Evidence map›Paper›PMID 36600884›Full record

ArticleEuropean heart journal open2022

Effectiveness and feasibility of cardiovascular disease personalized prevention on high polygenic risk score subjects: a randomized controlled pilot study.

Margus Viigimaa, Mikk Jürisson, Heti Pisarev, Ruth Kalda, Helene Alavere, Alar Irs, Aet Saar, Krista Fischer, Kristi Läll, Krista Kruuv-Käo and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in European heart journal open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07039123 (Polygenic Risk Score to Optimize Primary Prevention in Intermediate Risk Population), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07039123 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Polygenic Risk Score to Optimize Primary Prevention in Intermediate Risk Population (PERSONAL)

TypeinterventionalSponsorUniversity of BernRan2025 to 2027Enrolled205ConditionsPrimary Prevention of Cardiovascular DiseaseArmsPolygenic Risk Score for Coronary Artery Disease (PRS-CAD), Standardized Risk Communication Tool (SCORE2)
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Are There Any Effective Behavior Change Strategies for Communicating Genetic Risk in Obesity Prevention and Body Weight Reduction Interventions?Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
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  5. Polygenic risk scores for cardiovascular disease: clinical utility and limitations.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2026
    Review
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  8. A polygenic risk score modifies the cardiovascular risk associated with obstructive sleep apnea.Sleep advances : a journal of the Sleep Research Society · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

Margus ViigimaaDepartment of Health Technologies, Tallinn University of Technology, Ehitajate tee 5, 19086 Tallinn, Estonia.ORCID https://orcid.org/0000-0001-5575-5978
Mikk JürissonInstitute of Family Medicine and Public Health, University of Tartu, Ravila 19, 50411 Tartu, Estonia.
Heti PisarevInstitute of Family Medicine and Public Health, University of Tartu, Ravila 19, 50411 Tartu, Estonia.
Ruth KaldaInstitute of Family Medicine and Public Health, University of Tartu, Ravila 19, 50411 Tartu, Estonia.
Helene AlavereInstitute of Genomics, University of Tartu, Riia 23b, 51010 Tartu, Estonia.
Alar IrsHeart Clinic, Tartu University Hospital, L. Puusepa 8, 50406 Tartu, Estonia.
Aet SaarCentre of Cardiology, North Estonia Medical Centre, Sütiste St. 19, 13419 Tallinn, Estonia.
Krista FischerInstitute of Genomics, University of Tartu, Riia 23b, 51010 Tartu, Estonia.ORCID https://orcid.org/0000-0002-3521-0599
Kristi LällInstitute of Genomics, University of Tartu, Riia 23b, 51010 Tartu, Estonia.ORCID https://orcid.org/0000-0002-9161-4694
Krista Kruuv-KäoInstitute of Genomics, University of Tartu, Riia 23b, 51010 Tartu, Estonia.
Nina MarsInstitute for Molecular Medicine Finland, University of Helsinki, Tukholmankatu 8, 00014 Helsinki, Finland.ORCID https://orcid.org/0000-0002-7259-5993
Elisabeth WidenInstitute for Molecular Medicine Finland, University of Helsinki, Tukholmankatu 8, 00014 Helsinki, Finland.
Samuli RipattiInstitute for Molecular Medicine Finland, University of Helsinki, Tukholmankatu 8, 00014 Helsinki, Finland.
Andres MetspaluInstitute of Genomics, University of Tartu, Riia 23b, 51010 Tartu, Estonia.ORCID https://orcid.org/0000-0002-3718-796X
University of Tartu · EEUniversity of Helsinki · FINorth Estonia Medical Centre · EETallinn University of Technology · EETartu University Hospital · EE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: The aim of this study was to evaluate the effect of the intervention by proactively sharing a patient's high polygenic risk score (PRS) for coronary artery disease (CAD). Outcomes included: (i) reduction in cardiovascular disease (CVD) risk factors over 12 months; (ii) difference in purchased prescriptions of lipid-lowering and anti-hypertensive drugs between intervention group and control group subjects; and (iii) opinion of the participating physicians and subjects on PRS usefulness. Methods and results: This randomized controlled trial was conducted among middle-aged subjects with a top 20% CAD PRS in a family medicine setting. Participants were selected from 26 953 Estonian Biobank cohort participants. Subjects were informed and counselled about their PRS score and CAD risk using the visual tool at baseline (Visit I), counselling session (Visit II), and on the final Visit III at 12 months. The primary endpoint was not significantly different. However, the intervention group participants had a significantly higher probability of initiating statin treatment compared with the controls. Their levels of LDL-cholesterol (LDL-C) were significantly decreased compared with baseline on Visit III and significantly lower than in the control group. The vast majority of participating family physicians believe that finding out about genetic risks will affect the subject's lifestyle and medication compliance. Conclusion: Most of our outcome measures were in favour of this intervention. Participants achieved larger changes in cholesterol and blood pressure values. The vast majority (98.4%) of family physicians are interested in continuing to use genetic risk assessment in practice.

Indexed as

coronary artery diseasepersonalized preventionPolygenic risk score

Identifiers

PMID36600884
PMCPMC9803971
OpenAlexW4311742668

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.