PT - JOURNAL ARTICLE AU - Lentz, Steven R. AU - Haynes, William G. TI - Homocysteine: Is it a clinically important cardiovascular risk factor? DP - 2004 Sep 01 TA - Cleveland Clinic Journal of Medicine PG - 729--734 VI - 71 IP - 9 4099 - http://www.ccjm.org/content/71/9/729.short 4100 - http://www.ccjm.org/content/71/9/729.full SO - Cleve Clin J Med2004 Sep 01; 71 AB - Elevated plasma homocysteine is associated with an increased risk of myocardial infarction, stroke, and venous thromboembolism. Folic acid and other B vitamins lower plasma homocysteine levels, but whether this therapy confers a clinical benefit has yet to be determined. Until we know the results of ongoing clinical trials of homocysteine-lowering therapy, testing for and treating elevated homocysteine is probably justified only in patients with known cardiovascular disease or who are at high risk.