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January 19, 2018Open Access

Genomic risk prediction of coronary artery disease in nearly 500,000 adults: implications for early screening and primary prevention

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Key result

Individuals in the top 20% of a new genomic risk score (metaGRS) had a substantially higher risk of coronary artery disease compared with the bottom 20% (HR 4.17; 95% CI 3.97-4.38).

Why the study?

Does a meta-analytic genomic risk score (metaGRS) improve risk prediction for incident coronary artery disease in the general adult population compared to conventional risk factors?

Population

482,629 adults from the UK general population aged 40-69 years at recruitment, including 22,242 CAD cases…

Comparison

A genomic risk score for CAD consisting of 1.7… vs Lower metaGRS quintiles and conventional risk…

Design

Cohort

Follow-up

mean 6.2 years

Authors

MIMichael InouyeGAGad AbrahamCNChristopher P. Nelson

Discussion

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Overview

May enhance CAD polygenic risk stratification; leaves open prospective validation for primary prevention utility.

Study Design

Type

Observational (n=482,629)

Structured PICO

Does a meta-analytic genomic risk score (metaGRS) improve risk prediction for incident coronary artery disease in the general adult population compared to conventional risk factors?

P
Population
482,629 adults from the UK Biobank, including 22,242 CAD cases and 460,387 non-cases, assessed for genomic risk of coronary artery disease.
E
Exposure
A genomic risk score for CAD (metaGRS) consisting of 1.7 million genetic variants, derived using a meta-analytic approach.
C
Comparator
Lower metaGRS quintiles (e.g., bottom 20%) and conventional risk factors (smoking, diabetes, hypertension, and body mass index).
O
Outcome
Coronary artery disease (CAD), defined as fatal or non-fatal myocardial infarction (MI), percutaneous transluminal coronary angioplasty (PTCA), or coronary artery bypass graft (CABG).hard clinical

Main Result

Hazard Ratio: 4.17 (95% CI 3.97–4.38)

A novel 1.7 million variant genomic risk score (metaGRS) significantly improves CAD risk prediction beyond conventional risk factors, identifying individuals at high risk early in life for targeted primary prevention.

Cite This Study

Inouye et al. (2018) conducted an observational in Coronary artery disease (CAD) (n=482,629). Genomic risk score for CAD (metaGRS) vs. Bottom 20% of the metaGRS distribution was evaluated on Coronary artery disease (HR 4.17, 95% CI 3.97-4.38). Individuals in the top 20% of a new genomic risk score (metaGRS) had a substantially higher risk of coronary artery disease compared with the bottom 20% (HR 4.17; 95% CI 3.97-4.38).

synapsesocial.com/papers/6a9eaae4ba6fb3588c8c49dfhttps://doi.org/10.1101/250712
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