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Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...

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Updated: Jul 7, 2026

Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
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Polygenic Risk Scores in Myocardial Injury After Noncardiac Surgery: A VISION Substudy.

Ann Le1, Guillaume Paré2, P J Devereaux3

  • 1Population Health Research Institute, David Braley Cardiac, Vascular and Stroke Research Institute, Hamilton, Ontario, Canada; Department of Medical Sciences, McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada.

JACC. Advances
|March 27, 2025
PubMed
Summary
This summary is machine-generated.

Polygenic risk scores for type II diabetes and HbA1c levels are linked to myocardial injury after noncardiac surgery (MINS). Integrating these genetic factors may improve prediction of MINS, a common postsurgical complication.

Keywords:
VISIONcardiovascular geneticsmyocardial injury after noncardiac surgery MINSpolygenic risk scoresrevised cardiac risk index

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Area of Science:

  • Cardiology
  • Genetics
  • Perioperative Medicine

Background:

  • Myocardial injury after noncardiac surgery (MINS) is a frequent vascular complication.
  • The revised cardiac risk index (RCRI) has suboptimal predictive accuracy for MINS.
  • Genetic factors may enhance the prediction of MINS.

Purpose of the Study:

  • To investigate the integration of polygenic risk scores (PRS) with RCRI for improved MINS prediction.
  • To identify specific PRS associated with MINS and gain pathophysiological insights.

Main Methods:

  • A case-control study within the Vascular Events in Noncardiac Surgery Participants Cohort Evaluation.
  • Inclusion of patients aged 45+ undergoing noncardiac surgery.
  • Measurement of daily troponin levels and computation of PRS for MINS risk factors.
  • Logistic regression models to assess PRS association with MINS, evaluated independently and with RCRI.

Main Results:

  • The study included 253 MINS cases and 253 controls of European ancestry.
  • Polygenic risk scores for type II diabetes (T2D PRS) and HbA1c were significantly associated with MINS.
  • No significant associations were found for PRS related to coronary artery disease, stroke, or lipid biomarkers.

Conclusions:

  • T2D PRS and HbA1c PRS are associated with an increased risk of MINS.
  • These findings suggest the multifactorial pathophysiology of MINS.
  • Further genetic studies and trials on perioperative glucose management are recommended.