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Published on: April 1, 2015
[Blood coagulation system as a component of hereditary predisposition to ischemic heart disease]
Insights
A study of 99 families found that blood relatives of myocardial infarction patients have high rates of coronary heart disease (CHD). Measuring antithrombin III activity is recommended for identifying genetic predisposition to CHD in those with a family history.
Area of Science:
- Cardiology
- Genetics
- Hematology
Background:
- Coronary heart disease (CHD) poses a significant health burden.
- Family history is a known risk factor for CHD.
- Understanding genetic predisposition is crucial for early detection and prevention.
Purpose of the Study:
- To investigate the relationship between family history and CHD affliction.
- To identify hemostatic parameters associated with genetic predisposition to CHD.
- To evaluate the utility of specific markers for CHD risk assessment.
Main Methods:
- Survey of 99 families with a history of myocardial infarction.
- Analysis of coagulative and anticoagulative factors in patients and their blood relatives.
- Examination of hemostatic parameters in relation to CHD and family history.
Main Results:
- High prevalence of CHD among blood relatives of myocardial infarction patients.
- Profound changes in coagulative and anticoagulative factors indicating hypercoagulation tendency.
- Evidence for genetic determination of hemostatic parameter activity in CHD predisposition.
Conclusions:
- The blood coagulative system is a key component of hereditary predisposition to CHD.
- Antithrombin III activity is a potential marker for genetic predisposition to CHD.
- Measuring antithrombin III is advisable for individuals with a family history of CHD.
Abstract:
The paper gives the results of survey of 99 families of patients with prior myocardial infarction. There was a high coronary heart disease (CHD) affliction among the blood relatives of probands and its clear-cut relationship to the specific features of their family history. The patients with prior myocardial infarction and their blood relatives showed profound changes in coagulative and anticoagulative factors, which indicate their tendency to hypercoagulation. The specific features of family history, the pattern of changes in hemostatic parameters in blood and non-blood relatives, and evidence for the genetic determination of the hemostatic parameter activity suggest that the blood coagulative system is an important component for hereditary predisposition to CHD. An association of some hemostatic parameters was examined with CHD. The paper provides strong evidence for the fact that it is expedient to measure antithrombin III activity as a marker of genetic predisposition to CHD while surveying a group of individuals who have a family history of CHD.
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