Atrial fibrillation and flutter with reimbursement

I9_AF_REIMB

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

  • I9_AF
57655

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

Registry filters:

  • KELA reimbursements: KELA codes 207|351

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

33857

4. Check minimum number of events

None

33857

5. Include endpoints

None

33857

6. Filter based on genotype QC (FinnGen only)

32849

Control definitions (FinnGen only)

Control exclude FG_CVD
Control conditions not I9_AF

Extra metadata

First used in FinnGen datafreeze DF3

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 271797 130007 140171
Only index persons 240475 116642 123833
Unadjusted period prevalence (%)
Whole population 3.81 3.72 3.92
Only index persons 4.51 4.29 4.73
Median age at first event (years)
Whole population 73.73 76.89 70.86
Only index persons 74.23 77.39 71.25

-FinnGen-

Key figures

All Female Male
Number of individuals 32849 13494 19355
Unadjusted period prevalence (%) 7.90 5.30 9.72
Median age at first event (years) 72.00 73.56 70.91

-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_REIMB and mortality.

Females

Parameter HR [95% CI] p-value
I9_AF_REIMB 1.304 [1.15, 1.48] < 0.001
Birth year 0.994 [0.99, 1.0] 0.111

During the follow-up period (1.1.1998 — 31.12.2019), 18758 out of 84578 females with I9_AF_REIMB died.

Males

Parameter HR [95% CI] p-value
I9_AF_REIMB 1.414 [1.24, 1.62] < 0.001
Birth year 0.985 [0.98, 0.99] 0.001

During the follow-up period (1.1.1998 — 31.12.2019), 18839 out of 88141 males with I9_AF_REIMB died.

Mortality risk

Mortality risk for people of age

years, who have I9_AF_REIMB.

N-year risk Females Males
1 0.142% 0.204%
5 0.684% 1.415%
10 1.734% 3.575%
15 3.216% 6.863%
20 5.826% 11.12%

Relationships between endpoints

Index endpoint: I9_AF_REIMB – Atrial fibrillation and flutter with reimbursement

GWS hits: 95

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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