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December 1, 1993Clinical Genetics

Insertion/deletion (I/D) polymorphism at the locus for angiotensin I‐converting enzyme and myocardial infarction

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Key result

The frequency of the ACE DD genotype was significantly lower among male survivors of myocardial infarction compared to controls (22.7% vs 34.9%, p=0.011), with no significant difference in women.

Why the study?

Is the ACE I/D polymorphism DD genotype associated with an increased risk of myocardial infarction?

Population

234 survivors of myocardial infarction and 366 controls

Comparison

Presence of the DD genotype in the… vs Controls without myocardial infarction

Design

Case-control

Authors

MBM. BøhnUniversity of OsloKBKnut Erik BergeGeneral / Preventive / LipidsABA. BakkenSorbonne Université

Discussion

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Implication

ACE DD genotype does not appear to increase MI risk in men; hypothesis-generating and leaves the polymorphism's role open.

Study Design

Type

Case-Control (n=600)

Structured PICO

Is the ACE I/D polymorphism DD genotype associated with an increased risk of myocardial infarction?

P
Population
600 participants comprising 234 survivors of myocardial infarction (males <56 years, females <61 years) and 366 controls.
E
Exposure
Presence of the DD genotype (homozygosity for the deletion allele) in the insertion/deletion (I/D) polymorphism at the angiotensin I-converting enzyme (ACE) locus
C
Comparator
Controls without myocardial infarction
O
Outcome
Frequency of the DD genotypesurrogate

Main Result

Absolute Event Rate: 22.7% vs 34.9%

p-value: p=0.011

The ACE DD genotype was found to be less frequent in male survivors of premature myocardial infarction compared to controls, contrasting with previous reports.

Limitations

  • Chance
  • Undetected selection biases
  • Different gene-environment interactions between Norway and France or Ireland
  • Preferential loss of DD individuals in the male high-risk group
  • Different gene-environment interactions

Cite This Study

Bøhn et al. (1993) conducted a case-control in Myocardial infarction (n=600). Insertion/deletion (I/D) polymorphism at the ACE locus (DD genotype) vs. Controls was evaluated on Frequency of the DD genotype in males (p=0.011). The frequency of the ACE DD genotype was significantly lower among male survivors of myocardial infarction compared to controls (22.7% vs 34.9%, p=0.011), with no significant difference in women.

synapsesocial.com/papers/6a1ff64ec1b320180d0db327https://doi.org/10.1111/j.1399-0004.1993.tb03903.x
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Also Consider

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