Rationale and Design of the Leipzig (LIFE) Heart Study Phenotyping and Cardiovascular Characteristics of Patients with Coronary Artery Disease 英文参考文献.docVIP
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Rationale and Design of the Leipzig (LIFE) Heart Study Phenotyping and Cardiovascular Characteristics of Patients with Coronary Artery Disease 英文参考文献
RationaleandDesignoftheLeipzig(LIFE)HeartStudy:
PhenotypingandCardiovascularCharacteristicsof
PatientswithCoronaryArteryDisease
FrankBeutner1,2,4,DanielTeupser1,4*,StephanGielen2,4,LescaMiriamHoldt1,4,MarkusScholz3,4 ,Enno
Boudriot2,GerhardSchuler2,4,JoachimThiery1,4
1InstituteofLaboratoryMedicine,ClinicalChemistryandMolecularDiagnostics,UniversityHospitalLeipzig,Leipzig,Germany,2DepartmentofCardiology,HeartCenter,
UniversityLeipzig, Leipzig, Germany, 3Institute ofMedicalInformatics,Statistic andEpidemiology, UniversityLeipzig,Leipzig,Germany, 4Leipzig ResearchCenter for
CivilizationDiseases(LIFE),UniversityLeipzig,Leipzig,Germany
Abstract
Objective: We established the Leipzig (LIFE) Heart Study, a biobank and database of patients with different stages of
coronaryarterydisease(CAD)forstudiesofclinical,metabolic,cellularandgeneticfactorsofcardiovasculardiseases.
Design:TheLeipzig(LIFE)HeartStudy(NCisanongoingobservationalangiographicstudyincludingsubjects
withdifferententitiesofCAD.Cohort1,patientsundergoingfirst-timediagnosticcoronaryangiographyduetosuspected
stableCADwithpreviouslyuntreatedcoronaryarteries.Cohort2,patientswithacutemyocardialinfarction(MI)requiring
percutaneousrevascularization.Cohort3,patientswithknownleftmaincoronaryarterydisease(LMCAD).
Results:Wepresentpreliminaryresultsofdemographicsandphenotypingbasedona4-yearsanalysisofatotalof3,165
subjects.Cohort1(n=2,274)showsthetypicaldistributionofelectivecoronaryangiographycohortswith43%caseswith
obstructiveCADand37%normalangiograms.Cohorts2and3consistof590and301subjects,respectively,addingpatients
withsevereforms ofCAD. Thesuitability ofthedatabaseandbiobanktoperform associationstudies wasconfirmedby
replication ofthe CAD susceptibility locus onchromosome 9p21 (OR per allele: 1.55(any CAD), 1.54(MI), 1.74(LMCAD),
p,1026,respectively).AnovelfindingwasthatpatientswithLMCADhadastrongerassociationwith9p21thanpatients
withobstructiveCADwithoutLMCAD(OR1.22,p=0.042).Incontrast,9p21didnotasso
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