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基因多态性对中国经皮冠状动脉介入治疗后接受双联抗血小板治疗患者临床结局的影响。

Impact of the polymorphism on clinical outcomes in Chinese patients receiving dual antiplatelet therapy after percutaneous coronary intervention.

机构信息

Genetic Diagnosis Center, The First Hospital of Jilin University, Changchun, 130021, China.

Department of Cardiology, The First Hospital of Jilin University, Changchun, 130021, China.

出版信息

Pharmacogenomics. 2022 Jul;23(11):639-648. doi: 10.2217/pgs-2022-0033. Epub 2022 Jul 26.

Abstract

Patients might still experience major adverse cardiovascular events even with dual antiplatelet therapy after percutaneous coronary intervention. Our study aimed to explore the impact of gene polymorphism on clinical outcomes in one-year follow-up. A total of 171 patients treated with dual antiplatelet therapy after percutaneous coronary intervention from April to December 2020 in the first hospital of Jilin University enrolled in this study. PEAR1 genetic polymorphisms was associated with the arachidonic acid (AA) and adenosine diphosphate (ADP) platelet aggregation. Hyperglycemia was associated with the rate of major adverse cardiovascular events.  GA+AA genetic genetic polymorphisms is associated with hyperglycemia. GG is a risk factor for AA and ADP platelet aggregation. Hyperglycemia can effect the one-year outcome. GA+AA genetic polymorphisms are associated with hyperglycemia.

摘要

即使经皮冠状动脉介入治疗后进行双联抗血小板治疗,患者仍可能发生主要不良心血管事件。我们的研究旨在探讨基因多态性对一年随访期间临床结局的影响。

本研究共纳入吉林大学第一医院 2020 年 4 月至 12 月期间接受双联抗血小板治疗的 171 例经皮冠状动脉介入治疗患者。PEAR1 基因多态性与花生四烯酸(AA)和二磷酸腺苷(ADP)血小板聚集有关。高血糖与主要不良心血管事件的发生率有关。GA+AA 遗传遗传多态性与高血糖有关。GG 是 AA 和 ADP 血小板聚集的危险因素。高血糖会影响一年的预后。GA+AA 遗传多态性与高血糖有关。

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