Avtor/Urednik     Černe, Andreja
Naslov     Patomorfološki, funkcijski in genetski markerji ateroskleroze pri bolnikih s prvo klinčno manifestacijo koronarne bolezni
Tip     monografija
Kraj izdaje     Ljubljana
Založnik     Medicinska fakulteta
Leto izdaje     2002
Obseg     str. 73
Jezik     slo
Abstrakt     Background: Coronary artery disease (CAD) is a local manifestation of advanced atherosclerotic process. It is insidious in onset and affects simultaneously coronary, carotid and peripheral conduit arteries. CAD is a multifactorial disease which appears to be due to a number of genetic and environmental factors. Our present understanding of atherosclerosis pathogenesis suggests that genetic variations in factors modulating vasomotion (ACE, e- NOS), thrombosis (t-PA, PAI-1, GP IIIa) and lipid metabolism (apoE) may be involved in the development of CAD. Aims: 1) to assess the extent of coronary and peripheral atherosclerosis in patients showing first clinical manifestations of CAD; 2) to identify possible differences in the coronary and peripheral atherosclerotic burden with respect to clinical presentation of CAD (acute MI vs. unstable AP) and age at onset (< 55 years vs. >_ 55 years); 3) to investigate the role of several gene polymorphisms in the development of CAD; 4) to elucidate possible association between genetic polymorphisms and functional or morphological markers of atherosclerosis; and 5) to identify those genetic risk factors that might be related to the mode and time of CAD presentation. Subjects and methods: We studied 100 consecutive patients presenting with acute coronary syndrome as the first clinical manifestation of CAD. The study group was divided into subgroups according to the clinical presentation of CAD (acute MI, unstable AP) and age at onset (< 50 years, > 50 years). The control group consisted of 80 age- and gender-matched healthy subjects free of symptoms and signs of CAD. (Abstract truncated at 2000 characters).
Deskriptorji     CORONARY ARTERIOSCLEROSIS
CORONARY DISEASE
POLYMORPHISM (GENETICS)
ANGIOTENSIN II
ALTEPLASE
NITRIC OXIDE
PLASMINOGEN ACTIVATOR INHIBITOR 1
PLATELET GLYCOPROTEIN GPIIB-IIIA COMPLEX
APOLIPOPROTEINS E
MYOCARDIAL INFARCTION
ANGINA, UNSTABLE
CORONARY ANGIOGRAPHY
BRACHIAL ARTERY
FEMORAL ARTERY