of homocysteine-lowering therapy.

[Indexed for MEDLINE]

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