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    Inherited risk factors for venous thromboembolism (VTE) are increasingly understood, but their use in primary prevention is limited. Genetic risk scores may help stratify patients for VTE recurrence risk.

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    Area of Science:

    • Genetics and Thrombosis Research
    • Cardiovascular Epidemiology

    Background:

    • Venous thromboembolism (VTE) is a significant global health issue with high incidence and mortality.
    • Recurrence rates for VTE are substantial, highlighting the need for effective prevention strategies.
    • Understanding inherited VTE risk has advanced, yet its clinical application remains challenging.

    Purpose of the Study:

    • To evaluate the role of inherited VTE risk in disease prevention.
    • To explore the utility of genetic testing for primary and secondary VTE prevention.
    • To assess the potential of genetic risk scores in stratifying VTE recurrence risk.

    Main Methods:

    • Review of current knowledge on inherited VTE risk factors.
    • Analysis of the impact of genetic variations on VTE incidence and recurrence.
    • Evaluation of multilocus genetic risk scores for patient stratification.

    Main Results:

    • Genetic testing is unlikely to be beneficial for primary VTE prevention.
    • Individual genetic variations have smaller effect sizes for recurrence compared to first VTE events.
    • Multilocus genetic risk scores can effectively stratify patients into high and low VTE recurrence risk groups.

    Conclusions:

    • Current understanding of inherited VTE risk offers limited utility for primary prevention.
    • Genetic risk scores show promise for identifying patients at high risk of VTE recurrence.
    • Further research is needed to determine if risk stratification can guide VTE treatment intensity and duration.