Abstract
BACKGROUND: The aim of our study was the identification of genetic variants associated with postoperative complications after cardiac surgery.
METHODS: We conducted a prospective, double-blind, multicenter, randomized trial (RIPHeart). We performed a genome-wide association study (GWAS) in 1170 patients of both genders (871 males, 299 females) from the RIPHeart-Study cohort. Patients undergoing non-emergent cardiac surgery were included. Primary endpoint comprises a binary composite complication rate covering atrial fibrillation, delirium, non-fatal myocardial infarction, acute renal failure and/or any new stroke until hospital discharge with a maximum of fourteen days after surgery.
RESULTS: A total of 547,644 genotyped markers were available for analysis. Following quality control and adjustment for clinical covariate, one SNP reached genome-wide significance (PHLPP2, rs78064607, p = 3.77 × 10 - 8) and 139 (adjusted for all other outcomes) SNPs showed promising association with p < 1 × 10 - 5 from the GWAS.
CONCLUSIONS: We identified several potential loci, in particular PHLPP2, BBS9, RyR2, DUSP4 and HSPA8, associated with new-onset of atrial fibrillation, delirium, myocardial infarction, acute kidney injury and stroke after cardiac surgery.
TRIAL REGISTRATION: The study was registered with ClinicalTrials.gov NCT01067703, prospectively registered on 11 Feb 2010.
| Originalsprache | Englisch |
|---|---|
| Aufsatznummer | 1002 |
| Zeitschrift | BMC cardiovascular disorders |
| Jahrgang | 19 |
| Ausgabenummer | 1 |
| Seiten (von - bis) | 26 |
| ISSN | 1471-2261 |
| DOIs | |
| Publikationsstatus | Veröffentlicht - 24.01.2019 |
Fördermittel
This work was supported by a grant (ME 3559/1–1) from the German Research Foundation with funds for staff and required gene chips for analysis. The funding had no impact on the design of the study and the collection and the scientific analysis and interpretation of data as well as in writing the manuscript.
UN SDGs
Dieser Output leistet einen Beitrag zu folgendem(n) Ziel(en) für nachhaltige Entwicklung
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SDG 3 – Gesundheit und Wohlergehen
Strategische Forschungsbereiche und Zentren
- Forschungsschwerpunkt: Gehirn, Hormone, Verhalten - Center for Brain, Behavior and Metabolism (CBBM)
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