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Genetics of the acute coronary syndrome
1Department of Hematology and Transfusion Medicine, Carlo Poma Hospital, Mantova, Italy.
Insights
Genetic factors play a significant role in the development of acute coronary artery disease (CAD). Understanding these inherited risks is crucial for developing effective prevention and treatment strategies for this widespread condition.
Area of Science:
- Cardiology
- Genetics
- Epidemiology
Background:
- Acute coronary artery syndrome (ACS) is a major cause of death globally, with increasing prevalence in Asia.
- Coronary artery disease (CAD) arises from a complex interplay of acquired and inherited risk factors.
- Recent advancements in genomics have significantly improved our understanding of CAD's genetic underpinnings.
Purpose of the Study:
- To review the current understanding of genetic factors contributing to acute CAD risk.
- To highlight the importance of genetic predisposition in CAD etiology.
- To explore the impact of genetic research on preventive and therapeutic strategies for CAD.
Main Methods:
- This review synthesizes findings from experimental and epidemiological studies.
- It focuses on advancements in whole genome scanning and genome-wide association studies (GWAS).
- The review adopts a narrative approach to explore the genetic basis of CAD.
Main Results:
- Genetic factors are integral to the multifactorial nature of CAD.
- Genome-wide studies have identified numerous genetic variants associated with CAD risk.
- Understanding genetic contributions is key to personalized medicine approaches for CAD.
Conclusions:
- Genetic predisposition is a critical determinant of acute CAD risk.
- Continued research into genetic factors will refine risk prediction and inform targeted interventions.
- Integrating genetic insights into clinical practice is essential for managing the growing burden of CAD.
Abstract:
Acute coronary artery syndrome in the leading cause of morbidity and mortality in Western countries, and its epidemiological burden is also constantly increasing worldwide, including Asia. Due to social and economic consequences, a number of experimental and epidemiological studies have analyzed its etiology so far, in order to develop effective preventive and treatment measures. Thanks to these studies, it is now clear that coronary artery disease (CAD) is a complex multifactorial disorder, resulting from close interaction between acquired and inherited risk factors. In particular, considerable advances were made in the last decade about our understanding of the genetic causes of CAD, mainly propelled by the progresses in whole genome scanning and the development of genome wide association studies. This narrative review is hence dedicated to explore the role of genetic factors in the risk of developing acute CAD.
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