Relationship of angiotensin converting enzyme genotype with serum triglyceride concentration in stroke patients

The Objective of this research was to study the relationship of angiotensin converting enzyme (ACE) genotype with serum triglycerides concentration in stroke patients. The insertion/deletion (I/D) ACE polymorphism was identif ied by using polymerase chain reaction in 122 prospectively studied ischemi c stroke patients (age 45-91 years). Serum triglycerides concentration was determined at admission and 3 months after the stroke, and compared between the ACE genotype groups (37 D/D, 68 D/I, 17 I/I). All clinical characteris tics were similar in the three groups. Patients with D/D genotype had mean serum triglycerides concentration significantly higher in acute (179.0 +/- 111.8 mg/dl) and chronic phase (176.4 +/- 121.6 mg/dl) than those with I/I genotype (acute phase: 108.7 +/- 36.1 mg/dl, P = 0.019; chronic phase: 116. 0 +/- 44.3 mg/dl, P = 0.021). The results showed that serum triglycerides c oncentration is elevated in stroke patients with the DID ACE genotype and i t may be related to the risk of cerebrovascular disease associated with thi s polymorphism. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.