Gout and left ventricular strain—Not everything is crystal clear!

Abstract

Uric acid and gout have been linked to cardiovascular diseases for some time. Serum uric acid is a byproduct of purine metabolism, produced as a result of the enzymatic activity of xanthine oxidase pathway (XO). 1 Purines are derived mostly from the diet, de novo biosynthesis, and breakdown of nucleic acids. 1 Serum uric acid levels