Heart failure, strict

I9_HEARTFAIL

systolic heart failure: Heart failure caused by abnormal myocardial contraction during systole leading to defective cardiac emptying.

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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 I11.0, I13.0, I13.2, I50
  • Hospital discharge: ICD-9 4029B|428
  • Hospital discharge: ICD-8 42700|42710|428|7824
  • Cause of death: ICD-10 I11.0, I13.0, I13.2, I50
  • Cause of death: ICD-9 4029B|428
  • Cause of death: ICD-8 42700|42710|428|7824
  • KELA reimbursements: KELA codes 201
  • Medicine purchases: ATC C03CA01|C03EB01

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

34506

4. Check minimum number of events

Min. number of events 3, and need other rules
34506

5. Include endpoints

None

34506

6. Filter based on genotype QC (FinnGen only)

33250

Control definitions (FinnGen only)

Controls for this endpoint are individuals that are not cases.

Extra metadata

Level in the ICD hierarchy 3
First used in FinnGen datafreeze DF6

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 488284 258381 222422
Only index persons 306110 164935 141175
Unadjusted period prevalence (%)
Whole population 6.87 7.40 6.21
Only index persons 5.75 6.06 5.39
Median age at first event (years)
Whole population 73.72 75.74 71.47
Only index persons 74.89 77.35 72.00

-FinnGen-

Key figures

All Female Male
Number of individuals 33250 12476 20774
Unadjusted period prevalence (%) 8.36 4.90 10.43
Median age at first event (years) 71.17 71.64 70.89

-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_HEARTFAIL and mortality.

Females

Parameter HR [95% CI] p-value
I9_HEARTFAIL 1.872 [1.73, 2.02] < 0.001
Birth year 0.99 [0.98, 1.0] 0.008

During the follow-up period (1.1.1998 — 31.12.2019), 93309 out of 148974 females with I9_HEARTFAIL died.

Males

Parameter HR [95% CI] p-value
I9_HEARTFAIL 2.348 [2.15, 2.57] < 0.001
Birth year 0.985 [0.98, 0.99] < 0.001

During the follow-up period (1.1.1998 — 31.12.2019), 81980 out of 134565 males with I9_HEARTFAIL died.

Mortality risk

Mortality risk for people of age

years, who have I9_HEARTFAIL.

N-year risk Females Males
1 0.132% 0.369%
5 0.847% 2.109%
10 2.075% 5.33%
15 3.635% 9.966%
20 6.203% 16.023%

Relationships between endpoints

Index endpoint: I9_HEARTFAIL – Heart failure, strict

GWS hits: 10

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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