Thrombophilic mutations in high-risk atrial fibrillation patients: high prevalence of prothrombin gene G20210A polymorphism and lack of correlation with thromboembolism

Thromb Haemost. 2003 Dec;90(6):1158-62. doi: 10.1160/TH03-04-0240.

Abstract

Atrial fibrillation (AF) is a common arrhythmia that results in a high risk of cerebral and peripheral embolism. Factor V Leiden and factor II G20210A variant are two leading conditions for venous thrombosis. The aim of our study was to find out whether these two common prothrombotic mutations play a role in the occurrence of embolic events in AF patients. We investigated 336 non-valvular AF patients and 336 healthy control subjects. Factor II G20210A variant was found in 24/336 patients (7.14%) and in 11/336 of control subjects (3.3%). At a multivariate analysis, factor II G20210A variant was independently associated to AF (OR 2.4 95% CI 1.1-5.2; p<0.05). No significant difference was observed in the prevalence of factor V Leiden in the two groups investigated [6/304 (2.0%) in patients vs 13/336 (3.9%) in controls (p=0.24)]. AF patients were separately analyzed in relation to the occurrence or absence of a cerebral or peripheral embolic event (200 with and 136 without embolic event). The prevalence of the two mutations among AF patients with and without an embolic event was similar [factor II G20210A polymorphism (7% and 7.3% respectively) and factor V Leiden (1.2% and 2.9%, respectively)]. No differences were found in relation to the type of embolic event. Our results suggest a possible relationship between the presence of prothrombin gene variant and AF per se.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Atrial Fibrillation / blood
  • Atrial Fibrillation / complications*
  • Atrial Fibrillation / genetics*
  • Case-Control Studies
  • DNA Mutational Analysis
  • Factor V
  • Mutation*
  • Polymorphism, Single Nucleotide*
  • Prevalence
  • Prothrombin / genetics*
  • Risk Factors
  • Thromboembolism / epidemiology
  • Thromboembolism / etiology
  • Thromboembolism / genetics*
  • Thrombophilia / genetics*

Substances

  • factor V Leiden
  • Factor V
  • Prothrombin