Abstract: Coronary artery disease (CAD) is a major cause of morbidity, mortality, and healthcare expenditure.A number of environmental and genetic risk factors have been known to contribute to CAD. More recently, anumber of studies have supported as well as opposed a possible protective benefit of bilirubin in CAD, since ithas anti-inflammatory, antioxidant, and antiaggregatory properties that may reduce atherogenesis. It also sharesassociations with different forms of CAD, namely stable CAD, unstable angina pectoris, stable angina pectoris,and acute myocardial infarction. Lack of sufficient evidence, however, has failed to elucidate a causalrelationship between serum bilirubin level and risk of CAD. Therefore, in this update, we attempted to simplifythis intricate relationship between bilirubin and CAD, revisit the pathophysiology of disease, how bilirubin maybe protective, and to summarize the findings of the current literature

Abstract: Coronary artery disease (CAD) is a major cause of morbidity, mortality, and healthcare expenditure.A number of environmental and genetic risk factors have been known to contribute to CAD. More recently, anumber of studies have supported as well as opposed a possible protective benefit of bilirubin in CAD, since ithas anti-inflammatory, antioxidant, and antiaggregatory properties that may reduce atherogenesis. It also sharesassociations with different forms of CAD, namely stable CAD, unstable angina pectoris, stable angina pectoris,and acute myocardial infarction. Lack of sufficient evidence, however, has failed to elucidate a causalrelationship between serum bilirubin level and risk of CAD. Therefore, in this update, we attempted to simplifythis intricate relationship between bilirubin and CAD, revisit the pathophysiology of disease, how bilirubin maybe protective, and to summarize the findings of the current literature