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SERUM URIC ACID IN RELATION TO AGE AND PHYSIQUE IN HEALTH AND IN CORONARY HEART DISEASE
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1951
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Article1 June 1951SERUM URIC ACID IN RELATION TO AGE AND PHYSIQUE IN HEALTH AND IN CORONARY HEART DISEASEMENARD M. GERTLER, STANLEY M. GARN, SAMUEL A. LEVINE, F.A.C.P.MENARD M. GERTLER, STANLEY M. GARN, SAMUEL A. LEVINE, F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-34-6-1421 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe disease most frequently associated with an abnormal uric acid metabolism is gout.1, 2This association is based upon deposits of uric acid in the joints and connective tissue of gouty patients, usually in the presence of hyperuricemia.3While the etiologic factors are unknown, it is generally agreed that the hyperuricemia is caused by endogenous factors in lieu of exogenous or renal factors. Additional observations which complicate the picture are: (a) the gouty diathesis may be present with4or without5an increase in the level of serum uric acid; (b) hyperuricemia occurs in families where gout has not been recognized.6...Bibliography1. BauerKlemperer WF: Gout, in Duncan, Diseases of metabolism, 2nd Ed., 1947, Chapter XII: 611-656 (Reprint). Google Scholar2. Jacobson BM: The uric acid in the serum of gouty and of non-gouty individuals: its determination by Folin's recent method and its significance in the diagnosis of gout, Ann. Int. Med. 11: 1277-1294, 1938. LinkGoogle Scholar3. Garrod AB: Observations on certain pathological conditions of the blood urine in gout, rheumatism and Bright's disease, Med. Chir. Tr. London 31: 83, 1848. CrossrefMedlineGoogle Scholar4. Roberts W: Allbutt's System of medicine, 1st Ed., 1900, The Macmillan Co., New York. Google Scholar5. PetersVan Slyke JPDD: Quantitative clinical chemistry, 2nd Ed., 1946, vol. 8, Williams & Wilkins, Baltimore, p. 1041. Google Scholar6. SmythCottermanFreyberg CJCWRH: The genetics of gout and hyperuricemia—an analysis of nineteen families, J. Clin. Investigation 27: 749-759, 1948. CrossrefGoogle Scholar7. Scudamore C: A treatise on the nature and cure of gout, 4th Ed., 1823, Longman, Hurst, Rees, Orme and Brown, London. Google Scholar8. Futcher TB, in Osler, W., and McCrae, T.: Modern medicine, Vol. I, 1st Ed., 1907, chapter 31, Lea Bros., Philadelphia and New York, pp. 808-844. Google Scholar9. Huchard H: Traite clinique des maladies du coeur et de l'aorta, 1st Ed., 1899, G. Doin, Paris, p. 174. Google Scholar10. Folin O: Standardized methods for determination of uric acid in unlaked blood and urine, J. Biol. Chem. 101: 111-125, 1933. CrossrefGoogle Scholar11. ArkinColton HRR: An outline of statistical methods, 4th Ed., 1939, Barnes & Noble, Inc., New York, p. 224. Google Scholar12. SheldonStevensTucker WHSSWB: The varieties of human physique, 1st Ed., 1940, chapter 12, Harper & Bros., New York, p. 347. Google Scholar13. Mainland D: The treatment of clinical and laboratory data, 1st Ed., 1938, Oliver and Boyd, London, p. 340. Google Scholar14. Leary T: Crystalline ester cholesterol and atherosclerosis, Arch. Path. 47: 1-28, 1949. Google Scholar15. Hueper WC: Prevention and treatment of atherosclerosis, M. Clin. North America 33: 771-781, 1949. Google Scholar16. GertlerGarn MMSM: The lipid interrelationship in health and in coronary artery disease, Science 112: 14-16, 1950. CrossrefMedlineGoogle Scholar17. Brøchner-Mortensen K: Diagnosis of gout, Acta med. Scandinav. 99: 538-562, 1939. CrossrefGoogle Scholar18. AdlersbergParetsBoas DADEP: Genetics of atherosclerosis, J. A. M. A. 141: 246-254, 1949. CrossrefMedlineGoogle Scholar19. GertlerGarnLerman MMSMJ: The interrelationship of serum cholesterol, cholesterol esters and phospholipids in health and in coronary artery disease, Circulation 2: 205-214, 1950. