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  2. 遗传倾向,临床风险因素负担和心房的终身风险
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  2. 遗传倾向,临床风险因素负担和心房的终身风险

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遗传倾向,临床风险因素负担和心房的终身风险

Lu-Chen Weng1,2, Sarah R Preis3,4, Olivia L Hulme1,2

  • 1Cardiovascular Research Center (L.-C.W., O.L.H., P.T.E., S.A.L.).

Circulation
|November 14, 2017

在PubMed 上查看摘要

概括
此摘要是机器生成的。

发生心房的终身风险为37%,受遗传倾向和临床因素的影响. 具有高遗传和临床风险的个体有近50%的终身风险.

关键词:
心房动流行病学遗传学终身风险多基因风险风险因素风险分层

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科学领域:

  • 心脏病学
  • 遗传学
  • 流行病学

背景情况:

  • 长期发展心房的概率尚不清楚,特别是在遗传和临床风险因素方面.
  • 评估终身AF风险需要将遗传倾向与临床风险因素的负担整合起来.

研究的目的:

  • 估计来自社区队列的个人一生的AF风险.
  • 确定多基因风险和临床风险因素对长期发育AF的可能性的影响.

主要方法:

  • 使用了来自Framingham心脏研究的数据,包括大约1000个AF相关的单核酸多态,用于多基因风险评分.
  • 用经过验证的分数计算临床风险因素负担,包括身高,体重,血压,吸烟,药物使用,糖尿病,心肌梗塞和心力衰竭史.
  • 由多基因和临床风险分层的估计终身AF风险.

主要成果:

  • 在4606名参与者中,在55岁时AF的总体终身风险为37. 1%.
  • 在多基因和临床风险较低的第三组中,终身AF风险为22. 3%.
  • 在两种风险类别中排名最高的患者,终身肌肉发作风险显著增加,为48.2%.
  • 较低的临床风险因子负担独立地与晚期发病的肌肉功能相关.

结论:

  • 在这个社区群体中,脑膜炎的终身风险相当高,为37%.
  • 多基因风险估计是可行的,结合临床风险因素,解释了长期AF风险变化的很大一部分.
  • 综合遗传和临床风险评估可以确定有较高心房风险的个体.