INVESTIGATION OF THE INFLUENCE OF THROMBOPHILIC GENES POLYMORPHISM, INCLUDING SERPIN 1 (PAI-I), FII, PROTHROMBIN AND ITGB3-Β INTEGRIN, ON THE FREQUENCY OF STROKE IN ASSOCIATION WITH CONTROLLABLE RISK FACTORS FOR ITS OCCURRENCE

Author:

Oros Mikhail M.1,Lutz Vitaly V.2,Pavlo Andrukh H.3,Sitkar Andrii D.2

Affiliation:

1. REGIONAL CENTER OF NEUROLOGY AND NEUROSURGERY, UZHHOROD NATIONAL UNIVERSITY, UZHHOROD, UKRAINE

2. DEPARTMENT OF NEUROLOGY, MUKACHEVO CENTRAL DISTRICT HOSPITAL, MUKACHEVO, UKRAINE

3. KHARKIV MEDICAL ACADEMY OF POSTGRADUATE EDUCATION, KHARKIV, UKRAINE

Abstract

The aim is the analysis of the relationship between the polymorphism of thrombophilic genes, in particular Serpin 1 (PAI-1), F2-prothrombin and ITGB3-β integrin, and the incidence of stroke, as well as the study of factor effects of this polymorphism in association with controlled risk factors (hypertonic disease, smoking, alcohol consumption, diabetes mellitus, obesity, atrial fibrillation). Materials and methods: A total of 134 patients were examined (men accounted for 44.8%, women 55.2%, average age 62.5 ± 2.1). The statistical analysis was carried out using the following criteria: χ2-Pearson, Fisher’s exact criterion (reversible), Chuprov’s coefficient of conjugation and dispersion analysis (alternative complex). Results: The relationship between the frequency of a specific allele of thrombophilia and the incidence of stroke is absent. The reason for such results can be a significant effect of random factors (hypertension, diabetes ...), a significant variability of risk factors, their different frequency in groups (inter- and intra-group differences), a significant (95%) total effect of these factors. Conclusions:Identification of biochemical or genetic markers of thrombophilic conditions, including polymorphism of the hemostasis system genes, will significantly increase the possibility of adequate pathogenetic treatment and timely prevention of acute cerebrovascular disorders, especially persons of working age, which has great medical and social importance.

Publisher

ALUNA

Subject

General Medicine

Reference31 articles.

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2. 2. Suslin, Z. A., Piradov M.A., Domashenko M.A. Insult: otsenka problemyi (15 let spustya) [Stroke: Assessment of the Problem (15 Years Later)]. Journal of Neurology and Psychiatry 2014;(No. 11):5-13. (in Russian).

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5. 5. Koltsova E.A. Rol strukturnyih osobennostey genov renin-angiotenzinovoy sistemyi, endotelialnoy NO-sintazyi i r53 v razvitii osnovnyih faktorov tserebro-vaskulyarnoy patologii i insulta [The role of structural features of the renin-angiotensin system genes, endothelial NO synthase and p53 in the development of the main risk factors for cerebrovascular pathology and in the development of brain infarction]. Dis. Candidate of med. sciences M.: 2002. p.124. (in Russian)

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