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Updated: Mar 18, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Precision medicine in cardiology
Elliott M Antman1, Joseph Loscalzo2
1Brigham and Women's Hospital, TIMI Study Group, 350 Longwood Avenue, Office Level One, Boston, Massachusetts 02115, USA.
Insights
Precision medicine offers a new era for cardiovascular research, integrating diverse data to improve individual and population health. This approach empowers patients as active participants in their care, moving beyond traditional disease silos.
Area of Science:
- Cardiovascular Medicine
- Genomics
- Public Health
Background:
- Noncommunicable diseases are a leading cause of death globally.
- Current medical approaches often remain siloed, limiting comprehensive understanding of disease.
- Precision medicine offers a transformative framework for cardiovascular health.
Purpose of the Study:
- To outline the potential of precision medicine in cardiovascular research and clinical practice.
- To identify necessary tools and data types for implementing precision cardiovascular medicine.
- To address challenges and propose a future vision for integrated cardiovascular healthcare.
Main Methods:
- Integration of multi-omic data, exposome, social determinants, microbiome, behavioral data, and electronic health records.
- Leveraging existing cardiovascular expertise to drive discovery science and clinical research efficiency.
- Addressing technical and sociopolitical barriers to precision medicine implementation.
Main Results:
- Precision medicine requires novel tools to characterize individual and population cardiovascular health.
- Cardiovascular specialists can enhance research and clinical efficiency through precision approaches.
- Implementation necessitates overcoming technical and sociopolitical hurdles.
Conclusions:
- Precision medicine can revolutionize cardiovascular health by providing more accurate insights for individuals and populations.
- Active patient participation and shared decision-making are central to the precision healthcare model.
- Moving beyond siloed medicine towards a universal precision medicine environment is essential for future health advancements.
Abstract:
The cardiovascular research and clinical communities are ideally positioned to address the epidemic of noncommunicable causes of death, as well as advance our understanding of human health and disease, through the development and implementation of precision medicine. New tools will be needed for describing the cardiovascular health status of individuals and populations, including 'omic' data, exposome and social determinants of health, the microbiome, behaviours and motivations, patient-generated data, and the array of data in electronic medical records. Cardiovascular specialists can build on their experience and use precision medicine to facilitate discovery science and improve the efficiency of clinical research, with the goal of providing more precise information to improve the health of individuals and populations. Overcoming the barriers to implementing precision medicine will require addressing a range of technical and sociopolitical issues. Health care under precision medicine will become a more integrated, dynamic system, in which patients are no longer a passive entity on whom measurements are made, but instead are central stakeholders who contribute data and participate actively in shared decision-making. Many traditionally defined diseases have common mechanisms; therefore, elimination of a siloed approach to medicine will ultimately pave the path to the creation of a universal precision medicine environment.
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