Genetic risk, adherence to healthy lifestyle and acute cardiovascular and thromboembolic complications following SARS-COV-2 infection

Junqing Xie, Yuliang Feng, Danielle Newby, Bang Zheng, Qi Feng, Albert Prats-Uribe, Chunxiao Li, Nicholas J. Wareham, R. Paredes and Daniel Prieto-Alhambra ()
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Junqing Xie: University of Oxford
Yuliang Feng: University of Oxford
Danielle Newby: University of Oxford
Bang Zheng: London School of Hygiene & Tropical Medicine
Qi Feng: University of Oxford
Albert Prats-Uribe: University of Oxford
Chunxiao Li: University of Cambridge
Nicholas J. Wareham: University of Cambridge
R. Paredes: Hospital Universitari Germans 13 Trias i Pujol
Daniel Prieto-Alhambra: University of Oxford

Nature Communications, 2023, vol. 14, issue 1, 1-10

Abstract: Abstract Current understanding of determinants for COVID-19-related cardiovascular and thromboembolic (CVE) complications primarily covers clinical aspects with limited knowledge on genetics and lifestyles. Here, we analysed a prospective cohort of 106,005 participants from UK Biobank with confirmed SARS-CoV-2 infection. We show that higher polygenic risk scores, indicating individual’s hereditary risk, were linearly associated with increased risks of post-COVID-19 atrial fibrillation (adjusted HR 1.52 [95% CI 1.44 to 1.60] per standard deviation increase), coronary artery disease (1.57 [1.46 to 1.69]), venous thromboembolism (1.33 [1.18 to 1.50]), and ischaemic stroke (1.27 [1.05 to 1.55]). These genetic associations are robust across genders, key clinical subgroups, and during Omicron waves. However, a prior composite healthier lifestyle was consistently associated with a reduction in all outcomes. Our findings highlight that host genetics and lifestyle independently affect the occurrence of CVE complications in the acute infection phrase, which can guide tailored management of COVID-19 patients and inform population lifestyle interventions to offset the elevated cardiovascular burden post-pandemic.

Date: 2023
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DOI: 10.1038/s41467-023-40310-0

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