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基因多态性与孤立性心房颤动风险的相关性。

Correlation between gene polymorphisms and lone atrial fibrillation risk.

机构信息

a Department of Cardiology, Cangzhou City Central Hospital , Cangzhou , China.

b Department of Cardiology, Hebei Provincial Hospital of Integrative Chinese and Western Medicine , Cangzhou , China.

出版信息

Artif Cells Nanomed Biotechnol. 2019 Dec;47(1):2989-2993. doi: 10.1080/21691401.2019.1637885.

Abstract

Atrial electrical remodelling (AER) was significantly associated with atrial fibrillation (AF) development. Polymorphisms in hyperpolarization activated cyclic nucleotide gated potassium channel 4 () gene might be correlated with AER. In the present study, we explored the association of polymorphisms (rs498005 and rs7164883) with lone AF risk in a Chinese Han population. In this case-control study, the Sanger sequencing method was utilized to genotype the polymorphisms. Relative risk of AF was assessed by the test, and presented by odds ratios (ORs) and corresponding 95% confidence intervals (CIs). Logistic regression analysis was performed for multivariate analysis. The effects of polymorphisms on AF clinical features were analyzed by the Mann-Whitney test and adjusted by the Bonferroni method. C allele of rs498005 was significantly correlated with increased risk of AF (OR = 1.412, 95%CI = 1.012-1.970), and the association still exited after adjustment by age, gender, the status of smoking and drinking, histories of diabetes, hyperlipidaemia and myocardial infarction (adjusted OR = 1.473, 95%CI = 1.043-2.081). G allele of rs7164883 SNP was marginally associated with enhanced AF risk after adjustment by the above clinical parameters (adjusted OR = 1.742, 95%CI = 1.019-2.980). Atrial late potential (ALP), including TP (P wave duration after filtering) and LP (the amplitude of superimposed potential in the final 20 ms of P wave) were significantly associated with rs498005 genotype ( < .001). rs498005 and rs7164883 polymorphisms are significantly associated with AF risk.

摘要

心房电重构(AER)与心房颤动(AF)的发展显著相关。超极化激活环核苷酸门控钾通道 4()基因的多态性可能与 AER 相关。在本研究中,我们在中国汉族人群中探讨了多态性(rs498005 和 rs7164883)与孤立性 AF 风险的关联。在这项病例对照研究中,我们使用 Sanger 测序法对多态性进行基因分型。通过卡方检验评估 AF 的相对风险,并以比值比(OR)和相应的 95%置信区间(CI)表示。进行 logistic 回归分析进行多变量分析。通过 Mann-Whitney 检验分析多态性对 AF 临床特征的影响,并通过 Bonferroni 方法进行校正。rs498005 的 C 等位基因与 AF 风险增加显著相关(OR=1.412,95%CI=1.012-1.970),并且在调整年龄、性别、吸烟和饮酒状况、糖尿病、高脂血症和心肌梗死史后,这种关联仍然存在(调整后的 OR=1.473,95%CI=1.043-2.081)。rs7164883 SNP 的 G 等位基因在调整上述临床参数后与增强的 AF 风险略有相关(调整后的 OR=1.742,95%CI=1.019-2.980)。心房晚期电位(ALP),包括 TP(滤波后 P 波持续时间)和 LP(P 波最后 20 毫秒叠加电位的振幅)与 rs498005 基因型显著相关(<0.001)。rs498005 和 rs7164883 多态性与 AF 风险显著相关。

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