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December 1, 2009Critical Reviews in Clinical Laboratory Sciences

Predictive genetic testing for coronary artery disease

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Key result

Predictive genetic testing shows promise for CAD risk stratification but faces major implementation hurdles.

Why the study?

Individual risk prediction and stratification for CAD is difficult due to its multifactorial, polygenic nature and environmental components, prompting interest in genotype-based risk prediction.

Does genotype-based CAD risk prediction improve upon the discrimination and stratification offered by conventional risk factors alone?

Population

Individuals at risk for coronary artery disease

Comparison

Genotype-based CAD risk prediction versus conventional risk factors and family history

Design

Review

Authors

CJChristopher T. JohansenRHRobert Alexander Hegele

Discussion

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Member takes

Overview

Genetic CAD risk prediction shows promise but faces implementation challenges; leaves open its added value over traditional factors in clinical practice.

Structured PICO

Does genotype-based CAD risk prediction improve upon the discrimination and stratification offered by conventional risk factors alone?

P
Population
Individuals at risk for coronary artery disease (CAD)
E
Exposure
Genotype-based CAD risk prediction / genetic testing
C
Comparator
Conventional risk factors alone and family history of CAD
O
Outcome
Risk prediction and stratification

While genetic testing for CAD risk variants like the 9p21.3 locus shows promise, its clinical utility and superiority over traditional risk factors remain complex and challenging to implement.

Cite This Study

Johansen et al. (2009) conducted a review in Coronary artery disease. Predictive genetic testing was evaluated. Predictive genetic testing for coronary artery disease may eventually offer clinical utility for risk stratification, though its successful implementation faces intrinsic complexities.

synapsesocial.com/papers/6ab49a0faa8cd0e3979eeb99https://doi.org/10.3109/07388550903422075
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