| Literature DB >> 31345432 |
Peter Libby1, Robert Sidlow2, Amy E Lin3, Dipti Gupta2, Lee W Jones2, Javid Moslehi4, Andreas Zeiher5, Siddhartha Jaiswal6, Christian Schulz7, Ron Blankstein3, Kelly L Bolton2, David Steensma8, Ross L Levine2, Benjamin L Ebert8.
Abstract
A novel, common, and potent cardiovascular risk factor has recently emerged: clonal hematopoiesis of indeterminate potential (CHIP). CHIP arises from somatic mutations in hematopoietic stem cells that yield clonal progeny of mutant leukocytes in blood. Individuals with CHIP have a doubled risk of coronary heart disease and ischemic stroke, and worsened heart failure outcomes independent of traditional cardiovascular risk factors. The recognition of CHIP as a nontraditional risk factor challenges specialists in hematology/oncology and cardiovascular medicine alike. Should we screen for CHIP? If so, in whom? How should we assess cardiovascular risk in people with CHIP? How should we manage the excess cardiovascular risk in the absence of an evidence base? This review explains CHIP, explores the clinical quandaries, strives to provide reasonable recommendations for the multidisciplinary management of cardiovascular risk in individuals with CHIP, and highlights current knowledge gaps.Entities:
Keywords: cancer; cardio-oncology; cardiovascular risk; leukemia; leukocyte
Mesh:
Year: 2019 PMID: 31345432 PMCID: PMC6681657 DOI: 10.1016/j.jacc.2019.06.007
Source DB: PubMed Journal: J Am Coll Cardiol ISSN: 0735-1097 Impact factor: 24.094