Insertion/deletion polymorphism of the ACE gene and adherence to ACE inhibitors

Br J Clin Pharmacol. 2005 Apr;59(4):483-5. doi: 10.1111/j.1365-2125.2004.02332.x.

Abstract

Aims: We investigated whether the insertion/deletion (I/D) polymorphism of the ACE gene modified the adherence to ACE inhibitors as measured by the discontinuation of an ACE inhibitor, or addition of another antihypertensive drug.

Methods: This was a cohort study among 239 subjects who started ACE inhibitor therapy. A Cox proportional hazard model was used to calculate relative risk (RR).

Results: During follow-up there was no significant difference between subjects with the DD, ID or II genotype (DD vs II; RR = 1.17, 95%CI: 0.78, 1.77 and ID vs II; RR = 1.06, 95%CI: 0.73, 1.55) in adherence.

Conclusions: The I/D polymorphism of the ACE gene does not influence the adherence to ACE inhibitors.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Analysis of Variance
  • Angiotensin-Converting Enzyme Inhibitors / therapeutic use*
  • Antihypertensive Agents / therapeutic use
  • Cohort Studies
  • DNA Transposable Elements / genetics*
  • Gene Deletion*
  • Genotype
  • Humans
  • Hypertension / drug therapy
  • Hypertension / genetics
  • Middle Aged
  • Patient Compliance
  • Polymerase Chain Reaction / methods
  • Polymorphism, Genetic / genetics*
  • Prospective Studies
  • Risk Assessment

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Antihypertensive Agents
  • DNA Transposable Elements