David D
I've had gout since I was 19 due to a trait of overproducing uric acid that runs in my family. I'm over 60 now with no heart disease, even though my left big toe is quite deformed due to gout.
Gout is not a risk factor for coronary artery disease. When people think of gout, they think of someone who overeats, someone who might have diabetes and/or hypertension, which are risk factors for coronary artery disease, so people can jump to the conclusion that gout is associated with coronary artery disease, but by itself, it is not.
Uric acid crystals form in joints, not blood vessels. They form more easily in acidic solutions. Extracellular and synovial fluid can become acidic, especially if there is some local inflammation going on. This is one reason gout attacks can be triggered by minor trauma, something I've experienced many times. The inflammation from the trauma triggers precipitation of crystals, which then causes more inflammation, and a joint blows up.
This doesn't happen in the blood where the acid balance is more tightly regulated. I've never heard of uric crystals ever forming in the blood, though they can form kidney stones or in kidney tissue itself. There is no known mechanism, therefore, for gout to make coronary arteries worse, and studies of patients who have coronary artery disease haven't shown a prevalence of gout in them that is more than coincidence.
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Video Rating: 5 / 5 Gout - information, symptoms and treatments. Googout.info health information factsheet - advice on gout and its symptoms, causes and treatment, plus prevention through diet.
Orignal From: Can gout/uric acid crystals make coronary artery blockages worse in my heart?
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