ANGIOTENSIN-CONVERTING ENZYME I D POLYMORPHISM AND ARTERIAL-WALL THICKNESS IN A GENERAL-POPULATION - THE VOBARNO STUDY/

Background It has been reported that the D allele of an insertion/dele tion (I/D) polymorphism of the angiotensin I-converting enzyme (ACE) g ene is associated with conditions of increased cardiovascular risk, in cluding left ventricular hypertrophy. Methods and Results Considering that a genetically determined overactivity of the renin-angiotensin sy stem may influence cardiac as well as vascular growth, we investigated possible relations between ACE I/D genotype and carotid artery wall t hickness (B-mode ultrasound) in 199 subjects, 50 to 64 years old, samp led from the general population of Vobarno, a small town in northern I taly. ACE DD genotype was associated with significantly higher common carotid artery intima-media thickness (P=.003). The occurrence of caro tid atherosclerotic plaques was similar in the different genotypes. Th ere was no association of the ACE I/D genotype with blood pressure val ues (either casual or 24-hour ambulatory monitored). Conclusions ACE D D genotype may be considered a risk factor for the development of comm on carotid intima-media thickening in our study population.