Hypercholesterolemic patients demonstrate a submaximal oxygen transport rate, University of Minnesota researchers report in a study published in the Journal of the American College of Surgeons (J Am Coll Surg 2000 190:490-497). They believe this could form the basis of a non-invasive alternative to the cardiac stress test for diagnosing heart disease and even diabetes.

Henry Buchwald and his team analyzed blood samples from 100 patients and uncovered an inverse correlation between plasma cholesterol levels and oxygen transport rate — a measure of how efficiently oxygen can be moved out of red blood cells and into the tissues. "Doctors have noted that chest pain associated with coronary heart disease diminishes after cholesterol is lowered," said Buchwald. The team conclude that plasma cholesterol level is a controlling factor in erythrocyte membrane cholesterol content, which in turn regulates oxygen transport in and out of red blood cells, and thereby, tissue...

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