Atrial fibrillation and flutter

I9_AF

atrial fibrillation: A disorder characterized by an electrocardiographic finding of a supraventricular arrhythmia characterized by the replacement of consistent P waves by rapid oscillations or fibrillatory waves that vary in size, shape and timing and are accompanied by an irregular ventricular response. (CDISC)

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Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

473681

1. Apply sex-specific rule

None

473681

2. Check conditions

None

473681

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 I48
  • Hospital discharge: ICD-9 4273
  • Hospital discharge: ICD-8 42792
  • Cause of death: ICD-10 I48
  • Cause of death: ICD-9 4273
  • Cause of death: ICD-8 42792
  • KELA reimbursements: KELA codes 207|351
  • KELA reimbursements: ICD-10 I48

3 out of 7 registries used, show all original rules.

57655

4. Check minimum number of events

None

57655

5. Include endpoints

57655

6. Filter based on genotype QC (FinnGen only)

55853

Control definitions (FinnGen only)

Control exclude FG_CVD

Extra metadata

Level in the ICD hierarchy 4
First used in FinnGen datafreeze DF2
Parent code in ICD-10 I30-I52
Name in latin Fibrillatio atriorum

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

Key figures

All Female Male
Number of individuals
Whole population 604062 286372 311083
Only index persons 464709 222369 242340
Unadjusted period prevalence (%)
Whole population 8.44 8.20 8.69
Only index persons 8.74 8.17 9.25
Median age at first event (years)
Whole population 72.95 76.96 69.29
Only index persons 72.55 76.76 68.69

-FinnGen-

Key figures

All Female Male
Number of individuals 55853 21088 34765
Unadjusted period prevalence (%) 13.99 8.28 17.46
Median age at first event (years) 69.64 71.41 68.57

-FinRegistry-

Age distribution of first events

-FinnGen-

Age distribution of first events

-FinRegistry-

Year distribution of first events

-FinnGen-

Year distribution of first events

-FinRegistry-

Cumulative Incidence Function

-FinnGen-

Cumulative Incidence Function

Mortality – FinRegistry

Association

Association between endpoint I9_AF and mortality.

Females

Parameter HR [95% CI] p-value
I9_AF 1.866 [1.72, 2.02] < 0.001
Birth year 0.989 [0.98, 1.0] 0.005

During the follow-up period (1.1.1998 — 31.12.2019), 97565 out of 204865 females with I9_AF died.

Males

Parameter HR [95% CI] p-value
I9_AF 2.006 [1.84, 2.19] < 0.001
Birth year 0.981 [0.97, 0.99] < 0.001

During the follow-up period (1.1.1998 — 31.12.2019), 88470 out of 215071 males with I9_AF died.

Mortality risk

Mortality risk for people of age

years, who have I9_AF.

N-year risk Females Males
1 0.124% 0.216%
5 0.759% 1.558%
10 1.863% 3.741%
15 3.4% 6.97%
20 5.644% 11.395%

Relationships between endpoints

Index endpoint: I9_AF – Atrial fibrillation and flutter

GWS hits: 113

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
Extremity
rg [CI]
Extremity
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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