PMID- 29141503 OWN - NLM STAT- MEDLINE DCOM- 20180727 LR - 20240314 IS - 1752-8976 (Electronic) IS - 1470-3203 (Print) IS - 1470-3203 (Linking) VI - 18 IP - 4 DP - 2017 Oct-Dec TI - Association of the genetic and traditional risk factors of ischaemic heart disease with STEMI and NSTEMI development. PG - 1470320317739987 LID - 10.1177/1470320317739987 [doi] LID - 1470320317739987 AB - INTRODUCTION: To evaluate the influence of traditional risk factors of ischaemic heart disease and genetic factors to predict different types of acute coronary syndromes. MATERIALS AND METHODS: Five hundred and twenty-three patients with acute coronary syndromes (393 with ST elevation myocardial infarction (STEMI) and 130 with non-ST elevation myocardial infarction (NSTEMI)) comprised the study group. The control group consisted of 645 subjects free from symptoms of ischaemic heart disease and stroke. Genetic polymorphisms of MMP-2 (-735) C/T, MMP-2 (-1306) C/T, MMP-3 (-1171) 5A/6A, MMP-9 (-1562) C/T and ACE I/D were evaluated using polymerase chain reaction. RESULTS: Patients with acute coronary syndromes more often had ID or II genotype than DD genotype of ACE ( P = 0.04) and 5A5A or 5A6A genotype than 6A6A genotype of MMP-3 ( P = 0.02) in comparison to the control group. The genotypes of other matrix metalloproteinase genes did not differ between the groups. 5A5A and 5A6A genotypes of MMP-3 (odds ratio (OR) 1.5; P = 0.021), II and ID genotypes of ACE (OR 1.7; P = 0.006) along with traditional ischaemic heart disease risk factors such as smoking (OR 4.9; P = 0.001), hypertension (OR 2.0; P = 0.001), diabetes mellitus (OR 2.9; P = 0.001) and dyslipidaemia (OR 2.1; P = 0.001) increased the risk of STEMI. However, the polymorphism of MMP-3 5A/6A and ACE I/D was not associated with the occurrence of NSTEMI. CONCLUSIONS: Genetic polymorphisms of MMP-3 5A/6A and ACE I/D along with conventional ischaemic heart disease risk factors increase the risk of the occurrence of STEMI, while having no influence on the pathogenesis of NSTEMI. FAU - Zaliaduonyte-Peksiene, Diana AU - Zaliaduonyte-Peksiene D AD - 1 Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Lithuania. FAU - Lesauskaite, Vaiva AU - Lesauskaite V AD - 2 Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Lithuania. FAU - Liutkeviciene, Rasa AU - Liutkeviciene R AD - 3 Neuroscience Institute, Medical Academy, Lithuanian University of Health Sciences, Lithuania. FAU - Tamakauskas, Vytenis AU - Tamakauskas V AD - 1 Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Lithuania. FAU - Kviesulaitis, Vilius AU - Kviesulaitis V AD - 1 Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Lithuania. FAU - Sinkunaite-Marsalkiene, Giedre AU - Sinkunaite-Marsalkiene G AD - 2 Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Lithuania. FAU - Simonyte, Sandrita AU - Simonyte S AD - 2 Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Lithuania. FAU - Maciulskyte, Simonita AU - Maciulskyte S AD - 1 Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Lithuania. FAU - Tamuleviciute-Prasciene, Egle AU - Tamuleviciute-Prasciene E AD - 1 Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Lithuania. FAU - Gustiene, Olivija AU - Gustiene O AD - 1 Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Lithuania. FAU - Tamosiunas, Abdonas AU - Tamosiunas A AD - 2 Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Lithuania. FAU - Zaliunas, Remigijus AU - Zaliunas R AD - 1 Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Lithuania. LA - eng PT - Journal Article PL - England TA - J Renin Angiotensin Aldosterone Syst JT - Journal of the renin-angiotensin-aldosterone system : JRAAS JID - 100971636 RN - EC 3.4.24.- (Matrix Metalloproteinases) SB - IM MH - Case-Control Studies MH - Female MH - *Genetic Association Studies MH - *Genetic Predisposition to Disease MH - Humans MH - Logistic Models MH - Male MH - Matrix Metalloproteinases/genetics MH - Middle Aged MH - Multivariate Analysis MH - Non-ST Elevated Myocardial Infarction/*genetics MH - Risk Factors MH - ST Elevation Myocardial Infarction/*genetics PMC - PMC5843915 OTO - NOTNLM OT - Risk factors OT - genetic polymorphism OT - myocardial infarction COIS- Declaration of conflicting interest: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2017/11/17 06:00 MHDA- 2018/07/28 06:00 PMCR- 2017/11/15 CRDT- 2017/11/17 06:00 PHST- 2017/11/17 06:00 [entrez] PHST- 2017/11/17 06:00 [pubmed] PHST- 2018/07/28 06:00 [medline] PHST- 2017/11/15 00:00 [pmc-release] AID - 10.1177_1470320317739987 [pii] AID - 10.1177/1470320317739987 [doi] PST - ppublish SO - J Renin Angiotensin Aldosterone Syst. 2017 Oct-Dec;18(4):1470320317739987. doi: 10.1177/1470320317739987.