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A common variant on chromosome 9p21 affects the risk of myocardial infarction
Authors:Helgadottir Anna  Thorleifsson Gudmar  Manolescu Andrei  Gretarsdottir Solveig  Blondal Thorarinn  Jonasdottir Aslaug  Jonasdottir Adalbjorg  Sigurdsson Asgeir  Baker Adam  Palsson Arnar  Masson Gisli  Gudbjartsson Daniel F  Magnusson Kristinn P  Andersen Karl  Levey Allan I  Backman Valgerdur M  Matthiasdottir Sigurborg  Jonsdottir Thorbjorg  Palsson Stefan  Einarsdottir Helga  Gunnarsdottir Steinunn  Gylfason Arnaldur  Vaccarino Viola  Hooper W Craig  Reilly Muredach P  Granger Christopher B  Austin Harland  Rader Daniel J  Shah Svati H  Quyyumi Arshed A  Gulcher Jeffrey R  Thorgeirsson Gudmundur  Thorsteinsdottir Unnur
Institution:deCODE genetics, Sturlugata 8, IS-101 Reykjavik, Iceland.
Abstract:The global endemic of cardiovascular diseases calls for improved risk assessment and treatment. Here, we describe an association between myocardial infarction (MI) and a common sequence variant on chromosome 9p21. This study included a total of 4587 cases and 12,767 controls. The identified variant, adjacent to the tumor suppressor genes CDKN2A and CDKN2B, was associated with the disease with high significance. Approximately 21% of individuals in the population are homozygous for this variant, and their estimated risk of suffering myocardial infarction is 1.64 times as great as that of noncarriers. The corresponding risk is 2.02 times as great for early-onset cases. The population attributable risk is 21% for MI in general and 31% for early-onset cases.
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