Franchini Massimo
Department of Hematology and Transfusion Medicine, Carlo Poma Hospital, Mantova, Italy.
Ann Transl Med. 2016 May;4(10):192. doi: 10.21037/atm.2016.02.12.
Acute coronary artery syndrome in the leading cause of morbidity and mortality in Western countries, and its epidemiological burden is also constantly increasing worldwide, including Asia. Due to social and economic consequences, a number of experimental and epidemiological studies have analyzed its etiology so far, in order to develop effective preventive and treatment measures. Thanks to these studies, it is now clear that coronary artery disease (CAD) is a complex multifactorial disorder, resulting from close interaction between acquired and inherited risk factors. In particular, considerable advances were made in the last decade about our understanding of the genetic causes of CAD, mainly propelled by the progresses in whole genome scanning and the development of genome wide association studies. This narrative review is hence dedicated to explore the role of genetic factors in the risk of developing acute CAD.
急性冠状动脉综合征是西方国家发病和死亡的主要原因,其流行病学负担在全球范围内(包括亚洲)也在不断增加。由于其社会和经济影响,迄今为止,已有多项实验和流行病学研究对其病因进行了分析,以制定有效的预防和治疗措施。得益于这些研究,现在已经明确冠状动脉疾病(CAD)是一种复杂的多因素疾病,由获得性和遗传性风险因素之间的密切相互作用导致。特别是在过去十年中,我们对CAD遗传病因的理解取得了相当大的进展,这主要得益于全基因组扫描的进展和全基因组关联研究的发展。因此,本叙述性综述致力于探讨遗传因素在急性CAD发病风险中的作用。