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Department of Anesthesiology
Duke University Medical Center
Box 3094
Durham, NC 27710

Office of Medical Education
Duke University Medical Center
Box 3005
Durham, NC 27710

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PEGASUS Research Projects

Cognitive Decline

  • The PEGASUS team looked at 513 patients undergoing cardiac surgery with CPB
  • At 6-weeks postoperatively, incidence of postoperative cognitive decline was found in 35.7% (183/513) of the patients.
  • Analysis was adjusted for age, level of education, baseline cognition and population substructure
  • 37 candidate SNPs examined

Mathew JP et al., JACC 2006 submitted


A Genetic Basis for Cognitive Decline After Cardiac Surgery

A Genetic Basis for Cognitive Decline After Cardiac Surgery

Percent with Cognitive Deficit

  • It was found that 2 minor alleles protective against Postoperative Cognitive Decline: CRP 1059G/C and SELP 1087G/A
  • Model C-statistic = 0.7, p<0.0001
  • Absolute risk reduction in Postoperative Cognitive Decline:
    • 20.6% for CRP 1059C carriers
    • 15.2% for SELP 1087A carriers

A Genetic Basis for Cognitive Decline After Cardiac Surgery: Intermediate Phenotypes

CRP1059G/C and serum CRP level

SELP 1087G/A (S290N) and platelet CD62P expression

Mathew JP et al., JACC 2006 submitted

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