A SURVEY OF ACE I/D GENETIC VARIANT IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

Trần Công Duy1,, Trương Quang Bình1
1 University of Medicine and Pharmacy at Ho Chi Minh City

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Abstract

Objects: to assess the genetype and allele proportion of the angiotensin-converting enzyme (ACE) insertion/deletion (I/D) polymorphism in patients with acute myocardial infarction (AMI). Subjects and methods: This was a cross-sectional and descriptive study among AMI patients at Department of Cardiology and Department of Invasive Cardiology, Cho Ray Hospital between January 2020 and July 2020. All patients were determined ACE I/D genotypes by polymerase chain reactions. Results: A total of 130 AMI patients (mean age 65.7±11.9; 67.7% men) were enrolled in the study. Dyslipidemia (90.3%) and hypertension (87.7%) were the most frequent cardiovascular risk factors. The rate of patients with ST-segment elevation MI was 51.5% and Killip I class accounted for 76.2%. The rate of II, ID, and DD genotypes of ACE I/D polymorphism were 42.3%, 41.5%, and 16.2%, respectively. The I and D allele proportion of this genetic variant were 59.2% and 40.8%. Conclusions: DD genotype and D allele of ACE I/D genetic variant have the lowest proportion in patients with AMI.

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References

1. Baruah S, Chaliha MS, Borah PS, et al (2016), “Insertion/Insertion genotype of angiotensin I-converting-enzyme gene predicts risk of myocardial infarction in North East India”, Biochem Genet, 54 (2), pp. 134-46.
2. Cambien F, Poirier O, Lecerf L, et al (1992), “Deletion polymorphism in the gene for angiotensin-converting enzyme is a potent risk factor for myocardial infarction”, Nature, 359, pp. 641-644.
3. Mehri S, Baudin B, Mahjoub S, et al (2010), “Angiotensin-converting enzyme insertion/deletion gene polymorphism in a Tunisian healthy and acute myocardial infarction population”, Genetic testing and molecular biomarkers, 14 (1), pp. 85-91.
4. Ngô Tuấn Hiệp (2017), So sánh giá trị của các thang điểm nguy cơ trong tiên lượng bệnh nhân nhồi máu cơ tim cấp, Luận án Tiến sĩ Y học, Đại học Y Dược TP. Hồ Chí Minh.
5. Nguyễn Văn Tuấn, Phạm Hồng Phương (2021), “Một số đặc điểm lâm sàng, cận lâm sàng và kết quả chụp động mạch vành qua da ở bệnh nhân nhồi máu cơ tim cấp”, Tạp chí Y Học Việt Nam, 502 (1), tr. 180-184.
6. Thygesen K, Alpert JS, Jaffe AS, et al(2018), “Fourth universal definition of myocardial infarction”, Circulation, 138, e618–e651.
7. Yoshida M, Iwai N, Ohmichi N, et al (1999), “D allele of the angiotensin-converting enzyme gene is a risk factor for secondary cardiac events after myocardial infarction”, Int J Cardiol, 70, pp. 119–125.
8. Zhang Y, Zhou S, Zhao X, Lei J (2006), “Relationship between polymorphism of angiotensin I converting enzyme gene insertion/deletion and ACE, PAI-1 activity in patients with myocardial infarction”, Chin J Pathophysiol, 22, pp. 2336-2339.