A systematic review of oxidative stress markers and risk of coronary artery calcification
Abstract
Background: Early diagnosis of atherosclerosis, particularly in subclinical status, can play a remarkable role in reducing mortality and morbidity. According to previous studies, the elevation of oxidative stress markers may affect the progression of coronary artery calcification (CAC) and future cardiovascular diseases (CVD). we focused on the association of oxidative stress markers and CAC to achieve insight into the nature of CAC pathophysiology.
Methods: In October 2022, we systematically searched Web of Science, Scopus, PubMed, and Embase databases with no language or time restrictions. We included the eligible human observational studies which have investigated the association of CAC with oxidative stress markers. To appraise the included articles, we used the Newcastle Ottawa scale (NOS).
Results: Out of 557 records, 42 studies were included in our systematic review. Oxidative stress markers including serum uric acid (UA), gamma-glutamyl transferase (GGT), and 8- isoprostane were correlated with the incidence of CAC and its severity.
Conclusions: Indicators of oxidative stress may have a positive correlation with the CAC score. This systematic review would provide clinical evidence for further studies of identifying individuals exposed to enhanced risk of CAC which may assist in early diagnosis of CVD complications and could establish innovative targets for pharmacological therapy.
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oxidative risk prediction coronary calcification coronary calcium score CAC. |
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