Abstract
Hyperhomocysteimia is an independent risk factors for ischemic heart disease and stroke. We report in absent risk factors the clinical correlation between severe acute coronary syndrome and hyperhomocysteinemia. We report in absent risk factors the clinical correlation severe acute coronary syndrome and hyperhomocysteinemia A 38 years old non-smoker, non-diabetes, normotensive and strict vegetarian with positive family history of ischemic heart diseases had acute myocardial infarction with raised serum homocysteine level. Key words: Acute myocardial infarction, family history of ischemic heart disease, homocysteinee
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