ArticleAmerican journal of preventive cardiology2026
Genetic and clinical risk factors for recurrent events among patients with coronary artery disease.
Article in American journal of preventive cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Among individuals with coronary artery disease (CAD), clinical risk factors are used to identify individuals warranting treatment intensification and enrich events in clinical trials. The extent to which genetic factors can augment this framework is not well understood. Methods: We deeply phenotyped sequenced participants with recurrent CAD within the Mass General Brigham Biobank and characterized their genetic risk by CAD polygenic risk score (PRS). We used multivariate logistic regression modeling to assess the association between genetic and clinical risk factors with recurrent events and evaluated cumulative incidence across a range of risk factors. Lastly, we conducted genome-wide association testing of recurrent CAD and effect size heterogeneity testing for lead variants for CAD susceptibility. Results: Among 7105 participants with prevalent CAD, 2574 (36%) developed recurrent events over a median follow-up of 15 [10-20] years. A CAD PRS was associated with increased risk of recurrent CAD (OR 1.25 per SD; 95% CI 1.19-1.31; Conclusions: High genetic susceptibility to CAD is a risk factor for disease recurrence independent of conventional clinical risk factors and may serve as a tool to augment secondary prevention guidelines.
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