Clonal Hematopoiesis of Indeterminate Potential and Cardiovascular Health

Cardiol Clin. 2025 Feb;43(1):13-23. doi: 10.1016/j.ccl.2024.08.004. Epub 2024 Oct 2.

Abstract

Clonal hematopoiesis of indeterminate potential (CHIP) is an age-related phenomenon in which somatic mutations lead to clonal expansion of hematopoietic stem cells without the development of hematologic abnormalities. A growing body of literature demonstrates an association between CHIP and cardiovascular disease. This pathophysiology demonstrates a novel connection between global inflammation and cardiovascular morbidity. While there is limited consensus addressing the cardiovascular care of these patients, risk factor optimization and disease surveillance are advisable. Investigation into possible therapies is ongoing and provides promise for the treatment of inflammation contributing to cardiovascular disease in patients with and without CHIP.

Keywords: Atherosclerosis; Cardiovascular genetics; Clonal hematopoiesis; Inflammation.

Publication types

  • Review

MeSH terms

  • Cardiovascular Diseases* / genetics
  • Cardiovascular Diseases* / physiopathology
  • Clonal Hematopoiesis* / genetics
  • Hematopoietic Stem Cells
  • Humans
  • Mutation
  • Risk Factors