Department of Cardiology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Department of Internal Medicine, The University of Mississippi Medical Center, Jackson, MS 39216, USA.
Genes (Basel). 2023 Jun 26;14(7):1340. doi: 10.3390/genes14071340.
Acute myocardial infarction remains a significant cause of mortality worldwide and its burden continues to grow. Its pathophysiology is known to be complex and multifactorial, with several acquired and inherited risk factors. As advances in technology and medical therapy continue, there is now increasing recognition of the role that genetics play in the development and management of myocardial infarction. The genetic determinants of acute coronary syndrome are still vastly understudied, but the advent of whole-genome scanning and genome-wide association studies has significantly expanded the current understanding of genetics and simultaneously fostered hope that genetic profiling and gene-guided treatments could substantially impact clinical outcomes. The identification of genes associated with acute myocardial infarction can help in the development of personalized medicine, risk stratification, and improved therapeutic strategies. In this context, several genes have been studied, and their potential involvement in increasing the risk for acute myocardial infarction is being investigated. As such, this article provides a review of some of the genes potentially related to an increased risk for acute myocardial infarction as well as the latest updates in gene-guided risk stratification and treatment strategies.
急性心肌梗死仍然是全球范围内导致死亡的一个重要原因,其负担仍在不断增加。其病理生理学众所周知是复杂的、多因素的,有几个获得性和遗传性危险因素。随着技术和医学治疗的进步,人们现在越来越认识到遗传在心肌梗死的发生和治疗中的作用。急性冠状动脉综合征的遗传决定因素仍在很大程度上被研究不足,但全基因组扫描和全基因组关联研究的出现,极大地扩展了人们对遗传学的现有理解,同时也寄希望于遗传分析和基因指导治疗能对临床结果产生重大影响。与急性心肌梗死相关的基因的鉴定有助于开发个性化医学、风险分层和改进治疗策略。在这种情况下,已经研究了几个基因,并且正在研究它们在增加急性心肌梗死风险方面的潜在作用。因此,本文综述了一些可能与增加急性心肌梗死风险相关的基因,以及基因指导的风险分层和治疗策略的最新进展。