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Hereditary Thrombophilic Factors in Stroke Due to Cerebral Infarct
Authors:Zahit Bolaman  Gurhan Kadikoylu  Ayca Ozkul  Nefati Kiylioglu  Ahmet Erturk  Ali Akyol  Sabri Batun
Affiliation:1. Department of Internal Medicine “D”, Sheba Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Israel;2. Department of Statistics and Operations Research, Faculty of Exact Sciences, Tel Aviv University, Israel;3. National Center of Trauma and Emergency Medicine Research, Gertner Institute for Health Policy & Epidemiology Head, Israel;4. Disaster Medicine and School of Public Health, Tel-Aviv University, Israel;5. Stroke Center, Department of Neurology, Sheba Medical Center, Sackler Faculty of Medicine, Israel;6. Trauma Unit, Sheba Medical Center, Tel Hashomer, Israel;7. Diagnostic Imaging of Sheba Medical Center, Tel Hashomer, Israel;8. School of Public Health, Tel-Aviv University, Israel;9. The Institute of Thrombosis and Hemostasis, Sheba Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel
Abstract:BackgroundThe stroke is the third most common cause of all deaths. In new studies, the importance of hereditary thrombophilic factors on stroke is emphasized. The aim of this study is to determine the role of hereditary thrombophilic factors including factor V Leiden A1691G (FVL), prothrombin G20210A, and methylenetetrahydrofolate reductase (MTHFR) C677T gene mutations in patients with stroke because of cerebral infarct.MethodsTwenty-four patients with stroke and 53 controls with risk factor for stroke were enrolled. Polymerase chain reaction was used to detect these mutations.ResultsHeterozygote FVL mutation in 2 (8.3%) patients and MTHFR mutation in 10 (41.7%) patients were detected. In the control group, there were 2 (3.8%) patients with heterozygote FVL mutation and 15 (28.3%) patients with MTHR mutation. Both FVL and MTHFR gene mutations were detected in 1 patient and 2 controls, respectively. Prothrombin gene mutation was not found in 2 groups. There were not statistically significant differences for all 3 mutations in-between 2 groups (P > 0.05). Odds ratios were 0.431 (0.074–2.504, 95% CI) for FVL mutation and 0.553 (0.221–1.381, 95% CI) for MTHFR mutation, respectively.ConclusionAlthough our study group was small, hereditary thrombophilic factors might not be risk factors for stroke because of cerebral infarct.
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