Sains Malaysiana 47(10)(2018): 2543–2556

http://dx.doi.org/10.17576/jsm-2018-4710-31

 

Challenges in Predicting Risks of Premature Coronary Artery Disease (Pcad)

(Cabaran dalam Meramal Risiko Penyakit Arteri Koronari Pramatang (Pcad))

 

MUHAMMAD FAIZAN A. SHUKOR1,2*, NOOR AKMAL SHAREELA ISMAIL1 & WAN ZURINAH WAN NGAH1

 

1Department of Biochemistry, Faculty of Medicine, UKM Medical Centre, Universiti Kebangsaan Malaysia, Jalan Ya’acob Latif, Bandar Tun Razak, 50300 Kuala Lumpur, Federal Territory, Malaysia

 

2Centre for Chemical Defense, Universiti Pertahanan Nasional Malaysia (UPNM), Kem Sungai Besi, 57000 Kuala Lumpur, Federal Territory, Malaysia

 

Diserahkan: 21 Mei 2018 /Diterima: 25 Jun 2018

 

ABSTRACT

Coronary artery disease (CAD) predominantly manifests in older population above the age of 60 years old. The incidence of CAD in younger individuals has been reported and is called premature CAD (pCAD). The prevalence for pCAD in individuals below 45 years old is about 3-10% worldwide. Advances in risk prediction are of great importance as absolute values of risk factors sometimes correlate poorly with individuals. The measurement of traditional risk factors such as cholesterol level and blood pressure might be inadequate to predict risk for pCAD and therefore new biomarkers are required. The introduction of omics technology offers insight into the mechanism and interactions involved during disease progression and open the possibilities of discovering new biomarkers. Currently, new potential biomarkers for pCAD have been explored such as homocysteine, apolipoproteins, microRNAs and single nucleotide polymorphisms. In this review, we discussed the associated risk factors for pCAD, several reported and newly proposed biomarkers and their potential to be used clinically.

 

Keywords: Atherosclerosis; biomarker; premature coronary artery disease

 

ABSTRAK

Penyakit arteri koronari (CAD) sering berlaku dalam populasi yang berumur 60 tahun ke atas. Walau bagaimanapun, kejadian dalam individu muda yang dipanggil CAD pramatang (pCAD) telah dilaporkan. Prevalens pCAD bagi individu di bawah umur 45 tahun adalah 3-10% di seluruh dunia. Kemajuan dalam meramal risiko adalah penting kerana nilai faktor risiko mutlak kadangkala berkorelasi lemah dengan individu. Pengukuran faktor risiko tradisi seperti paras kolesterol dan tekanan darah mungkin tidak mencukupi untuk meramal risiko pCAD, oleh itu penanda biologi baru diperlukan. Pengenalan teknologi omik memberikan lebih kefahaman terhadap mekanisme dan interaksi yang berlaku sewaktu perkembangan penyakit dan membuka kemungkinan untuk penemuan penanda biologi baru. Ketika ini, penanda biologi pCAD yang baru telah diteroka seperti homosisteina, apolipoprotein, mikroRNA dan polimorfisma nukleotida tunggal. Dalam ulasan ini, kami membincangkan tentang faktor risiko pCAD yang berkaitan, beberapa penanda biologi yang dilaporkan dan yang baru dicadangkan dan potensi mereka untuk digunakan secara klinikal.

 

Kata kunci: Aterosklerosis; penanda biologi; penyakit koronari arteri pramatang

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