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ID

45234

Beschreibung

Principal Investigator: Dawood Darbar, MD, PhD, Vanderbilt University Medical Center, Nashville, TN, USA MeSH: Atrial Fibrillation https://www.ncbi.nlm.nih.gov/projects/gap/cgi-bin/study.cgi?study_id=phs000439 The goal of this study was to identify genetic predictors of response to rate control therapy in patients with AF. We conducted a genome-wide association study (GWAS) focusing on subjects with a history of atrial fibrillation. Rate control therapy for AF uses a range of drugs (beta-adrenergic receptor blockers, calcium channel blockers, and digitalis) to depress conduction through the AV node, thereby preventing rapid rates and minimizing symptoms. In large groups of patients, such as the Vanderbilt AF Registry (a clinical and genetic repository with over 1200 patients with ECG-confirmed AF) from which these study subjects were drawn, approximately 5% display failure of aggressive AV nodal-blocking therapy to control ventricular rate. In these patients, interruption of the AV node by ablation and pacemaker implantation are necessary for adequate rate control. Study cases were individuals who underwent AV node ablation and pacemaker implantation after combined therapy with 3 AV nodal-blocking agents was ineffective in rate control. Controls for this study were individuals who met standardized rate-control efficacy criteria (as described in AFFIRM study, Wyse et al, NEJM 2002; PMID: 12466506) for optimal rate control with 2 or fewer AV nodal-blocking agents. Two additional groups were genotyped by RIKEN: An additional group of patients with AF as well as subjects undergoing cardiac surgery in whom AF did not occur post-operatively. All study participants were recruited and treated/evaluated at Vanderbilt University Medical Center. This study was conducted by the Pharmacogenomics of Arrhythmia Therapy subgroup of the Pharmacogenetics Research Network, a nationwide collaboration of scientists studying the genetic contributions to drug response variability. Genotyping was performed by the RIKEN research institute in Japan using the Illumina 610 Quad Beadchip platform.

Link

dbGaP study = phs000439

Stichworte

  1. 21/07/2022 21/07/2022 - Simon Heim
  2. 12/10/2022 12/10/2022 - Adrian Schulz
Rechteinhaber

Dawood Darbar, MD, PhD, Vanderbilt University Medical Center, Nashville, TN, USA

Hochgeladen am

12 de outubro de 2022

DOI

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Lizenz

Creative Commons BY 4.0

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    dbGaP phs000439 PGRN-RIKEN: Rate Control Therapy in Patients with Atrial Fibrillation

    Subject ID, gender, age, race, history of hypertension, diabetes mellitus, congestive heart failure, and myocardial infarction, type of atrial fibrillation among participants with or without atrial fibrillation and involved in the "A Genome-Wide Association Comparative Analysis of Eesponse of AF Patients to Rate Control Therapy; A Collaboration between the NIH Pharmacogenomics Research Network and the RIKEN Yokohama Institute Center for Genomic Medicine" project.

    pht002932
    Beschreibung

    pht002932

    Subject ID
    Beschreibung

    SUBJID

    Datentyp

    text

    Alias
    UMLS CUI [1,1]
    C2348585
    Role of participant
    Beschreibung

    Role

    Datentyp

    text

    Alias
    UMLS CUI [1,1]
    C3274646
    Age of participant at time of AF diagnosis
    Beschreibung

    Age

    Datentyp

    text

    Maßeinheiten
    • Years
    Alias
    UMLS CUI [1,1]
    C1828181
    Years
    Race of participant
    Beschreibung

    Race

    Datentyp

    text

    Alias
    UMLS CUI [1,1]
    C3853635
    Gender of participant
    Beschreibung

    Gender

    Datentyp

    text

    Alias
    UMLS CUI [1,1]
    C0079399
    Lone AF or not
    Beschreibung

    Lone AF

    Datentyp

    text

    Alias
    UMLS CUI [1,1]
    C0340489
    Type of atrial fibrillation
    Beschreibung

    AF type

    Datentyp

    text

    Alias
    UMLS CUI [1,1]
    C0004238
    History of hypertension
    Beschreibung

    Hx HTN

    Datentyp

    text

    Alias
    UMLS CUI [1,1]
    C0455527
    History of diabetes mellitus
    Beschreibung

    Hx DM

    Datentyp

    text

    Alias
    UMLS CUI [1,1]
    C0455488
    History of congestive heart failure
    Beschreibung

    Hx CHF

    Datentyp

    text

    Alias
    UMLS CUI [1,1]
    C2315232
    History of myocardial infarction
    Beschreibung

    Hx MI

    Datentyp

    text

    Alias
    UMLS CUI [1,1]
    C1275835

    Ähnliche Modelle

    Subject ID, gender, age, race, history of hypertension, diabetes mellitus, congestive heart failure, and myocardial infarction, type of atrial fibrillation among participants with or without atrial fibrillation and involved in the "A Genome-Wide Association Comparative Analysis of Eesponse of AF Patients to Rate Control Therapy; A Collaboration between the NIH Pharmacogenomics Research Network and the RIKEN Yokohama Institute Center for Genomic Medicine" project.

    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datentyp
    Alias
    Item Group
    pht002932
    SUBJID
    Item
    Subject ID
    text
    C2348585 (UMLS CUI [1,1])
    Item
    Role of participant
    text
    C3274646 (UMLS CUI [1,1])
    Code List
    Role of participant
    CL Item
    Case (0)
    CL Item
    Control (1)
    CL Item
    Additional AF subject (2)
    CL Item
    No AF post-op subject (3)
    Age
    Item
    Age of participant at time of AF diagnosis
    text
    C1828181 (UMLS CUI [1,1])
    Item
    Race of participant
    text
    C3853635 (UMLS CUI [1,1])
    Code List
    Race of participant
    CL Item
    African American (1)
    CL Item
    Caucasian (2)
    CL Item
    Asian (3)
    CL Item
    Hispanic (4)
    Item
    Gender of participant
    text
    C0079399 (UMLS CUI [1,1])
    Code List
    Gender of participant
    CL Item
    Female (F)
    CL Item
    Male (M)
    Item
    Lone AF or not
    text
    C0340489 (UMLS CUI [1,1])
    Code List
    Lone AF or not
    CL Item
    not applicable (NA)
    Item
    Type of atrial fibrillation
    text
    C0004238 (UMLS CUI [1,1])
    Code List
    Type of atrial fibrillation
    CL Item
    Paroxysmal (1)
    C0235480 (UMLS CUI [1,1])
    CL Item
    Chronic (2)
    C0694539 (UMLS CUI [1,1])
    CL Item
    Persistent (3)
    C2585653 (UMLS CUI [1,1])
    CL Item
    Atrial flutter (4)
    C0004239 (UMLS CUI [1,1])
    CL Item
    Not applicable (no AF) (NA)
    C1272460 (UMLS CUI [1,1])
    CL Item
    Unknown (UNK)
    C0439673 (UMLS CUI [1,1])
    Item
    History of hypertension
    text
    C0455527 (UMLS CUI [1,1])
    Code List
    History of hypertension
    CL Item
    Unknown (UNK)
    Item
    History of diabetes mellitus
    text
    C0455488 (UMLS CUI [1,1])
    Code List
    History of diabetes mellitus
    CL Item
    Unknown (UNK)
    Item
    History of congestive heart failure
    text
    C2315232 (UMLS CUI [1,1])
    Code List
    History of congestive heart failure
    CL Item
    Unknown (UNK)
    Item
    History of myocardial infarction
    text
    C1275835 (UMLS CUI [1,1])
    Code List
    History of myocardial infarction
    CL Item
    Unknown (UNK)

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