An Introductory Tutorial on Cardiovascular Pharmacogenetics for Healthcare Providers

Author:

Oni‐Orisan Akinyemi1ORCID,Tuteja Sony2ORCID,Hoffecker Glenda2ORCID,Smith D. Max34ORCID,Castrichini Matteo5,Crews Kristine R.6ORCID,Murphy William A.7ORCID,Nguyen Nam H. K.8ORCID,Huang Yimei8ORCID,Lteif Christelle8ORCID,Friede Kevin A.9ORCID,Tantisira Kelan10,Aminkeng Folefac1112ORCID,Voora Deepak13ORCID,Cavallari Larisa H.8ORCID,Whirl‐Carrillo Michelle14ORCID,Duarte Julio D.8ORCID,Luzum Jasmine A.1516ORCID,

Affiliation:

1. Department of Clinical Pharmacy University of California San Francisco San Francisco California USA

2. Division of Translational Medicine and Human Genetics, Department of Medicine, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA

3. MedStar Health Columbia Maryland USA

4. Department of Oncology Georgetown University Medical Center Washington DC USA

5. Department of Cardiovascular Medicine Mayo Clinic Rochester Minnesota USA

6. Department of Pharmacy and Pharmaceutical Sciences St. Jude Children's Research Hospital Memphis Tennessee USA

7. Division of Pharmacotherapy and Experimental Therapeutics, UNC Eshelman School of Pharmacy University of North Carolina at Chapel Hill Chapel Hill North Carolina USA

8. Department of Pharmacotherapy and Translational Research and Center for Pharmacogenomics and Precision Medicine University of Florida Gainesville Florida USA

9. Division of Cardiology University of North Carolina School of Medicine Chapel Hill North Carolina USA

10. Division of Respiratory Medicine, Department of Pediatrics University of California San Diego San Diego California USA

11. Departments of Medicine and Biomedical Informatics (DBMI), Yong Loo Lin School of Medicine National University of Singapore Singapore City Singapore

12. Centre for Precision Health (CPH) National University Health System (NUHS) Singapore City Singapore

13. Precision Medicine Program, Department of Medicine Duke University School of Medicine Durham North Carolina USA

14. Department of Biomedical Data Science Stanford University Stanford California USA

15. Department of Clinical Pharmacy University of Michigan College of Pharmacy Ann Arbor Michigan USA

16. Center for Individualized and Genomic Medicine Research Henry Ford Health System Detroit Michigan USA

Abstract

Pharmacogenetics can improve clinical outcomes by reducing adverse drug effects and enhancing therapeutic efficacy for commonly used drugs that treat a wide range of cardiovascular diseases. One of the major barriers to the clinical implementation of cardiovascular pharmacogenetics is limited education on this field for current healthcare providers and students. The abundance of pharmacogenetic literature underscores its promise, but it can also be challenging to learn such a wealth of information. Moreover, current clinical recommendations for cardiovascular pharmacogenetics can be confusing because they are outdated, incomplete, or inconsistent. A myriad of misconceptions about the promise and feasibility of cardiovascular pharmacogenetics among healthcare providers also has halted clinical implementation. Therefore, the main goal of this tutorial is to provide introductory education on the use of cardiovascular pharmacogenetics in clinical practice. The target audience is any healthcare provider (or student) with patients that use or have indications for cardiovascular drugs. This tutorial is organized into the following 6 steps: (1) understand basic concepts in pharmacogenetics; (2) gain foundational knowledge of cardiovascular pharmacogenetics; (3) learn the different organizations that release cardiovascular pharmacogenetic guidelines and recommendations; (4) know the current cardiovascular drugs/drug classes to focus on clinically and the supporting evidence; (5) discuss an example patient case of cardiovascular pharmacogenetics; and (6) develop an appreciation for emerging areas in cardiovascular pharmacogenetics. Ultimately, improved education among healthcare providers on cardiovascular pharmacogenetics will lead to a greater understanding for its potential in improving outcomes for a leading cause of morbidity and mortality.

Funder

National Heart, Lung, and Blood Institute

Penn Center for Precision Medicine, University of Pennsylvania

National Human Genome Research Institute

Publisher

Wiley

Subject

Pharmacology (medical),Pharmacology

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