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November 28, 2016Clinical and Applied Thrombosis/HemostasisOpen Access

The Effect of ACE I/D Polymorphisms Alone and With Concomitant Risk Factors on Coronary Artery Disease

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Key result

The ACE D allele was significantly associated with an increased risk of coronary artery disease (OR 6.8; 95% CI 4.4-10).

Why the study?

Is the ACE I/D polymorphism associated with an increased risk of coronary artery disease in a Tunisian population?

Population

145 Tunisian patients with symptomatic coronary artery disease and a control group of 300 people matched for…

Comparison

ACE I/D polymorphisms (specifically the D allele) vs Controls without CAD / absence of the risk allele

Design

Case-control

Authors

AAAhmed AmaraInsermMMMeriem MradTunis UniversityASAicha SayehMercy Hospital and Medical Center

Discussion

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Implication

May inform CAD risk stratification in Tunisians; extends prior associations but remains hypothesis-generating pending replication.

Study Design

Type

Case-Control (n=445)

Structured PICO

Is the ACE I/D polymorphism associated with an increased risk of coronary artery disease in a Tunisian population?

P
Population
445 Tunisian individuals, including 145 patients with symptomatic coronary artery disease and 300 age- and sex-matched controls.
E
Exposure
ACE I/D polymorphisms (specifically the D allele)
C
Comparator
Controls without CAD / absence of the risk allele
O
Outcome
Presence/risk of coronary artery disease (CAD)

Main Result

Odds Ratio: 6.8 (95% CI 4.4–10)

The ACE D allele is associated with a significantly increased risk of coronary artery disease in a Tunisian population, a risk that is further potentiated by traditional cardiovascular risk factors.

Cite This Study

Amara et al. (2016) conducted a case-control in Coronary artery disease (n=445). ACE I/D polymorphisms vs. Age- and sex-matched controls was evaluated on Coronary artery disease (OR 6.8, 95% CI 4.4-10). The ACE D allele was significantly associated with an increased risk of coronary artery disease (OR 6.8; 95% CI 4.4-10).

synapsesocial.com/papers/6a8832f14c82be800eeb4e31https://doi.org/10.1177/1076029616679505

Topics

Coronary artery disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The I allele of the angiotensin converting enzyme I/D polymorphism confers protection against coronary artery disease2010 · 8 citations
  2. 2Angiotensin I-converting enzyme gene polymorphism, coronary artery disease and myocardial infarction. An angiographically controlled study1999 · 40 citations
  3. 3Evaluation of the Contribution of Renin Angiotensin System Polymorphisms to the Risk of Coronary Artery Disease Among Tunisians2010 · 16 citations
  4. 4Angiotensin-Converting Enzyme Genotype in Children and Coronary Events in Their Grandparents1995 · 66 citations
  5. 5Angiotensin-Converting Enzyme Insertion/Deletion Polymorphism Contributes High Risk for Chronic Kidney Disease in Asian Male with Hypertension–A Meta-Regression Analysis of 98 Observational Studies2014 · 41 citations