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April 1, 2009Journal of Hypertension

The myocardial infarction associated CDKN2A/CDKN2B locus on chromosome 9p21 is associated with stroke independently of coronary events in patients with hypertension

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Key result

The G-allele of SNP rs10757278 at the CDKN2A/CDKN2B locus was associated with an increased risk of incident stroke in hypertensive patients (HR 1.34; 95% CI 1.09-1.65; P=0.006).

Why the study?

Does genetic variation at the CDKN2A/CDKN2B locus (SNPs rs2383207 and rs10757278) predict stroke and coronary events in patients with hypertension?

Population

5,262 patients with hypertension who provided DNA from the Nordic Diltiazem study (original n=10,881)

Comparison

Presence of G-allele of SNPs rs2383207 and… vs Absence of the risk allele (non-carriers)

Design

Cohort

Authors

BWBjörn WahlstrandUniversity of GothenburgMOMarju Orho‐MelanderPreventive CardiologyLDLotta Delling

Discussion

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Implication

Does not support genotyping for stroke risk in hypertension; extends 9p21 associations but remains hypothesis-generating.

Study Design

Type

Observational (n=5,262)

Structured PICO

Does genetic variation at the CDKN2A/CDKN2B locus (SNPs rs2383207 and rs10757278) predict stroke and coronary events in patients with hypertension?

P
Population
5,262 patients with hypertension from the Nordic Diltiazem study who provided DNA for genetic analysis.
E
Exposure
Presence of G-allele of SNPs rs2383207 and rs10757278 at the CDKN2A/CDKN2B locus on chromosome 9p21
C
Comparator
Absence of the risk allele (non-carriers)
O
Outcome
Incident stroke and coronary events (myocardial infarction and coronary revascularizations)hard clinical

Main Result

Hazard Ratio: 1.34 (95% CI 1.09–1.65)

p-value: p=0.006

Genetic variation at the CDKN2A/CDKN2B locus on chromosome 9p21 independently predicts stroke and coronary events in hypertensive patients, suggesting a shared disease mechanism.

Cite This Study

Wahlstrand et al. (2009) conducted an observational in Hypertension (n=5,262). CDKN2A/CDKN2B locus SNPs (rs2383207 and rs10757278) G-allele vs. Non-risk allele carriers was evaluated on Incident stroke (HR 1.34, 95% CI 1.09-1.65, p=0.006). The G-allele of SNP rs10757278 at the CDKN2A/CDKN2B locus was associated with an increased risk of incident stroke in hypertensive patients (HR 1.34; 95% CI 1.09-1.65; P=0.006).

synapsesocial.com/papers/6a8c386bb676b7d1a2fb9ecfhttps://doi.org/10.1097/hjh.0b013e328326f7eb

Topics

Coronary artery diseaseHypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Common Allele on Chromosome 9 Associated with Coronary Heart Disease2007 · 1,597 citations
  2. 2Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study2004 · 12,136 citations
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  4. 4Four SNPs on Chromosome 9p21 in a South Korean Population Implicate a Genetic Locus That Confers High Cross-Race Risk for Development of Coronary Artery Disease2007 · 197 citations
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