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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Hsu, Yu-Ling Huang, Mu-Shiang Chang, Hsien-Yuan Lee, Cheng-Han Chen, Dao-Peng Li, Yi-Heng Chao, Ting-Hsin Liu, Yen-Wen Liu, Ping-Yen |
| Abstract | Background The second-and third-generation drug-eluting stents (DESs) in-stent restenosis (ISR) genetic risk score (GRS) model has been previously validated. However, the model has not been validated in geriatric patients. Therefore, we conducted this study to test the feasibility of the DES-ISR GRS model in geriatric patients with coronary artery disease (CAD) in Taiwan. Methods We conducted a retrospective, single-center cohort study and included geriatric patients (age ≥ 65 years) with CAD and second-or third-generation DES(s) deployment. Patients undergoing maintenance dialysis were excluded. ISR was defined as ≥ 50% luminal narrowing on the follow-up coronary arteriography. The DES-ISR GRS model included five selected exonic single-nucleotide polymorphisms (SNPs): CAMLG, GALNT2, C11orf84, THOC5, and SAMD11. The GRS was defined as the sum of the five selected SNPs for the risk allele. Results We enrolled 298 geriatric patients from January 2010 and December 2019 in this study. After propensity score matching, there were 192 geriatric patients with CAD in the final analysis, of which 32 patients had ISR. Patients were divided into two groups based on their GRS values: low (0–2) and high (≥ 3) GRS. A high GRS was significantly associated with DES-ISR in geriatric patients. Conclusion Those geriatric patients with a high GRS had significantly higher second-or third-generation DES ISR rates. The five SNP-derived DES-ISR GRS model could provide genetic information for interventional cardiologists to treat geriatric patients with CAD. Trial registration The primary study protocol was registered with clinicaltrials.org. with registration number: NCT03877614; on March 15, 2019. ( http://clinicaltrials.gov/ct2/show/NCT03877614 ) |
| Related Links | https://bmcgeriatr.biomedcentral.com/counter/pdf/10.1186/s12877-023-04103-w.pdf |
| Ending Page | 6 |
| Page Count | 6 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 14712318 |
| DOI | 10.1186/s12877-023-04103-w |
| Journal | BMC Geriatrics |
| Issue Number | 1 |
| Volume Number | 23 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2023-07-19 |
| Access Restriction | Open |
| Subject Keyword | Geriatrics Gerontology Aging Rehabilitation Geriatric patients Drug-eluting stent In-stent restenosis Genetic risk score Single nucleotide polymorphism Geriatrics/Gerontology |
| Content Type | Text |
| Resource Type | Article |
| Subject | Geriatrics and Gerontology |
| Journal Impact Factor | 3.4/2023 |
| 5-Year Journal Impact Factor | 4.1/2023 |
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