ID

45234

Description

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

Keywords

  1. 7/21/22 7/21/22 - Simon Heim
  2. 10/12/22 10/12/22 - Adrian Schulz
Copyright Holder

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

Uploaded on

October 12, 2022

DOI

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License

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
Description

pht002932

Subject ID
Description

SUBJID

Data type

text

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

Role

Data type

text

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

Age

Data type

text

Measurement units
  • Years
Alias
UMLS CUI [1,1]
C1828181
Years
Race of participant
Description

Race

Data type

text

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

Gender

Data type

text

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

Lone AF

Data type

text

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

AF type

Data type

text

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

Hx HTN

Data type

text

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

Hx DM

Data type

text

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

Hx CHF

Data type

text

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

Hx MI

Data type

text

Alias
UMLS CUI [1,1]
C1275835

Similar models

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
Type
Description | Question | Decode (Coded Value)
Data type
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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