Resumen

ARREDONDO BRUCE, Alfredo; SIFONTES ESTRADA, Miriam de los A  y  ARREDONDO RUBIDO, Alfredo. Genetic intervention in the early ischemic heart disease. Rev.Med.Electrón. [online]. 2016, vol.38, n.2, pp.199-210. ISSN 1684-1824.

Introduction: The premature appearance of the coronary heart disease in oneself family has been recognized and has settled down as a factor of independent risk of the coronary illness, short term changes have been demonstrated in the genetic expression in response to the diet, the exercise and the handling of the stress, producing positive changes at molecular level. Materials and Methods: When having found evidence of studies that support the hypothesis that the appearance of the premature coronary illness is a strong factor of risk, was carried out a revision using the following databases: PubMed, Embase, MEDLINE and Scielo, where the articles were revised in English and Castellano until beginnings of the 2014. Development: The patients with family history of ischemic heart disease, presented a higher mortality to the 35 years, the most important implication is the sustained risk of the premature coronary illness, which begins a lot before the other pathological processes become traditional factors of risk, are identified and try, genetic and molecular changes associated to improvement of the vascular state have been demonstrated, enzymes also exist able to modify the performance and elimination of the different drugs. Conclusions: The identification of a coronary event in a person smaller than 60 years should indicate the urgent necessity of an active intervention in its children, looking for dietary changes, of physical exercises, and interventions to the blood pressure that should be continued and sustained to reduce factors of risk and to obtain better adhesion to the drugs.

Palabras clave : Premature coronary disease; risk factors; premature death.

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