I read with a great deal of interest the article concerning the relationship between coronary artery disease and homocysteine levels by Coffey and colleagues (“Reducing Coronary Artery Disease by Decreasing Homocysteine Levels,” February 2003:25–30). I was impressed by the fact that both men and women were included in the studies cited by the authors. Of particular interest to me was their mention of the study by Foody et al, which differentiated between the impact of elevated homocysteine levels in women versus men in terms of risk for coronary artery disease. As my dissertation topic will be the impact of elevated homocysteine levels in women, I am frequently perusing the literature for articles such as this one.

In the Nursing Implications section of the article, reference was made to the importance of measuring homocysteine levels in patients in the at-risk population. As I have not noticed an increased frequency in homocysteine...

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