Wake Forest University School of Medicine, Internal Medicine/Section on Cardiology, Winston Salem, North Carolina 27157, USA.
Can J Cardiol. 2010 Mar;26 Suppl A:60A-63A. doi: 10.1016/s0828-282x(10)71065-5.
The application of genomics technology to clinical cardiovascular research is producing fundamentally new insights concerning the etiology of cardiovascular disease phenotypes. Recent genome-wide association studies demonstrate clear associations between single nucleotide polymorphisms and important cardiovascular phenotypes. However, risk alleles for the single nucleotide polymorphisms in question do not explain a sufficient portion of individual risk to be useful for screening purposes. Therefore, clinicians should continue to make use of family history to augment risk stratification and emphasize established forms of prevention for their patients with, or at risk for, cardiovascular disease.
基因组学技术在临床心血管研究中的应用正在产生关于心血管疾病表型病因的全新见解。最近的全基因组关联研究表明,单核苷酸多态性与重要的心血管表型之间存在明显关联。然而,所研究的单核苷酸多态性的风险等位基因不能解释个体风险的足够部分,因此不适合用于筛查目的。因此,临床医生应继续利用家族史来增强风险分层,并为患有或有心血管疾病风险的患者强调已建立的预防形式。