Coronary disease & ACS

Genetic, sociodemographic, lifestyle, and clinical risk factors of recurrent coronary artery disease events: a population-based cohort study

Eur Heart JPublished Prospective cohort study

Authors' conclusion

Sociodemographic, clinical, and laboratory factors are each associated with CAD recurrence with genetic risk, age at first CAD event, and HDL cholesterol concentration explaining the most.

Study context

Population
Middle-aged UK Biobank adults with established CAD at enrolment
Participants
7,024 adults
Outcome
First post-enrolment CAD recurrence
Follow-up
Median [IQR] 11.6 [7.2-12.7] years
Methodological detailspopulation-based, UK Biobank
  • Population-based
  • UK Biobank

Main finding

As reported in the abstract

CAD recurrence

Recurrent CAD events

2003

28.5%

HR, current smoking

1.35, 95% CI 1.13-1.61

HR per SD increase in age at first CAD

0.74, 95% CI 0.67-0.82

Observational data: associations, not effects.

Further findings

Prediction of CAD recurrence (C index)

C index, CAD polygenic risk score (PRS)
0.58, 95% CI 0.57-0.59
C index, HDL-C
0.57, 95% CI 0.57-0.58
C index, age at initial CAD event
0.57, 95% CI 0.56-0.57
C index, traditional risk factors model
0.644 (0.632-0.654)
C index, comprehensive model
0.676 (0.667-0.686)

Original publication

Genetic, sociodemographic, lifestyle, and clinical risk factors of recurrent coronary artery disease events: a population-based cohort study. Eur Heart J. Published 23 June 2023. doi:10.1093/eurheartj/ehad380

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