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Angiology
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Article

Oxidative Stress and Platelet Activation: Markers of Myocardial Infarction in Type 2 Diabetes Mellitus

Hala El-Mesallamy, Nadia Hamdy, Salwa Suwailem, and Sara Mostafa*

* To whom correspondence should be addressed. E-mail: sara2282004{at}yahoo.com.


  Abstract
We compared lipids, lipid peroxidation product malondialdehyde (MDA), the acute phase reactant high-sensitivity C-reactive protein (hsCRP), interleukin 1{beta} (IL-1{beta}), and platelet selectin (P-selectin) between healthy controls, type 2 diabetes mellitus (DM) participants without myocardial infarction (MI), as well as type 2 DM participants with MI. Malondialdehyde, IL-1{beta}, and P-selectin levels were significantly higher in the diabetic participants with MI than in either healthy controls or diabetic participants without MI. In the diabetic groups, fasting blood glucose (FBG) level, glycated hemoglobin (HbA1c), MDA, hsCRP, and P-selectin were all significantly positively correlated with each other. This study suggests that increased levels of oxidative stress markers, proinflammatory markers, and adhesion molecules contribute to the atherosclerotic process that eventually leads to coronary artery disease in diabetic patients.

First published on September 16, 2009, doi:10.1177/0003319709340891
A more recent version of this article appeared on November 18, 2009

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