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, Massachusetts*Received for publication February 1, 1950.From the Coronary Research Project, Massachusetts General Hospital and Harvard Medical School, Drs. P. D. White, H. B. Sprague, E. F. Bland, J. Lerman, S. A. Levine and E. A. Hooton, Directors. Supported by a grant from the Commonwealth Fund, New York City. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byScalably Nanomanufactured Atomically Thin Materials‐Based Wearable Health SensorsEvaluation of the prognostic ability of serum uric acid for elderly acute coronary syndrome patients with diabetes mellitus: a prospective cohort studyIncreased QT Dispersion and High Risk of Ventricular Arrhythmias is Associated with Hyperuricemia in Individuals with Normal Renal FunctionMeta-analysis of the correlation between serum uric acid level and carotid intima-media thicknessAssociation between mortality and serum uric acid levels in non-diabetes-related chronic kidney disease: An analysis of the National Health and Nutrition Examination Survey, USA, 1999–2010Hyperuricemia in Kidney Disease: A Major Risk Factor for Cardiovascular Events, Vascular Calcification, and Renal DamagePurine Metabolite Signatures and Type 2 Diabetes: Innocent Bystanders or Actionable Items?Urate-lowering therapy may mitigate the risks of hospitalized stroke and mortality in patients with goutMetabolic biomarkers and long-term blood pressure variability in military young male adultsSerum uric acid is independently associated with aortic arch calcification in a cross-sectional study of middle-aged and elderly womenAssociation of gout with CAD and effect of antigout therapy on CVD risk among gout patientsUric acid-lymphocyte ratios and myocardial damage parameters in ST elevated myocardial infarctionThe association between genotypes of urate transporter-1, Serum uric acid, and mortality in the community-based population: the Yamagata (Takahata) StudyAssociation of hyperuricemia and pulmonary hypertension: A systematic review and meta-analysisUric Acid Level is Positively Associated With NT-proBNP Concentration in Slovak Heart Failure PatientsUric acid variability at midlife as an independent predictor of coronary heart disease and all-cause mortalityPrevalence of Hyperuricemia and its Association with Other Cardiovascular Risk Factors in Adult Yemeni People of Sana'a CityRelationship between serum uric acid and clustering of cardiovascular disease risk factors and renal disorders among Shanghai population: a multicentre and cross-sectional studyComorbidities in GoutAssociation between serum uric acid and cardiovascular risk in nonhypertensive and nondiabetic individuals: The Taiwan I-Lan Longitudinal Aging StudyEvaluation of the association between hyperuricemia and coronary artery diseaseValue of three-dimensional speckle tracking echocardiography to assess left ventricular function in hyperuricemia patientsUric acid and cardiovascular diseaseUric acid levels are associated with endothelial dysfunction and severity of coronary atherosclerosis during a first episode of acute coronary syndromeHyperuricemia enhances intracellular urate accumulation via down-regulation of cell-surface BCRP/ABCG2 expression in vascular endothelial cellsHigh serum uric acid levels are a protective factor against unfavourable neurological functional outcome in patients with ischaemic strokeSTUDY OF SERUM URIC ACID LEVEL IN DIABETES MELLITUS WITH SPECIAL REFERENCE TO CARDIOVASCULAR RISK FACTORSCorrelation of Serum Uric Acid Levels with Nonculprit Plaque Instability in