[The individual fatty acids in blood plasma, erythrocytes and lipoproteins. The comparison of tests results of patients with ischemic heart disease and volunteers].

According to the generally accepted theory, the atherosclerosis is a kind of disorder of metabolism of lipids which chemically are the ethers of fatty lipids with spirits. Hence, the atherosclerosis is fatty acids pathology. In conformity with the biologic classification, among fatty acids it is functionally valid to distinguish saturated fatty acids without double bonds; monoenic fatty acids with one double bond; unsaturated fatty acids with two or three double bonds and polyenic fatty acids with four of six double bonds in chain. The saturated and monenic fatty acids are the substrates for cells to groundwork energy, ATP The unsaturated fatty acids in vivo are needed to form membranes. The polyenic fatty acids are essential since they are precursors of cell synthesis of humoral regulators--eicosanoids (prostanoids and leukotrienes). To clarify the pathogenesis of the "metabolic pandemics" most prevalent in human population, the quantitative determination of individual fatty acids in blood plasma and erythrocytes using gas chromatography technique is needed. It is necessary to evaluate the content of medium chain fatty acids; palmitic and stearic saturated fatty acids; oleic monoenic fatty acid and its transforms--linoleic, linolenic and dihomo-gamma-linolenic unsaturated fatty acids; essential polyenic omega-6 arachidonic, omega-3 eicosapentaenoic and docosahexaenoic fatty acids. The higher is in food the content of palmitic saturated fatty acid, palmitoleic and trans-vaccenic monoenic fatty acids, the more is in patient diet of beef meat and products of fat cow's milk. The higher is ratio of palmitic/oleic fatty acids the lower is the risk of formation of atheromatosis of arteries intima and development of ischemic heart disease and vice versa. The decrease of ratio of omega-3/omega-6 essential polyenic fatty acids is undesirable in prognostic sense. The metabolism of these acids differs and functional activity of omega-3 eicosanoid type 3 is higher In case of deficiency of omega-3 and omega-6 polyenic fatty acids in cells eicosanoids are synthesized from unsaturated dihomogamma-linolenic fatty acid and their influence turns out to be aphysiologic. This condition is a pathogenic foundation of atherosclerosis. There is a diagnostic reason to detect fatty acids in case of diabetes mellitus, obesity, metabolic syndrome and partially arterial hypertension.