Coronary disease & ACS

CYP2C19 Genotype Prevalence and Association With Recurrent Myocardial Infarction in British–South Asians Treated With Clopidogrel

JACC AdvPublished Cohort study

Main finding · Recurrent MIResult — go to the resultOdds ratio 3.1

Study context

Population
British Bangladeshi and Pakistani ancestry participants of the Genes & Health cohort
Participants
44,396 participants
Exposure
CYP2C19 poor metabolizers vs other metabolizer status, in clopidogrel-treated patients
Outcome
Prevalence of common CYP2C19 genotype polymorphisms and association with recurrent MI in participants prescribed clopidogrel
Methodological detailsmultivariable logistic regression, genetically inferred metabolizer status
  • Multivariable logistic regression
  • Genetically inferred metabolizer status

Main finding

Recurrent MI

Odds ratio

3.1

P = 0.019

By group

As reported in the abstract

Observational data: associations, not effects.

Further findings

Clopidogrel prescription after acute MI

Proportion of cohort with acute MI prescribed clopidogrel
69%

Original publication

CYP2C19 Genotype Prevalence and Association With Recurrent Myocardial Infarction in British–South Asians Treated With Clopidogrel. JACC Adv. Published September 2023. doi:10.1016/j.jacadv.2023.100573

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