Patients with Acute Coronary Syndromes: A 3-Vessel Optical Coherence Tomography StudySerum uric acid level predicts adverse outcomes after myocardial revascularization or cardiac valve surgeryAsymptomatic hyperuricemia and coronary artery disease in elderly patients without comorbiditiesUric acid in the pathogenesis of metabolic, renal, and cardiovascular diseases: A reviewSerum uric acid level as a cardio-cerebrovascular event risk factor in middle-aged and non-obese Chinese menHyperuricemia as an independent risk factor for major cardiovascular eventsIncreased childhood BMI is associated with young adult serum uric acid levels: a linkage study from JapanHyperuricemia and coronary heart disease mortality: a meta-analysis of prospective cohort studiesLa hiperuricemia como marcador pronóstico de enfermedad cardiovascular en pacientes hipertensos y diabéticosAssociation of serum uric acid level with mortality and morbidity of patients with acute ST-elevation myocardial infarctionSerum uric acid concentration and metabolic syndrome among elderly Koreans: The Korean Urban Rural Elderly (KURE) studyUric acid in metabolic syndrome: From an innocent bystander to a central playerThe Establishment and Characteristics of Rat Model of Atherosclerosis Induced by HyperuricemiaImpact of Serum Uric Acid Levels on Coronary Plaque Stability Evaluated Using Integrated Backscatter Intravascular Ultrasound in Patients with Coronary Artery DiseaseDoes elevated serum uric acid level predict the hypertension incidence? A Chinese prospective cohort studyRelationship Between Hyperuricemia and Cardiovascular Disease Risk Factors in a Chinese Population: A Cross-Sectional StudyHyperuricemia and cardiovascular disease riskSerum uric acid is an independent predictor of metabolic syndrome in a Japanese health screening populationModeling effects of SGLT-2 inhibitor dapagliflozin treatment versus standard diabetes therapy on cardiovascular and microvascular outcomesSerum Uric Acid Is Associated With Coronary Artery CalcificationIncreased Serum Uric Acid as a Risk Factor for Cardiovascular DiseasesA gender-specific analysis of association between hyperuricaemia and cardiovascular events in patients with coronary artery diseaseRETRACTED ARTICLE: Effects of uric acid on endothelial dysfunction in early chronic kidney disease and its mechanismsBeyond gout: uric acid and cardiovascular diseasesUric acid in heart failure: a biomarker or therapeutic target?Clinical Aspects of Gout and Associated Disease StatesGenetic Impact on Uric Acid Concentration and Hyperuricemia in the Japanese PopulationUricemia y síndrome metabólico en pacientes con hipertensión arterialThe properties of disorders of carbohydrate metabolism in elderly patients with gout and metabolic syndromeAdiposopathy as a key factor in the development of insulin resistanceUric acid: a starring role in the intricate scenario of metabolic syndrome with cardio-renal damage?Hyperuricemia and increased risk of ischemic heart disease in a large Chinese cohortUrate Transporter Gene SLC22A12 Polymorphisms Associated with Obesity and Metabolic Syndrome in Caucasians with HypertensionThe Rediscovery of Uric Acid in Cardiorenal Disease: IntroductionUric Acid and HypertensionSerum uric acid is associated with high blood pressure in pediatric hemodialysis patientsCRP, Uric Acid, and Other Novel Factors in the Pathogenesis of HypertensionSerum uric acid and risk of occupational disability: Findings from a cohort study of male construction workers in GermanyIs serum uric acid a risk factor for atherosclerotic cardiovascular disease?Is uric acid the forgotten risk factor for atherosclerotic cardiovascular disease?Gout—bad for the heart as well as the jointUric acid transport and