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Bull Exp Biol Med ; 153(6): 886-8, 2012 Oct.
Article in English, Russian | MEDLINE | ID: mdl-23113310

ABSTRACT

The study included 52 patients at a high risk of thromboembolic complications, with permanent atrial fibrillation. All patients were treated with acenocoumarol for 6 months and the incidence of hemorrhages was evaluated in all of them. All patients were genotyped by CYP2C9 and VKORC1. The presence of CYP2C9*2 and CYP2C9*3 alleles of CYP2C9 locus and AA genotype of VCORC1 gene polymorphic G-1639(3673)A marker was not associated with the development of hemorrhages under conditions of acenocoumarol treatment (p=0.144 for CYP2C9, p=0.809 and 0.918 for VCORC1 in the total group and subgroup of patients with CYP2C9*1/*1 genotype, respectively). The search for other genetic markers of acenocoumarol efficiency and safety is needed for predicting the risk of hemorrhages during this treatment.


Subject(s)
Acenocoumarol/adverse effects , Anticoagulants/adverse effects , Aryl Hydrocarbon Hydroxylases/genetics , Atrial Fibrillation/genetics , Mixed Function Oxygenases/genetics , Polymorphism, Genetic , Thromboembolism/genetics , Alleles , Aryl Hydrocarbon Hydroxylases/metabolism , Atrial Fibrillation/complications , Atrial Fibrillation/drug therapy , Atrial Fibrillation/enzymology , Cytochrome P-450 CYP2C9 , Genetic Loci , Genotype , Genotyping Techniques , Hemorrhage/etiology , Hemorrhage/prevention & control , Humans , International Normalized Ratio , Mixed Function Oxygenases/metabolism , Retrospective Studies , Risk , Russia , Thromboembolism/complications , Thromboembolism/drug therapy , Thromboembolism/enzymology , Vitamin K Epoxide Reductases
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