Prevention & lipids

Polygenic Risk Scores in Myocardial Injury After Noncardiac Surgery: A VISION Substudy

JACC AdvPublished case-control study nested within the Vascular Events in Noncardiac Surgery Participants Cohort Evaluation cohort

Main finding · Association of type II diabetes (T2D) PRS with MINSResult — go to the resultOdds ratio 1.26 95% CI 1.00–1.58

Authors' conclusion

The T2D PRS and the HbA1c PRS were associated with an increased risk of MINS. The findings may reflect the multifactorial pathophysiology of MINS. Larger genetic studies and trials evaluating perioperative glucose management warrant consideration.

Study context

Population
Patients aged 45 and above who underwent noncardiac surgery253 MINS cases matched with 253 controls
Participants
506 patients
Comparison
Association between each polygenic risk scores (PRS) and MINS
  • MINS casesn = 253
  • Controlsn = 253
Outcome
Association of type II diabetes (T2D) PRS with MINS
Methodological detailsmatched, adjusted for age, sex, limited to individuals of European ancestry
  • Matched
  • Adjusted for age, sex
  • Limited to individuals of European ancestry

Main finding

As reported in the abstract

Odds ratio

1.26

95% CI 1.00–1.58

P = 0.047

T2D PRS
OR 1.26 (95% CI 1.00–1.58); P = 0.047

Observational data: associations, not effects.

Further findings

Association of HbA1c PRS with MINS

OR (95% CI)P value
HbA1c PRS1.26 (1.03–1.54)P = 0.026

Other PRS, including coronary artery disease, stroke, and lipid biomarkers

No significant associations

Original publication

Polygenic Risk Scores in Myocardial Injury After Noncardiac Surgery: A VISION Substudy. JACC Adv. Published 26 March 2025. doi:10.1016/j.jacadv.2025.101680

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