Lipoprotein(a) and SYNTAX Score Association with Severity of Coronary Artery Atherosclerosis in North India

Objectives: This cross-sectional study investigated the association of lipoprotein(a) [Lp(a)] levels  as an atherosclerosis predictor and their relationship to the severity of coronary artery disease (CAD). Methods: 360 consecutive patients at Sanjay Gandhi Postgraduate Institute of Medical Sciences and King George’s Medical University hospitals, Lucknow, North India, with chest pains, CAD symptoms and on lipid-lowering therapy were enrolled between June 2009 and October 2011. Before coronary artery angiography (CAG), a fasting blood sample was assessed for lipid and Lp(a) levels. The synergy between percutaneous coronary intervention with taxus and cardiac surgery (SYNTAX) score was calculated according to the CAG results. Patients were divided into 3 groups based on CAD severity and SYNTAX scores. Results: Angiography revealed CAD in 270 patients. Lp(a) levels were higher in CAD compared to non-CAD patients (48.7 ± 23.8 mg/dl versus 18.9 ± 11.1 mg/dl [P <0.0001]). The levels of Lp(a)were lower in single than in double and triple vessels (39.3 ± 18.4 mg/dl versus 58.0 ± 23.0 mg/dl, and 69.2 ± 24.1 mg/dl, [P <0.05]). Lp(a) levels were significantly higher in severe CAD with SYNTAX score >30 (88.0±24.0 mg/dl). Lp(a) levels correlated significantly with SYNTAX scores (r = 0.70, P <0.0001). Conclusion: In this study, Lp(a) levels were positively associated with a patient’s SYNTAX score in diseased vessels. Furthermore, an elevated Lp(a) level was a causal, independent risk factor of CAD. Lowering Lp(a) levels would reduce CAD in primary and secondary prevention settings. There is an urgent need to define more precisely which patients to treat and which to target for earlier interventions.

The Exchange of Orientifold Two-Planes in M-theory

We propose an M-theory lift picture of the exchange among type IIA orientifold two-planes. This consists in wrapping a M5-brane on a three-cycle in the transverse space of the M-theory orientifold plane OM2. A flux quantization condition for the three-form self-dual field strength, on the worldvolume of the M5-brane is computed. This condition establishes the value which explains the relative charge between two different OM2-planes. Also, we find that the exchange of the four types of orientifold two-planes in string theory, has a common picture in M-theory. Moreover, we find that the assignment of the extra charge is fixed by cohomology and by the flux quantization of the field strength G in M-theory. We conclude that cohomology is sufficient to describe some orientifold properties in M-theory, that at string theory level, only K-theory is able to explain.Comment: 23+1 pages, 6 figures. v2: typos corrected, references adde

Tracking Galaxy Evolution Through Low-Frequency Radio Continuum Observations using SKA and Citizen-Science Research using Multi-Wavelength Data

FWN – Publicaties zonder aanstelling Universiteit Leide

Supermembranes and Super Matrix Models

We review recent developments in the theory of supermembranes and their relation to matrix models.Comment: Invited lecture presented at the Corfu Workshop, September 20 - 26, 1998, of the TMR Project "Quantum Aspects of Gauge Theories, Supersymmetry and Unification" (ERBFMRXCT96-0045), to appear in the proceedings. Latex 41 p