diseaseUric Acid and Hypertension: Cause or Effect?Epidemiological Association between Uric Acid Concentration in Plasma, Lipoprotein(a), and the Traditional Lipid ProfileHyperuricemia and the Presence and Severity of Coronary Artery DiseaseDecrease in uric acid in acute ischemic stroke correlates with stroke severity, evolution and outcomeRelationship between Serum Uric Acid Level and Hypertension: A Retrospective Cohort StudyObituary: Stanley Marion Garn (1922-2007)The Effect of the Interaction between Obesity and Drinking on Hyperuricemia in Japanese Male Office WorkersUric acid concentration in patient with acute coronary syndromeUric Acid and Cardiovascular RiskPurine Metabolism in Heart Failure: Oxidant Biology and Therapeutic IndicationsThe paradoxical relationship between serum uric acid and cardiovascular diseaseSerum uric acid is an independent predictor for all major forms of cardiovascular death in 28,613 elderly women: A prospective 21-year follow-up studyRelation of Serum Uric Acid Levels With the Presence and Severity of Angiographic Coronary Artery DiseaseSerum Uric Acid and Risk of Cardiovascular Mortality: A Prospective Long-Term Study of 83 683 Austrian MenSerum uric acid shows a J-shaped trend with coronary mortality in non-insulin-dependent diabetic elderly people. The CArdiovascular STudy in the ELderly (CASTEL)Podagra, Uric Acid, and Cardiovascular DiseaseUric acid and oxidative stress: Relative impact on cardiovascular riskThe Role of Uric Acid in Pediatric HypertensionSerum Uric Acid as an Independent Predictor of Early Death After Acute StrokeIndependent Association of High Serum Uric Acid Concentration with Angiographically Defined Coronary Artery DiseaseJ-Shaped Mortality Relationship for Uric Acid in CKDThe Epidemiology of Gout and Calcium Pyrophosphate Dihydrate Deposition DiseaseSerum uric acid and long-term mortality from stroke, coronary heart disease and all causesSerum Uric Acid: A Risk Factor and a Target for Treatment?Clinical trials reportUric acid and hypertensionUric acid and the vasculatureThe Relation of Postmenopausal Hormone Therapy to Serum Uric Acid and the Risk of Coronary Heart Disease Events: The Heart and Estrogen–Progestin Replacement Study (HERS)Estudio de farmacovigilancia para evaluar la seguridad y la efectividad del tratamiento con losartán: efectos a largo plazo de losartán solo o en combinación sobre la uricemiaGenome-wide search for genes affecting serum uric acid levels: the Framingham Heart StudyPrognostic Usefulness of Serum Uric Acid After Acute Myocardial Infarction (The Japanese Acute Coronary Syndrome Study)Recent advances in the epidemiology of goutSerum Uric Acid and Coronary Heart Disease in 9,458 Incident Cases and 155,084 Controls: Prospective Study and Meta-AnalysisSex-Related Differences in Relations of Uric Acid to Left Ventricular Hypertrophy and Remodeling in Japanese Hypertensive PatientsPrevalence of hyperuricemia and relation of serum uric acid with cardiovascular risk factors in a developing countryPrimary prevention in rheumatology: the importance of hyperuricemiaEffect of statins versus untreated dyslipidemia on serum uric acid levels in patients with coronary heart disease: a subgroup analysis of the greek atorvastatin and coronary-heart-disease evaluation (GREACE) studyThe impact of serum uric acid on cardiovascular outcomes in the LIFE studyHyperuricemia and Cardiovascular Risk Factor Clustering in a Screened Cohort in Okinawa, JapanTreatment of Hypertension in BahrainSerum uric acid as an independent predictor of mortality in patients with angiographically proven coronary artery diseaseExtracellular Superoxide Dismutase, Uric Acid, and AtherosclerosisUric acid is closely linked to vascular nitric