Document Detail

Angiotensin-converting enzyme gene polymorphism, carotid intima-media thickness, and left ventricular mass index in adolescent hypertension.
MedLine Citation:
PMID:  14994253     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The aim of this study was to determine whether a positive correlation exists between the DD genotype of angiotensin-converting enzyme (ACE) and the carotid intima-media thickness (IMT) or left ventricular mass index (LVMI) in adolescents with hypertension. METHODS: We studied 120 hypertensive and 58 normotensive (control) adolescents. ACE gene polymorphism was determined by a standardized method. The IMT was measured in the common carotid arteries, and the LVMI was calculated on transthoracic echocardiography. The severity of hypertension was graded according to the results of ambulatory blood pressure monitoring as white coat, borderline, or proven hypertension. The association between ACE gene polymorphism and the obtained parameters was analyzed using analysis of variance and chi-square testing. RESULTS: Both the IMT and LVMI were higher in hypertensive than in control adolescents. In hypertensive subjects, no relationship was found between the different ACE genotypes and the IMT: the mean (+/- standard deviation) IMT in patients with the DD genotype was 0.57 +/- 0.11 mm; in those with the DI genotype, 0.53 +/- 0.01 mm; and in those with the II genotype, 0.55 +/- 0.01 mm. The LVMI was also similar in all 3 ACE genotypes: DD, 106.7 +/- 32.3 g/m(2); DI, 102.2 +/- 38.1 g/m(2); and II, 103.2 +/- 26.3 g/m(2). The severity of hypertension as assessed by ambulatory blood pressure monitoring was independent of the ACE genotype. CONCLUSIONS: Target-organ damage (left ventricular hypertrophy and carotid atherosclerosis) is detectable in adolescents with hypertension and, in those subjects, ACE genotype polymorphism is not correlated with the severity of target-organ damage as measured by IMT and LVMI.
Dénes Páll; Georgios Settakis; Eva Katona; János Zatik; József Kollár; Martien Limburg; Béla Fülesdi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical ultrasound : JCU     Volume:  32     ISSN:  0091-2751     ISO Abbreviation:  J Clin Ultrasound     Publication Date:    2004 Mar-Apr
Date Detail:
Created Date:  2004-03-02     Completed Date:  2004-06-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401663     Medline TA:  J Clin Ultrasound     Country:  United States    
Other Details:
Languages:  eng     Pagination:  129-35     Citation Subset:  IM    
Copyright Information:
Copyright 2004 Wiley Periodicals, Inc.
Department of Medicine, University of Debrecen, Medical and Health Science Center, Nagyerdei Körút 98, H-4012 Debrecen, Hungary.
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MeSH Terms
Analysis of Variance
Carotid Artery, Common / pathology*,  ultrasonography
Hypertension / complications,  enzymology*,  pathology*,  ultrasonography
Hypertrophy, Left Ventricular / complications,  pathology*,  ultrasonography
Peptidyl-Dipeptidase A / genetics*
Polymorphism, Genetic
Tunica Intima / pathology*
Reg. No./Substance:

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