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Identifying predictors of left ventricular hypertrophy (LVH) has been an active area of study because of the association of LVH with cardiovascular disease morbidity and mortality.
Some studies have looked at candidate genes associated with blood pressure to find genetic associations with LVH, with angiotensin-converting enzyme insertion/deletion (ACE) I/D and angiotensinogen (AGT) among the most commonly researched.
What this study adds:
Using data from the HyperGEN study, a suggestive epistatic (gene-gene interaction) effect on LVM was observed between the ACE I/D and AGT -20A-C genetic variants among white, but not African American hypertensive participants.
This suggestive evidence of epistasis in the development of LVM indicates the complexity of genetic contributions to cardiac structure.