Summary
Myocardial infarction results from a platelet-rich occlusive coronary thrombus. Platelet
membrane glycoprotein IIb/IIIa plays an important role in platelet adhesion and aggregation.
Two polymorphisms of the gene encoding the IIIa subunit, PLA1 and PLA2, have been identified. We investigated the frequency of these polymorphisms in 114
consecutive patients with a history of angina-like chest pain admitted for coronary
arteriography. Forty-three of these patients had previously suffered a myocardial
infarction. The PLA2 polymorphism was found in 21% of the patients with previous myocardial infarction
and in 27% of the patients with angina-like chest pain but no previous myocardial
infarction (p = 0.634). There was also no significant association with the extent
of coronary disease. There is no evidence, therefore, from this study of an association
between the PLA polymorphisms and the occurrence of myocardial infarction.