Genetic Variants Associated With Atrial Fibrillation and PR Interval Following Cardiac Surgery

Objective The authors hypothesized that genetic association between atrial fibrillation (AF)-associated and PR-associated genetic loci was biologically mediated through slower conduction velocities for some or all of these loci. Design Prospectively collected cohort study. Setting Single tertiary ca...

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Veröffentlicht in:Journal of cardiothoracic and vascular anesthesia 2015-06, Vol.29 (3), p.605-610
Hauptverfasser: Sigurdsson, Martin I., MD, PhD, Muehlschlegel, Jochen D., MD, MMSc, Fox, Amanda A., MD, MPH, Heydarpour, Mahyar, PhD, Lichtner, Peter, PhD, Meitinger, Thomas, PhD, Collard, Charles D., MD, Shernan, Stanton K., MD, Body, Simon C., MBChB, MPH
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container_end_page 610
container_issue 3
container_start_page 605
container_title Journal of cardiothoracic and vascular anesthesia
container_volume 29
creator Sigurdsson, Martin I., MD, PhD
Muehlschlegel, Jochen D., MD, MMSc
Fox, Amanda A., MD, MPH
Heydarpour, Mahyar, PhD
Lichtner, Peter, PhD
Meitinger, Thomas, PhD
Collard, Charles D., MD
Shernan, Stanton K., MD
Body, Simon C., MBChB, MPH
description Objective The authors hypothesized that genetic association between atrial fibrillation (AF)-associated and PR-associated genetic loci was biologically mediated through slower conduction velocities for some or all of these loci. Design Prospectively collected cohort study. Setting Single tertiary care university hospital. Participants A total of 1227 Caucasian patients who underwent coronary artery bypass grafting (CABG). Interventions A total of 677 single nucleotide polymorphisms previously associated with ambulatory AF or PR interval were tested for association with postoperative atrial fibrillation (poAF) and preoperative PR interval, maximum PR interval, maximum change in PR interval, and maximum change in PR interval from preoperative PR interval. Measurements and Main Results The incidence of new-onset poAF was 31%. All of the PR interval variables were longer in the poAF cohort. Two variants on 1q21 and 12 on 4q25 were associated with poAF after adjustment for false discovery rate (FDR), but no variants were associated with PR interval variables after adjustment for FDR. Several variants were associated with both poAF and PR interval variables at p
doi_str_mv 10.1053/j.jvca.2014.10.028
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Design Prospectively collected cohort study. Setting Single tertiary care university hospital. Participants A total of 1227 Caucasian patients who underwent coronary artery bypass grafting (CABG). Interventions A total of 677 single nucleotide polymorphisms previously associated with ambulatory AF or PR interval were tested for association with postoperative atrial fibrillation (poAF) and preoperative PR interval, maximum PR interval, maximum change in PR interval, and maximum change in PR interval from preoperative PR interval. Measurements and Main Results The incidence of new-onset poAF was 31%. All of the PR interval variables were longer in the poAF cohort. Two variants on 1q21 and 12 on 4q25 were associated with poAF after adjustment for false discovery rate (FDR), but no variants were associated with PR interval variables after adjustment for FDR. Several variants were associated with both poAF and PR interval variables at p&lt;0.05, but none of them remained significant after adjusting for FDR. Conclusion It was found that patients with poAF have significantly longer PR interval. Genetic variants in both the 1q21 and 4q25 regions associate with poAF after CABG surgery, but the authors were unable to find association between these variants and PR interval after adjusting for FDR.</description><identifier>ISSN: 1053-0770</identifier><identifier>EISSN: 1532-8422</identifier><identifier>DOI: 10.1053/j.jvca.2014.10.028</identifier><identifier>PMID: 26009287</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>1q21 ; 4q25 ; Aged ; Aged, 80 and over ; Anesthesia &amp; Perioperative Care ; atrial fibrillation ; Atrial Fibrillation - diagnosis ; Atrial Fibrillation - etiology ; Atrial Fibrillation - genetics ; cardiac surgery ; Cardiac Surgical Procedures - adverse effects ; Cohort Studies ; Critical Care ; Electrocardiography - methods ; Female ; Genetic Variation - genetics ; genomics ; Humans ; Male ; Middle Aged ; Polymorphism, Single Nucleotide - genetics ; Postoperative Complications - diagnosis ; Postoperative Complications - etiology ; Postoperative Complications - genetics ; PR interval ; Prospective Studies</subject><ispartof>Journal of cardiothoracic and vascular anesthesia, 2015-06, Vol.29 (3), p.605-610</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c510t-9271eabac3ab90b810001786e46e6817d4a0cfdd4e651e291b192253d28d52853</citedby><cites>FETCH-LOGICAL-c510t-9271eabac3ab90b810001786e46e6817d4a0cfdd4e651e291b192253d28d52853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/j.jvca.2014.10.028$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,315,781,785,886,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26009287$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sigurdsson, Martin I., MD, PhD</creatorcontrib><creatorcontrib>Muehlschlegel, Jochen D., MD, MMSc</creatorcontrib><creatorcontrib>Fox, Amanda A., MD, MPH</creatorcontrib><creatorcontrib>Heydarpour, Mahyar, PhD</creatorcontrib><creatorcontrib>Lichtner, Peter, PhD</creatorcontrib><creatorcontrib>Meitinger, Thomas, PhD</creatorcontrib><creatorcontrib>Collard, Charles D., MD</creatorcontrib><creatorcontrib>Shernan, Stanton K., MD</creatorcontrib><creatorcontrib>Body, Simon C., MBChB, MPH</creatorcontrib><title>Genetic Variants Associated With Atrial Fibrillation and PR Interval Following Cardiac Surgery</title><title>Journal of cardiothoracic and vascular anesthesia</title><addtitle>J Cardiothorac Vasc Anesth</addtitle><description>Objective The authors hypothesized that genetic association between atrial fibrillation (AF)-associated and PR-associated genetic loci was biologically mediated through slower conduction velocities for some or all of these loci. Design Prospectively collected cohort study. Setting Single tertiary care university hospital. Participants A total of 1227 Caucasian patients who underwent coronary artery bypass grafting (CABG). Interventions A total of 677 single nucleotide polymorphisms previously associated with ambulatory AF or PR interval were tested for association with postoperative atrial fibrillation (poAF) and preoperative PR interval, maximum PR interval, maximum change in PR interval, and maximum change in PR interval from preoperative PR interval. Measurements and Main Results The incidence of new-onset poAF was 31%. All of the PR interval variables were longer in the poAF cohort. Two variants on 1q21 and 12 on 4q25 were associated with poAF after adjustment for false discovery rate (FDR), but no variants were associated with PR interval variables after adjustment for FDR. Several variants were associated with both poAF and PR interval variables at p&lt;0.05, but none of them remained significant after adjusting for FDR. Conclusion It was found that patients with poAF have significantly longer PR interval. Genetic variants in both the 1q21 and 4q25 regions associate with poAF after CABG surgery, but the authors were unable to find association between these variants and PR interval after adjusting for FDR.</description><subject>1q21</subject><subject>4q25</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia &amp; Perioperative Care</subject><subject>atrial fibrillation</subject><subject>Atrial Fibrillation - diagnosis</subject><subject>Atrial Fibrillation - etiology</subject><subject>Atrial Fibrillation - genetics</subject><subject>cardiac surgery</subject><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Cohort Studies</subject><subject>Critical Care</subject><subject>Electrocardiography - methods</subject><subject>Female</subject><subject>Genetic Variation - genetics</subject><subject>genomics</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Polymorphism, Single Nucleotide - genetics</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - genetics</subject><subject>PR interval</subject><subject>Prospective Studies</subject><issn>1053-0770</issn><issn>1532-8422</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Uk1v1DAQjRCIlsIf4IB85JKt7cRxIqFKqxUtlSqBKB83LMee3U7I2q3tLNp_j6NtK-DAyaN5b958PBfFa0YXjIrqdFgMO6MXnLI6JxaUt0-KYyYqXrY1509znFkllZIeFS9iHChlTAj5vDjiDaUdb-Vx8eMCHCQ05JsOqF2KZBmjN6gTWPId0w1ZpgyM5Bz7gOOoE3pHtLPk02dy6RKE3Qz6cfS_0G3ISgeL2pDrKWwg7F8Wz9Z6jPDq_j0pvp6__7L6UF59vLhcLa9KIxhNZcclA91rU-m-o33LaJ5Vtg3UDTQtk7bW1KytraERDHjHetZxLirLWyt4K6qT4uygezv1W7AGXAp6VLcBtzrsldeo_kYc3qiN36ncvpJUZoG39wLB300Qk9piNJAXduCnqFjTVkJWvGGZyg9UE3yMAdaPbRhV88nVoGZj1GzMnMvG5KI3fw74WPLgRCa8OxAgn2mHEFQ0CM6AxQAmKevx__pn_5SbER0aPf6EPcTBT8FlAxRTkSuqrmed-Wewmuao6arfGg20jg</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Sigurdsson, Martin I., MD, PhD</creator><creator>Muehlschlegel, Jochen D., MD, MMSc</creator><creator>Fox, Amanda A., MD, MPH</creator><creator>Heydarpour, Mahyar, PhD</creator><creator>Lichtner, Peter, PhD</creator><creator>Meitinger, Thomas, PhD</creator><creator>Collard, Charles D., MD</creator><creator>Shernan, Stanton K., MD</creator><creator>Body, Simon C., MBChB, MPH</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150601</creationdate><title>Genetic Variants Associated With Atrial Fibrillation and PR Interval Following Cardiac Surgery</title><author>Sigurdsson, Martin I., MD, PhD ; Muehlschlegel, Jochen D., MD, MMSc ; Fox, Amanda A., MD, MPH ; Heydarpour, Mahyar, PhD ; Lichtner, Peter, PhD ; Meitinger, Thomas, PhD ; Collard, Charles D., MD ; Shernan, Stanton K., MD ; Body, Simon C., MBChB, MPH</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c510t-9271eabac3ab90b810001786e46e6817d4a0cfdd4e651e291b192253d28d52853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>1q21</topic><topic>4q25</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia &amp; Perioperative Care</topic><topic>atrial fibrillation</topic><topic>Atrial Fibrillation - diagnosis</topic><topic>Atrial Fibrillation - etiology</topic><topic>Atrial Fibrillation - genetics</topic><topic>cardiac surgery</topic><topic>Cardiac Surgical Procedures - adverse effects</topic><topic>Cohort Studies</topic><topic>Critical Care</topic><topic>Electrocardiography - methods</topic><topic>Female</topic><topic>Genetic Variation - genetics</topic><topic>genomics</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Polymorphism, Single Nucleotide - genetics</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - genetics</topic><topic>PR interval</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sigurdsson, Martin I., MD, PhD</creatorcontrib><creatorcontrib>Muehlschlegel, Jochen D., MD, MMSc</creatorcontrib><creatorcontrib>Fox, Amanda A., MD, MPH</creatorcontrib><creatorcontrib>Heydarpour, Mahyar, PhD</creatorcontrib><creatorcontrib>Lichtner, Peter, PhD</creatorcontrib><creatorcontrib>Meitinger, Thomas, PhD</creatorcontrib><creatorcontrib>Collard, Charles D., MD</creatorcontrib><creatorcontrib>Shernan, Stanton K., MD</creatorcontrib><creatorcontrib>Body, Simon C., MBChB, MPH</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of cardiothoracic and vascular anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sigurdsson, Martin I., MD, PhD</au><au>Muehlschlegel, Jochen D., MD, MMSc</au><au>Fox, Amanda A., MD, MPH</au><au>Heydarpour, Mahyar, PhD</au><au>Lichtner, Peter, PhD</au><au>Meitinger, Thomas, PhD</au><au>Collard, Charles D., MD</au><au>Shernan, Stanton K., MD</au><au>Body, Simon C., MBChB, MPH</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Genetic Variants Associated With Atrial Fibrillation and PR Interval Following Cardiac Surgery</atitle><jtitle>Journal of cardiothoracic and vascular anesthesia</jtitle><addtitle>J Cardiothorac Vasc Anesth</addtitle><date>2015-06-01</date><risdate>2015</risdate><volume>29</volume><issue>3</issue><spage>605</spage><epage>610</epage><pages>605-610</pages><issn>1053-0770</issn><eissn>1532-8422</eissn><abstract>Objective The authors hypothesized that genetic association between atrial fibrillation (AF)-associated and PR-associated genetic loci was biologically mediated through slower conduction velocities for some or all of these loci. Design Prospectively collected cohort study. Setting Single tertiary care university hospital. Participants A total of 1227 Caucasian patients who underwent coronary artery bypass grafting (CABG). Interventions A total of 677 single nucleotide polymorphisms previously associated with ambulatory AF or PR interval were tested for association with postoperative atrial fibrillation (poAF) and preoperative PR interval, maximum PR interval, maximum change in PR interval, and maximum change in PR interval from preoperative PR interval. Measurements and Main Results The incidence of new-onset poAF was 31%. All of the PR interval variables were longer in the poAF cohort. Two variants on 1q21 and 12 on 4q25 were associated with poAF after adjustment for false discovery rate (FDR), but no variants were associated with PR interval variables after adjustment for FDR. Several variants were associated with both poAF and PR interval variables at p&lt;0.05, but none of them remained significant after adjusting for FDR. Conclusion It was found that patients with poAF have significantly longer PR interval. Genetic variants in both the 1q21 and 4q25 regions associate with poAF after CABG surgery, but the authors were unable to find association between these variants and PR interval after adjusting for FDR.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26009287</pmid><doi>10.1053/j.jvca.2014.10.028</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects 1q21
4q25
Aged
Aged, 80 and over
Anesthesia & Perioperative Care
atrial fibrillation
Atrial Fibrillation - diagnosis
Atrial Fibrillation - etiology
Atrial Fibrillation - genetics
cardiac surgery
Cardiac Surgical Procedures - adverse effects
Cohort Studies
Critical Care
Electrocardiography - methods
Female
Genetic Variation - genetics
genomics
Humans
Male
Middle Aged
Polymorphism, Single Nucleotide - genetics
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative Complications - genetics
PR interval
Prospective Studies
title Genetic Variants Associated With Atrial Fibrillation and PR Interval Following Cardiac Surgery
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