On the search of arterial geometry heritability

Carlos A Bulant1, Pablo J Blanco1, Alexandre Pereira2

  • 1Laboratório Nacional de Computação Científica, LNCC/MCTI, Av. Getúlio Vargas 333, Quitandinha, 25651-075 Petrópolis, Brazil.

Insights

Coronary artery geometry shows potential heritability, particularly in the right coronary artery (RCA) and left anterior descending artery (LAD). This genetic influence may impact coronary artery disease (CAD) risk factors.

Area of Science:

  • Cardiovascular Research
  • Genetics
  • Medical Imaging

Background:

  • Geometrical risk factors for coronary artery disease (CAD) are proposed but not conclusive.
  • Inter-individual variability in these factors may have a genetic component.

Purpose of the Study:

  • To detect heritability indicators of coronary arterial geometry.
  • To investigate the genetic basis of coronary artery shape.

Main Methods:

  • 3D geometry reconstruction of LAD, LCx, and RCA from CCTA in 48 siblings.
  • Characterization of arterial models using 20+ geometric descriptors (phenotypes).
  • Statistical analysis to assess heritability and association with stenotic lesions.

Main Results:

  • RCA showed heritability in 15+ phenotypes, LAD in 10, and LCx in 3.
  • Lesion association was highest in LAD (10+ phenotypes), weaker in LCx (2), and absent in RCA.
  • Significant heritability indicators were found for coronary artery geometry.

Conclusions:

  • RCA and LAD exhibit the strongest potential heritability for coronary artery geometry phenotypes.
  • LCx shows weaker morphological association among siblings.
  • LAD demonstrates hints of a lesion-geometry relation, unlike LCx and RCA, possibly due to hemodynamic differences.
Abstract

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