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January 1, 2010Frontiers in Bioscience-EliteOpen Access

Hemostatic gene polymorphisms in young Sardinian with non-fatal acute myocardial infarction

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Key result

eNOS D and TPO 5709G alleles linked to ~60% lower MI risk in young adults.

  • OR 0.40
  • 95% CI 0.19-0.82
  • P=0.016
  • n=221

Why the study?

The role of genetic factors in the development of acute myocardial infarction in young adults remains undefined, particularly in genetically restricted populations.

Are hemostatic gene polymorphisms associated with the risk of acute myocardial infarction in young Sardinian adults?

Population

71 young Sardinian adults with first MI and 150 healthy subjects

Comparison

Patients with AMI vs healthy controls for hemostatic gene polymorphisms

Design

Case-control study

Authors

CCCiriaco CarruUniversity of Sassari

Discussion

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Implication

TPO 5709G and eNOS4a alleles were associated with MI protection in young Sardinians; hypothesis-generating for haemostatic genetics in isolated populations.

Study Design

Type

Case-Control (n=221)

Multicenter

No

Structured PICO

Are hemostatic gene polymorphisms associated with the risk of acute myocardial infarction in young Sardinian adults?

P
Population
221 young Sardinian adults, including 71 survivors of a first acute myocardial infarction and 150 healthy controls, evaluated for hemostatic gene polymorphisms.
E
Exposure
Presence of specific hemostatic gene polymorphisms (including TPO A5709G and eNOS I/D dimorphism)
C
Comparator
Healthy subjects (control group)
O
Outcome
Risk of acute myocardial infarctionhard clinical

Main Result

Odds Ratio: 0.4 (95% CI 0.19–0.82)

Absolute Event Rate: 7% vs 15.9%

p-value: p=0.016

The 5709G allele in the TPO gene and eNOS4a allele in the eNOS gene may confer protection against acute myocardial infarction in young Sardinian adults.

Limitations

  • Only patients who had survived a myocardial infarction were enrolled, potentially underestimating the effects of prothrombotic mutations linked to early death.
  • Small sample size requiring confirmation by replication in a larger sample or prospective studies.

Cite This Study

Ciriaco Carru (2010) conducted a case-control in Acute myocardial infarction (n=221). eNOS I/D and TPO A5709G gene polymorphisms vs. Healthy controls was evaluated on Risk of acute myocardial infarction associated with the eNOS D allele (OR 0.40, 95% CI 0.19-0.82, p=0.016). The eNOS D allele and TPO 5709G allele were associated with a significantly reduced risk of acute myocardial infarction in young Sardinian adults, with the eNOS D allele showing an OR of 0.40.

synapsesocial.com/papers/6aa8fc5cff43606bee5d4903https://doi.org/10.2741/e114
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