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Central Asian Journal of Medicine

Abstract

Research objective. To determine the relationship between allelic variants of the polymorphic marker of PAI-1 gene with the risk factors of ischemic heart disease (IHD) in Uzbek nationality. Material and methods. 126 respondents were examined: 61 patients with stable angina (SA) aged 45 to 60 years (males) who were hospitalized in the cardiology department of the 1st TMA clinic in Tashkent. In the comparison group were 65 unrelated males of Uzbek nationality without clinical signs of coronary artery disease. The examined noted: arterial hypertension (AH) in 53 people, hypercholesterolemia (HCH) in 38 people, obesity in 23 people, smoking in 22 people. The diagnosis –SA was verificated in compliance with classification of IHD accepted at the IV congress of cardiologists (2000) became criteria of including of patients. Functional class of SA was established on the basis of classification of stable angina of the Canadian society of cardiologists (1976) and exciting test veloergometry. Criteria of an exception of a research- patients with unstable angina, myocardial infarction (MI), an acute and chronic heart, renal, liver failure, patients with an arrhythmia, acute disorders of a cerebral circulation, the diabetes mellitus, malignant neoplasms. Results. The analysis of genotyping of the studied persons of the Uzbek nationality showed that, in patients with IHD mutagen allele 4G of gene PAI-1 in homozygous (4G/4G) and heterozygous (4G/5G) state what makes 21,3% and 47,5%, respectively, meets more than in group of healthy faces at which given distributions of genotypes made 9,2% and 38,5%. Points these data probability of influence of existence of 4G allele of PAI-1 gene, especially in a heterozygous state, to development of IHD. 5G/5G the group of healthy faces in number of 34 people in 52.3% of cases, than at 19 (31,1%) IHD patients caused a stir in the greatest occurrence of a favorable genotype. Thus, these differences have the high statistical importance and wear, nonrandom character (р<0.05). Conclusion. The genotyping of the coagulation factor PAI-1 in the examined patients revealed the presence of unfavorable genotypes 4G/4G and 4G/5G was established more often in patients with coronary artery disease in 21.3% and 47.5% of cases, respectively, compared with the group of healthy individuals who This distribution of genotypes was 9.2% and 38.5%. Whereas, the prevalence rate of the 5G/5G genotype was prevalent in 52.3% of the control group over the spread of 31.1% of patients in the IHD.

First Page

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Last Page

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References

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