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Premature Parental Cardiovascular Disease and Subclinical Disease Burden in the Offspring
BACKGROUND: Offspring of parents with premature cardiovascular disease (CVD) have an increased risk of developing subclinical and clinical CVD. It is unclear whether this association differs by vascular beds in the offspring or by the age cut points used to define premature parental CVD. METHODS AND...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7727015/ https://www.ncbi.nlm.nih.gov/pubmed/32896212 http://dx.doi.org/10.1161/JAHA.119.015406 |
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author | Lieb, Wolfgang Song, Rebecca J. Vasan, Ramachandran S. Xanthakis, Vanessa |
author_facet | Lieb, Wolfgang Song, Rebecca J. Vasan, Ramachandran S. Xanthakis, Vanessa |
author_sort | Lieb, Wolfgang |
collection | PubMed |
description | BACKGROUND: Offspring of parents with premature cardiovascular disease (CVD) have an increased risk of developing subclinical and clinical CVD. It is unclear whether this association differs by vascular beds in the offspring or by the age cut points used to define premature parental CVD. METHODS AND RESULTS: Using 3 generations of Framingham Heart Study participants, we assessed prevalent coronary artery calcification, the progression of coronary artery calcification over 6.1 years (median), carotid intima media thickness and the ankle‐brachial index in 1046 offspring of parents with premature CVD before age 70 years, in 1618 offspring with both parents free of CVD and in 923 offspring with parents with CVD after age 70 years. We used different age cut points (55, 60, 65, and 70 years) to define premature parental CVD. In multivariable‐adjusted models, offspring of parents with premature CVD (onset before age 65 years) displayed greater odds for prevalent coronary artery calcification (odds ratio [OR], 1.81; 95% CI, 1.35–2.43), higher carotid intima media thickness (OR, 1.50; 95% CI, 0.92–2.44) and lower ankle‐brachial index (OR, 1.89; 95% CI, 1.00–3.58). These associations were generally consistent across different age cut points used to define premature parental CVD. The association with the progression of coronary artery calcification was less consistent. CONCLUSIONS: Parental premature CVD is associated with increased subclinical CVD burden in the offspring, with consistent relations across different vascular beds and for different age cut points used to define premature parental CVD. Future studies should evaluate whether screening for subclinical CVD traits is warranted in offspring with premature parental CVD. |
format | Online Article Text |
id | pubmed-7727015 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-77270152020-12-13 Premature Parental Cardiovascular Disease and Subclinical Disease Burden in the Offspring Lieb, Wolfgang Song, Rebecca J. Vasan, Ramachandran S. Xanthakis, Vanessa J Am Heart Assoc Original Research BACKGROUND: Offspring of parents with premature cardiovascular disease (CVD) have an increased risk of developing subclinical and clinical CVD. It is unclear whether this association differs by vascular beds in the offspring or by the age cut points used to define premature parental CVD. METHODS AND RESULTS: Using 3 generations of Framingham Heart Study participants, we assessed prevalent coronary artery calcification, the progression of coronary artery calcification over 6.1 years (median), carotid intima media thickness and the ankle‐brachial index in 1046 offspring of parents with premature CVD before age 70 years, in 1618 offspring with both parents free of CVD and in 923 offspring with parents with CVD after age 70 years. We used different age cut points (55, 60, 65, and 70 years) to define premature parental CVD. In multivariable‐adjusted models, offspring of parents with premature CVD (onset before age 65 years) displayed greater odds for prevalent coronary artery calcification (odds ratio [OR], 1.81; 95% CI, 1.35–2.43), higher carotid intima media thickness (OR, 1.50; 95% CI, 0.92–2.44) and lower ankle‐brachial index (OR, 1.89; 95% CI, 1.00–3.58). These associations were generally consistent across different age cut points used to define premature parental CVD. The association with the progression of coronary artery calcification was less consistent. CONCLUSIONS: Parental premature CVD is associated with increased subclinical CVD burden in the offspring, with consistent relations across different vascular beds and for different age cut points used to define premature parental CVD. Future studies should evaluate whether screening for subclinical CVD traits is warranted in offspring with premature parental CVD. John Wiley and Sons Inc. 2020-09-08 /pmc/articles/PMC7727015/ /pubmed/32896212 http://dx.doi.org/10.1161/JAHA.119.015406 Text en © 2020 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Research Lieb, Wolfgang Song, Rebecca J. Vasan, Ramachandran S. Xanthakis, Vanessa Premature Parental Cardiovascular Disease and Subclinical Disease Burden in the Offspring |
title | Premature Parental Cardiovascular Disease and Subclinical Disease Burden in the Offspring |
title_full | Premature Parental Cardiovascular Disease and Subclinical Disease Burden in the Offspring |
title_fullStr | Premature Parental Cardiovascular Disease and Subclinical Disease Burden in the Offspring |
title_full_unstemmed | Premature Parental Cardiovascular Disease and Subclinical Disease Burden in the Offspring |
title_short | Premature Parental Cardiovascular Disease and Subclinical Disease Burden in the Offspring |
title_sort | premature parental cardiovascular disease and subclinical disease burden in the offspring |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7727015/ https://www.ncbi.nlm.nih.gov/pubmed/32896212 http://dx.doi.org/10.1161/JAHA.119.015406 |
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