Molecular genetic features of arterial hypertension in the aral sea region population
Abstract
Background. Arterial hypertension (AH) is a complex, multifactorial disease that significantly contributes to cardiovascular diseases. It is particularly prevalent in the Aral Sea region, where both genetic and environmental factors play a crucial role. This study focuses on the molecular-genetic characteristics of AH in the population of this region.
Materials and methods. The study was conducted on 1020 patients aged 40-70 years, diagnosed with AH at the Ellikkala District Medical Association in the Republic of Karakalpakstan. Genetic analysis was performed on 407 AH patients to identify polymorphisms in key genes associated with hypertension.
Results. Three significant genetic polymorphisms were identified in the AH patients: the G1675A polymorphism in the AGTR2 gene, the G460T polymorphism in the ADD1 gene, and the C704T polymorphism in the AGT gene. These polymorphisms were found to be associated with AH development in the Aral Sea region population.
Conclusion. This is the first large-scale molecular-genetic study of AH in the Aral Sea region, revealing genetic markers that contribute to the high prevalence of AH in this area. These findings will help in the development of a genetic risk calculator for cardiovascular diseases specific to the region.
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List of references
Kazantseva V.D., Peripartum cardiomyopathy: Pathophysiology and clinical aspects, Journal of Cardiovascular Research, 2021, 17, 05, 142–149.
Honigberg M.C., Givertz M.M., Diagnosis and management of peripartum cardiomyopathy: A comprehensive review, European Heart Journal, 2019, 32, 022, 2173–2182.
Iha N., Iha A.K., Role of echocardiography in peripartum cardiomyopathy, Journal of Cardiological Echocardiography, 2019, 16, 02, 58–62.
Main E.K., McCain C.L., Morton C.H., Pregnancy-related mortality in California: Causes, characteristics, and improvement opportunities, Obstetrics Gynecology, 2015, 125, 938–947.
The Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC), Guidelines on the management of cardiovascular diseases during pregnancy, European Heart Journal, 2015, 32, 3147–3197.
Duncker D., Westenfeld R., Konrad T., Risk for life-threatening arrhythmia in newly diagnosed peripartum cardiomyopathy with low ejection fraction: A German multi-center analysis, Clinical Research in Cardiology, 2017, 106, 08, 582–589, 10.1007/s00392-017-1090-5.
Abdullaev T.A., Tsoi I.A., Khudoyberganov O.K., Mirzarakhimova S.T., Five-year survival prognosis in patients with peripartum cardiomyopathy, Cardiological Herald, 2022, 17, 03, 58–62.
Hilfiker Kleiner D., Haghikia A., Nonhoff J., Bauersachs J., Peripartum cardiomyopathy: Current management and future perspectives, European Heart Journal, 2015, 36, 018, 1090–1097, 10.1093/eurheartj/ehv009.
Goland S., Elkayam U., Peripartum cardiomyopathy: Approach to management, Current Opinion in Cardiology, 2018, 33, 03, 347–353.
Pillarisetti J., Kondur A., Alani A., Peripartum cardiomyopathy: Predictors of recovery and current state of implantable cardioverter-defibrillator use, Journal of the American College of Cardiology, 2014, 63, 025 Pt A, 2831–2839.
Mallikethi Reddy S., Akintoye E., Trehan N., Burden of arrhythmias in peripartum cardiomyopathy: Analysis of 9841 hospitalizations, International Journal of Cardiology, 2017, 235, 114–117.
Duncker D., Pfeffer T.J., Bauersachs J., Veltmann C., ECG and arrhythmias in peripartum cardiomyopathy, Herzschrittmachertherapie Elektrophysiologie, 2021, 32, 02, 207–213.
Laghari A.H., Khan A.H., Kazmi K.A., Peripartum cardiomyopathy: Ten year experience at a tertiary care hospital in Pakistan, BMC Research Notes, 2015, 6, 495.
Duncker D., Westenfeld R., Konrad T., Risk for life-threatening arrhythmia in newly diagnosed peripartum cardiomyopathy with low ejection fraction: A German multi-centre analysis, Clinical Research in Cardiology, 2017, 106, 08, 582–589, 10.1007/s00392-017-1090-5.
Abdullaev T.A., Khudoyberganov O.K., Mirzarakhimova S.T., Tsoi, I. A., Frequency and characteristics of arrhythmias and conduction disturbances in relation to the heart remodeling in patients with peripartum cardiomyopathy, Society and Innovation, 2022, 3, 134–141.
Copyright (c) 2024 X.Х. Атаниязов, Х.Г. Фозилов, Г.А. Хамидуллаева , Г.Ж. Абдуллаева (Автор)

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