oxide activitySerum uric acid as a cardiovascular risk factor for heart diseaseSerum uric acid is not an independent risk factor for coronary heart diseaseUric acid and cardiovascular disease: a renal-cardiac relationship?Hiperuricemia como factor de riesgo cardiovascularRelation Between Serum Uric Acid and Risk of Cardiovascular Disease in Essential HypertensionClinical manifestations of gout and their managementUric acid: is it a risk factor for cardiovascular disease?Serum Uric Acid and Risk of Coronary Heart DiseaseMuch Ado About Nothing, or Much to Do About Something? The Continuing Controversy Over the Role of Uric Acid in Cardiovascular DiseaseSerum Uric Acid and Risk for Cardiovascular Disease and Death: The Framingham Heart StudyBruce F. Culleton, MD, Martin G. Larson, ScD, William B. Kannel, MD, and Daniel Levy, MDUric acid as a cardiovascular risk factor in arterial hypertensionSerum Uric Acid and Cardiovascular Events in Successfully Treated Hypertensive PatientsRelations of Hyperuricemia with the Various Components of the Insulin Resistance Syndrome in Young Black and White Adults: The CARDIA StudyCorrelates of uric acid and its association with asymptomatic carotid atherosclerosis: The ARIC studyHigh uric acid: A metabolic marker of coronary heart disease among alcohol abstainers?Effect of nibbling versus gorging on cardiovascular risk factors: Serum uric acid and blood lipidsInsulin resistance and risk factors for coronary heart diseasePrognose und Bedeutung der Hyperurikämie als Risikofaktor der koronaren HerzkrankheitDietary fiber and coronary heart diseaseHyperuricaemia and Risk of Cardiovascular Disease and Overall DeathWarfarin and Uric Acid after Myocardial InfarctionHuman physique and susceptibility to noninfectious diseaseHyperuricemia in the inhabitants of the marshall islandsSerum uric acid and coronary heart diseaseA controlled study of diet in patients with gout.Sulphinpyrazone and renal function following myocardial infarctionHyperuricemia as a Risk Factor for Cardiovascular MortalityHyperuricaemia and atherosclerosisThe relationship of serum uric acid to hypertension and ischemic heart disease in hisayama population, JapanThe relationship between high and low trait psychological stress and serum indicators of stressSelected Physiologic and Drug Effects on Serum Uric Acid Levels in an Elderly PopulationA COMPARATIVE STUDY OF PLATELET REACTIVITY IN ARTHRITIS*Uric acid in childhood essential hypertensionGout and pseudogout: Crystal-induced arthropathiesUric Acid Regulation in Hypertensive ChildrenPsychosomatic Aspects of GoutFactors influencing the serum uric acid level. A study based on a population survey in Hisayama town, Kyushu, JapanSerum uric acid: Correlation with biochemical, anthropometric, clinical and behavioral parameters in 10,000 israeli menUric acid: a risk factor for coronary heart disease?Prevalence and incidence of the diagnosis of gout in Great Britain.A prospective study of gout in New Zealand Maoris.Abnormal Urate Excretion Associated with Renal and Systemic Disorders, Drugs, and ToxinsEpidemiology of serum uric acid among 8000 Japanese-American men in HawaiiEffects of Diuretics On Lipid Metabolism in Patients With Essential HypertensionUraemia and hyperuricaemia in acute myocardial infarctionSerum uric acid: Its association with other risk factors and with mortality in coronary heart diseaseThe Epidemiology of Hyperuricemia and GoutKlinische Wertigkeit der Hyperuricämie. Beziehung zu anderen KrankheitenHarns�urekonzentration im Serum bei verschiedenen Hyperlipoprotein�mie-Typen, Herzinfarkt und GichtUric acid kinetic studies in the immediate post-myocardial-infarction periodAre there any Promising Biochemical Correlates of Achievement