Table 4

Synergistic effect of ACE I/D DD genotype and classical risk factors in CAD patients and controls

Classical risk factor
ACE I/D DD
Whole population
Males
Females
≤ 45 subgroup



CAD
Control
OR(95%CI)
CAD
Control
OR(95%CI)
CAD
Control
OR(95%CI)
CAD
Control
OR(95%CI)



Hypertension














0
0
63
256
1
54
143
1
9
113
1
24
132
1
0
1
43
99
1.76(1.10–2.84)*
39
43
2.40(1.36–4.25)**
4
56
0.90(0.22–3.38)NS
11
55
1.10(0.47–2.55)NS
1
0
112
110
4.14(2.78–6.17)***
83
82
2.68(1.69–4.25)***
29
28
13.00(5.16–33.64)***
12
20
3.30(1.32–8.25)*
1
1
80
45
7.22(4.46–11,73)***
59
27
5.79(3.22–10.46)***
21
18
14.65(5.33–41.40)***
17
4
23.38(6.59–90.92)***


SI = 1.59; SIM = 0.99; RERI = 2.32;
AP = 0.32
SI = 1.56; SIM = 0.90; RERI = 1.71;
AP = 0.30
SI = 1.15; SIM = 1.25; RERI = 1.75;
AP = 0.12
SI = 9.32; SIM = 6.44; RERI = 19.98;
AP = 0.85
Smoking














0
0
112
269
1
76
153
1
36
116
1
11
106
1
0
1
70
104
1.62(1.09–2.39)*
48
47
2.06(1.23–3.45)*
22
57
1.24(0.64–2.41)NS
9
37
2.34(0.81–6.72)NS
1
0
63
97
1.56(1.04–2.34)*
61
72
1.71(1.07–2.71)*
2
25
0.26(0.04–1.21)NS
25
46
5.24(2.24–12.46)***
1
1
53
40
3.18(1.95–5.21)***
50
23
4.38(2.40–8.02)***
3
17
0.57(0.12–2.23)NS
19
22
8.32(3.21–21.96)***


SI = 1.85; SIM = 1.26; RERI = 1.00;
AP = 0.31
SI = 1.91; SIM = 1.24; RERI = 1.61;
AP = 0.37
SI = 0.86; SIM = 1.77; RERI = 0.07;
AP = 0.13
SI = 1.31; SIM = 0.68; RERI = 1.74;
AP = 0.21
Obesity














0
0
126
295
1
99
180
1
27
115
1
30
135
1
0
1
88
122
1.69(1.18–2.42)**
72
59
2.22(1.42–3.46)**
16
63
1.08(0.51–2.27)NS
22
55
1.80(0.91–3.55)NS
1
0
49
71
1.62(1.04–2.51)*
38
45
1.54(0.91–2.60)NS
11
26
1.80(0.73–4.39)NS
6
17
1.59(0.51–4.77)NS
1
1
35
22
3.72(2.03–6.87)***
26
11
4.30(1.93–9.71)***
9
11
3.48(1.18–10.24)*
6
4
6.75(1.56–30.78)*


SI = 2.07; SIM = 1.36; RERI = 1.41;
AP = 0.38
SI = 1.88; SIM = 1.26; RERI = 1.54;
AP = 0.36
SI = 2.82; SIM = 1.79; RERI = 1.60;
AP = 0.46
SI = 4.13; SIM = 2.36; RERI = 4.36;
AP = 0.65
Diabetes














0
0
123
342
1
101
208
1
22
134
1
31
151
1
0
1
89
134
1.85(1.30–2.63)**
75
61
2.53(1.64–3.91)***
14
73
1.17(0.53–2.56)NS
25
59
2.06(1.08–3.95)*
1
0
52
24
6.02(3.46–10.55)***
36
17
4.36(2.25–8.54)***
16
7
13.92(4.69–42.75)***
5
1
24.35(2.61–570.81)**
1
1
34
10
9.45(4.33–21.12)***
23
9
5.26(2.22–12.78)***
11
1
67.00(8.19–1458.07)***
3
0
--


SI = 1.44; SIM = 0.85; RERI = 2.58;
AP = 0.27
SI = 0.87; SIM = 0.47; RERI = -0.63;
AP = -0.12
SI = 5.04; SIM = 4.11; RERI = 52.91;
AP = 0.79
--


Dyslipidaemia














0
0
52
327
1
47
197
1
5
130
1
16
144
1
0
1
35
123
1.79(1.08–2.96)*
31
57
2.28(1.28–4.05)**
4
66
1.58(0.34–7.05)NS
6
58
0.93(0.31–2.70)NS
1
0
123
39
19.83(12.16–32.47)***
90
28
13.47(7.68–23.77)***
33
11
78.00(22.86–287.79)***
20
8
22.50(7.80–67.21)***
1
1
88
21
26.35(14.58–48.04)***
67
13
21.60(10.54–45.02)***
21
8
68.25(18.00–282.98)***
22
1
198.00(25.16–4210.95)***


SI = 1.29; SIM = 0.74; RERI = 5.73;
AP = 0.22
SI = 1.50; SIM = 0.70; RERI = 6.85;
AP = 0.32
SI = 0.87; SIM = 0.55; RERI = -10.33;
AP = -0.15
SI = 9.19; SIM = 9.46; RERI = 175.57;
AP = 0.89

SI, Rothman's synergy index for interaction; RERI, relative excess risk due to interaction; AP, proportion of disease attributable to interaction; *P < 0.05, **P < 0.005, ***P < 0.0001, NS not significant P > 0.05.

Freitas et al. BMC Cardiovascular Disorders 2008 8:15   doi:10.1186/1471-2261-8-15