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Familial genetic risk factors in premature cardiovascular disease: a family study
Oguzhan Yucel1, Oguz Karahan, Ali Zorlu
1Departments of Cardiology, Faculty of Medicine of Cumhuriyet University, Sivas, Turkey.
Insights
Investigating familial cardiovascular disease (CVD) risk factors in a young patient revealed genetic defects. Early detection and family-wide preventive measures can help avoid severe CVD in at-risk relatives.
Area of Science:
- Cardiology
- Genetics
- Preventive Medicine
Background:
- Cardiovascular disease (CVD) often exhibits familial predisposition, indicating a genetic component.
- A young patient undergoing coronary artery bypass graft surgery highlights the need to investigate family history for CVD risk factors.
Purpose of the Study:
- To identify predisposing genetic and physiological risk factors for cardiovascular disease (CVD) within the family of a young patient.
- To assess the prevalence of CVD and related risk factors in the patient's father, uncle, and brothers.
Main Methods:
- Performed biochemical tests including lipid profile, glucose, urea, creatinine, and liver enzymes.
- Conducted complete blood counts and evaluated physiological coagulation inhibitory factors (protein C, protein S, antithrombin III).
- Assessed prothrombotic genetic risk factors (factor V Leiden, PAI-1, MTHFR, ACE, etc.) and homocysteine levels.
Main Results:
- Identified significant defects in multiple genetic factors and regulatory systems associated with CVD.
- Observed various stages of CVD in the patient's brothers (aged 28 and 32).
- Confirmed early-onset myocardial infarction in the patient's father and uncle.
Conclusions:
- A specific familial history of CVD risk factors can be identified in young adults.
- Providing information and implementing preventive strategies for family members can mitigate severe CVD.
- Early detection of genetic predispositions is crucial for cardiovascular health management in families.
Abstract:
Cardiovascular disease (CVD) is closely associated with familial predisposition. The aim of the present study was to investigate predisposing risk factors in the family of a young patient who underwent coronary artery bypass graft surgery due to CVD. The father and uncle of the patient died at an early age due to myocardial infarction. Various stages of CVD were identified in both of the patient's brothers (28 and 32 years of age). Biochemical tests (fasting blood glucose, lipid profile, urea, creatinine and liver enzymes) and a complete blood count (haemoglobin, haematocrit, white blood cell count, and platelet count) were performed. Physiological coagulation inhibitory factors (protein C, protein S, and antithrombin III), prothrombotic genetic risk factors (factor V Leiden, plasminogen activator inhibitor-1, methylenetetrahydrofolate reductase A1C and C6T, angiotensin-converting enzyme, β-fibrinogen, glycoprotein IIIa and factor XIII) and homocysteine levels were evaluated in all cases. Defects were observed in many genetic factors and in the systems regulated by these factors. The results were compatible with those reported in the literature. In conclusion, it is possible to determine a specific family history in young adults with CVD. From this perspective, the emergence of more serious CVD may be prevented by providing disease-related information to the other family members and implementing preventive measures.
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