Archives of the Turkish Society of Cardiology
Analysis of thrombophilic gene mutations in coronary artery ectasia [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2020; 48(4): 368-373 | DOI: 10.5543/tkda.2019.99789

Analysis of thrombophilic gene mutations in coronary artery ectasia

Zafer Yalım1, Serap Tutgun Onrat2, Sadık Volkan Emren3, İbrahim Etem Dural4, Alaettin Avşar1, Ersel Onrat1
1Departments of Cardiology, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey
2Departments of Medical Genetics, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey
3Departments of Cardiology, İzmir Katip Çelebi University Faculty of Medicine, İzmir, Turkey
4Departments of Cardiology, Sandıklı State Hospital, Afyonkarahisar, Turkey


OBJECTIVE
Coronary artery ectasia (CAE) is defined as localized or diffuse dilatation in the coronary artery lumen of at least 1.5 times the diameter of adjacent healthy reference segments. The etiology of CAE is still unknown, but the most likely cause is atherosclerosis. The aim of this study was to evaluate several gene polymorphisms that are thought to have an effect on the development of coronary atherosclerosis and have been shown to cause thrombophilia in CAE patients.

METHODS
The factor V Leiden (G1691A), factor V H1299R, prothrombin G20210A, factor XIII V34L, beta-fibrinogen-455 G>A, plasminogen activator inhibitor (PAI)-1 4G/5G, and methylenetetrahydrofolate reductase (MTHFR) C677T, and MTHFR A1298C polymorphisms were evaluated in 66 patients with CAE and 32 individuals with normal coronary arteries.

RESULTS
Comparison of the CAE and control groups revealed that the clinical features and the frequency of polymorphism in the thrombophilic genes were similar in both groups. However, when heterozygous and/or homozygous polymorphism was compared between groups, it was found that there was a significantly higher finding of thrombophilic gene polymorphism in the CAE group (p=0.023).

CONCLUSION
Thrombophilic gene polymorphism may be associated with the formation and clinical presentation of CAE.

Keywords: Coronary artery ectasia, gene polymorphism; thrombophilia.

How to cite this article
Zafer Yalım, Serap Tutgun Onrat, Sadık Volkan Emren, İbrahim Etem Dural, Alaettin Avşar, Ersel Onrat. Analysis of thrombophilic gene mutations in coronary artery ectasia. Turk Kardiyol Dern Ars. 2020; 48(4): 368-373

Corresponding Author: Zafer Yalım, Türkiye
© Copyright 2020 Archives of the Turkish Society of Cardiology
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