ESR rate can be a marker for coronary artery disease

ESR rate can be a marker for coronary artery disease Letter (873) Total Article Views Authors: Eghbal Eftekhaari T Published Date December 2012 Volume 2012:8 Pages 669 - 670 DOI: http://dx.doi.org/10.2147/VHRM.S39006 Received: 10 October 2012 Accepted: 10 October 2012 Published: 18 December 2012 Tasnim Eghbal Eftekhaari Clinical Research Development Center of Shahid Mohammadi Hospital, Research Center for Cardiovascular Diseases, Department of Research and Technology, Hormozgan University of Medical Sciences, Bandar-e-Abbas, Iran The aim of Yayan’s1 study was to utilize the erythrocyte sedimentation rate (ESR) as a rapid guide to identify patients with acute coronary syndrome (ACS) or myocardial infarction. ESR is arguably a nonspecific biomarker which is elevated in almost every condition. Prakash et al2 have pointed to conflicting reports in the literature documenting the tendency of patients with periodontitis to develop anemia. Hence, this study was undertaken to assess whether periodontitis can cause an anemic state by evaluating and comparing the red blood cell count and levels of hemoglobin, hematocrit, ESR, serum iron, and serum ferritin between subjects with and without periodontitis, anemia, rheumatoid arthritis, and other hematologic conditions.1 However, this study shows that there is no statistically significant difference between rates of ESR in men and women. The purpose of referring to this reference is that most elderly people suffer from periodontitis and this condition is not negligible given that many older people also suffer for concomitant ischemic heart disease. Inflammation arising within the gastrointestinal tract may be of great importance in the pathogenesis of irritable bowel syndrome,2 regarding this fact that ESR is commonly used to assess the acute phase response,3 this acute phase response may be nonspecific. Elevated ESR is seen more often in elderly patients than in their younger counterparts3 (imagine an elderly patient with elevated ESR and consider whether ESR would be used as the sole basis for diagnosis of heart pain? Of course not!). ESR elevated concomitantly with C-reactive protein is used to confirm adult-onset Still’s disease.4 In an adult who is a heavy smoker with dyslipidemia, a personal history of Still’s disease, and a family history of ischemic heart disease, would you consider Still’s disease or ACS first? View original paper by Yayan. Post to: Cannotea Citeulike Del.icio.us Facebook LinkedIn Twitter Readers of this article also read: Green synthesis of silver/montmorillonite/chitosan bionanocomposites using the UV irradiation method and evaluation of antibacterial activity Mitotic and antiapoptotic effects of nanoparticles coencapsulating human VEGF and human angiopoietin-1 on vascular endothelial cells Enhanced transdermal delivery of evodiamine and rutaecarpine using microemulsion Phenotype characterization of embryoid body structures generated by a crystal comet effect tail in an intercellula