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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1997-2-19
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pubmed:abstractText |
A recent report has suggested that the E4 allele of apolipoprotein (apo) E increases the risk of restenosis after percutaneous transluminal coronary angioplasty (PTCA) and also that it interacts synergistically with the deletion (D) allele of the angiotensin-converting enzyme (ACE) to increase the risk sixteen-fold. To investigate this further, we genotyped 231 subjects with successful PTCA who underwent planned repeat angiography at 4 months to assess the degree of restenosis. Subjects carrying the apo E4 allele (n = 71) were well matched with non-carriers (n = 160) for clinical and pre- and post-PTCA angiographic features. We found no increase in either apo E4 allele frequency (18.4% versus 15.6%, P = 0.42) or apo E4 homozygosity (2/106 versus 5/125, P = 0.30) in those with restenosis compared with those without. The relative risk of restenosis for apo E4 carriers was 1.11 (95% CI = 0.87-1.42). In apo E4 carriers, restenosis frequency was similar in those also carrying the ACE D allele and those without (28/55 (50.9%) versus 9/16 (56.2%), P = 0.71) and there was no significant increase in restenosis risk in carriers of both the apo E4 and ACE D alleles compared to the rest (odds ratio 1.30, 95% CI 0.68-2.50, P = 0.39). We conclude that in our cohort, the apo E4 allele does not either independently or acting synergistically with the ACE D allele increase the risk of restenosis after PTCA, and that apo E genotyping will not be a useful predictor of risk before the procedure.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0021-9150
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
6
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pubmed:volume |
125
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
209-16
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:8842352-Alleles,
pubmed-meshheading:8842352-Angioplasty, Balloon, Coronary,
pubmed-meshheading:8842352-Apolipoproteins E,
pubmed-meshheading:8842352-Cohort Studies,
pubmed-meshheading:8842352-Coronary Angiography,
pubmed-meshheading:8842352-Coronary Disease,
pubmed-meshheading:8842352-Female,
pubmed-meshheading:8842352-Forecasting,
pubmed-meshheading:8842352-Genotype,
pubmed-meshheading:8842352-Humans,
pubmed-meshheading:8842352-Male,
pubmed-meshheading:8842352-Middle Aged,
pubmed-meshheading:8842352-Peptidyl-Dipeptidase A,
pubmed-meshheading:8842352-Polymorphism, Genetic,
pubmed-meshheading:8842352-Postoperative Complications,
pubmed-meshheading:8842352-Recurrence,
pubmed-meshheading:8842352-Risk Factors
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pubmed:year |
1996
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pubmed:articleTitle |
Apolipoprotein E polymorphism does not predict risk of restenosis after coronary angioplasty.
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pubmed:affiliation |
Department of Cardiology, University of Leicester, UK.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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