Genetic Polymorphism of The Natriuretic Peptide System and Long-Term Outcomes of Coronary Artery Stenting
Azizov Shuxratjon Ismatjonovich , Assistant, Department of Internal Medicine, Nephrology and Hemodialysis, Tashkent State Medical University, Tashkent, UzbekistanAbstract
The study evaluated the association between genetic polymorphisms of the natriuretic peptide system and long-term outcomes after coronary artery stenting. A total of 112 patients with coronary artery disease who underwent drug-eluting stent implantation were examined. Genetic testing included NPPA rs5065, NPPB rs198389, and NPR3 rs2270915 polymorphisms. The follow-up period was 24 months. Major adverse cardiovascular events were observed in 28 patients, recurrent angina in 31 patients, in-stent restenosis in 17 patients, and repeat revascularization in 14 patients. NPPA rs5065 C allele carriage was associated with a higher risk of adverse cardiovascular events, while NPR3 rs2270915 G allele carriage was associated with in-stent restenosis. NPPB rs198389 C allele carriage was associated with increased NT-proBNP levels.The results indicate that polymorphisms of the natriuretic peptide system may be useful markers for risk stratification and personalized follow-up after coronary artery stenting.
Keywords
Coronary artery disease, coronary stenting, natriuretic peptides
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