Genetic factors for warfarin dose prediction.

نویسندگان

  • Giuseppe Lippi
  • Gian Luca Salvagno
  • Gian Cesare Guidi
چکیده

stolic dysfunction either in asymptomatic or symptomatic patients, that is, stage B or C of the definition of heart failure, according to the classification of the American Heart Association/American College of Cardiology task force for the diagnosis and management of chronic heart failure (3 ). One important finding of our metaanalysis (1 ) is represented by the heterogeneity of data published on the comparison of diagnostic accuracies of BNP and NT-proBNP, especially for studies concerning chronic heart failure. Evidently, the large variability of these data may be decreased if statistical analyses are performed separately for specific clinical conditions (e.g., systolic or diastolic dysfunction), as suggested by Mueller. However, this approach may not be feasible at this time, considering the small number of studies comparing the diagnostic accuracies of BNP and NT-proBNP. In conclusion, further studies are needed to evaluate differences in diagnostic accuracy of BNP and NT-proBNP assay in patients with heart failure.

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Background: Warfarin is one of the most common oral anticoagulant, which role is to prevent the clots. The dose of this medicine is very important because changes can be dangerous for patients. Diagnosis is difficult for physicians because increase and decrease in use of warfarin is so dangerous for patients. Identifying the clinical and genetic features involved in determining dose could be us...

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A high prevalence of genetic polymorphisms increases sensitivity to warfarin therapy. In this study, we investigated 47 patients with effective long-term therapy by warfarin well-controlled by monitoring of International Normalised Ratio (INR). All patients were tested for gene polymorphisms VKORC1, CYP2C9*C2, and CYP2C9*C3, which were used for a dose calculation employing a program www.Warfari...

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The Contribution of VKORC1 and CYP2C9 Genetic Polymorphisms and Patients’ Demographic Characteristics with Warfarin Maintenance Doses: A Suggested Warfarin Dosing Algorithm

The requirement of varying doses of warfarin for different individuals can be explained by environmental and genetic factors. We evaluated the frequency of vitamin K epoxide reductase complex subunit 1 (VKORC1) and cytochrome P450 2C9 (CYP2C9) variants together with patientdemographic characteristics and investigated their association with warfarin dose requirement with the ob...

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Comparison of two different techniques of warfarin dosing determination - A chemometrics study

A high prevalence of genetic polymorphisms increases sensitivity to warfarin therapy. In this study, we investigated 47 patients with effective long-term therapy by warfarin well-controlled by monitoring of International Normalised Ratio (INR). All patients were tested for gene polymorphisms VKORC1, CYP2C9*C2, and CYP2C9*C3, which were used for a dose calculation employing a program www.Warfari...

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عنوان ژورنال:
  • Clinical chemistry

دوره 53 9  شماره 

صفحات  -

تاریخ انتشار 2007