Behavior and Motivation? The Evidence for Serum Uric Acid and Serum CholesterolPlasma uric acid and body weightRAISED SERUM URIC ACID LEVELS WITH MYOCARDIAL INFARCTIONLIST OF REFERENCESReferencesÜber die Bedeutung der Hyperurikämie bei chronischer arterieller Verschlußkrankheit und bei postthrombotischem SyndromManagement of the Hyperlipidemic PatientSerum Lipids, Serum Uric Acid and Glucose Tolerance in Coronary Heart Disease*Normalwerte der Plasmaharnsäure in Süddeutschland. Vergleich mit Bestimmungen vor zehn JahrenSerum Uric Acid in Normal and Hypertensive Australian Subjects:From a Continuing Epidemiological Survey on Hypertension Commenced in 1955.Plasma lipoproteins, glucose tolerance and insulin response in primary goutBlood uric acid in executivesSerum uric acid in 23,923 men and gout in a subsample of 4257 men in FranceHyperuricemia in Health and DiseaseThe status of risk factors and coronary heart diseaseUric acid and serum lipids in cerebrovascular disease; 2. Uric acid--plasma lipid correlations.ReferencesReduction of serum uric acid in young men during physical trainingGenetics of Mammalian Somatic CellsEPIDEMIOLOGY OF SERUM-URIC-ACIDEXPERIMENTAL RUBELLASERUM-URIC-ACID AND CORONARY HEART-DISEASEThe relationship of serum uric acid to risk factors in coronary heart diseaseAlterations of Factors Predisposing to Coronary Heart DiseaseLEON D. OSTRANDER JR., M.D., F.A.C.P.Place De L'Hyperuricemie Et De La Goutte Dans L'Etiologie Des Accidents Vasculaires RetiniensSerum Uric Acid Concentration Among Business Executives With Observations on Other Coronary Heart Disease Risk FactorsHENRY J. MONTOYE, PH.D., JOHN A. FAULKNER, PH.D., HORACE J. DODGE, M.D., WILLIAM M. MIKKELSEN, M.D., F.A.C.P., PARK W. WILLIS III, M.D., F.A.C.P., WALTER D. BLOCK, PH.D.Correlations of Serum Uric Acid and Lipid Concentrations in Normal, Gouty, and Atherosclerotic MenTHOMAS G. BENEDEK, M.D.Essential HypercholesterolemiaEpidemiology of gout and hyperuricemiaDEPENDENCE OF SERUM-URIC-ACID ON HÆMOGLOBIN AND OTHER FACTORS IN THE GENERAL POPULATIONAssociations Between Gout, Psoriasis, and Sarcoidosis With Consideration of Their Pathogenic SignificanceJAMES G. ZIMMER, M.D., D. JOSEPH DEMIS, M.D., PH.D.Ethnic variations in serum uric acid I. Filipino hyperuricemia in a controlled environmentHypertension and HyperuricæmiaCoronary heart diseaseHYPERTENSION AND HYPERURICÆMIASerum Uric Acid and Cholesterol Levels in Mongoloid and Non-Mongoloid OligophrenicsCorrelations among hyperuricemia, hypercholesterolemia, coronary disease and hypertensionAcute Gouty Arthritis Provoked by Cerebrovascular DiseaseGoutHypertriglyceridemia in GoutGout and Hyperuricemia after Adrenalectomy for HypertensionHYPERTENSION EXPLAINED BY STARLING'S THEORY OF CIRCULATORY HOMŒOSTASISHYPERURICÆMIA AND ANGINA PECTORISCYTOLOGY OF THE CERVIXHyperuricemia in Diabetic KetoacidosisREDUCTION OF SERUM-LIPID AND URIC-ACID LEVELS BY AN ORALLY ACTIVE ANDROSTERONEHematocrit, blood viscosity and myocardial infarctionUntersuchungen �ber den intermedi�ren Fettstoffwechsel bei der ArteriosklerosePRELIMINARY STUDY OF FAMILY WITH HEREDITARY HYPERCHOLESTEROLAEMIC XANTHOMATOSISHyperuricemia and Psoriasis**From the Depts. of Dermatology, Dartmouth Medical School and Hitchcock Clinic, Hanover, New Hampshire.Supported in part by grant 89 of the Hitchcock Foundation, Hanover, New Hampshire.Presented at the Twenty-first Annual Meeting of The Society for Dermatology, Inc., June IN ON AND IN THE cardiac RELATION OF SERUM URIC ACID TO LEVEL IN WITH AND Diagnosis of in Vascular With To Cholesterol in With Uric Acid AND OF OF THE CORONARY PHYSIQUE OF A with to atherosclerosis June tissue heart diseasesUric acid June PDF
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