Rheumatic fever incl heart disease

I9_RHEUFEV

rheumatic fever: Rheumatic fever (RF) is a multisystem inflammatory disease occurring as a post-infectious, nonsuppurative sequela of untreated streptococcus pyogenes (Group A streptococcus [GAS]) pharyngitis, and mainly occurs in individuals aged 5 to 15 years. The most common presenting signs are fever, migratory polyarthritis and carditis.

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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

None

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

0

4. Check minimum number of events

None

0

5. Include endpoints

1170

6. Filter based on genotype QC (FinnGen only)

1117

Control definitions (FinnGen only)

Controls for this endpoint are individuals that are not cases.

Extra metadata

Level in the ICD hierarchy 2
First used in FinnGen datafreeze DF2

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 20505 10490 9486
Only index persons 9214 4842 4372
Unadjusted period prevalence (%)
Whole population 0.29 0.30 0.27
Only index persons 0.17 0.18 0.17
Median age at first event (years)
Whole population 61.81 65.18 57.95
Only index persons 51.22 55.20 46.81

-FinnGen-

Key figures

All Female Male
Number of individuals 1117 504 613
Unadjusted period prevalence (%) 0.26 0.20 0.31
Median age at first event (years) 51.85 47.13 55.73

-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_RHEUFEV and mortality.

Females

Parameter HR [95% CI] p-value
I9_RHEUFEV 2.108 [1.91, 2.33] < 0.001
Birth year 0.994 [0.99, 1.0] 0.153

During the follow-up period (1.1.1998 — 31.12.2019), 1814 out of 3349 females with I9_RHEUFEV died.

Males

Parameter HR [95% CI] p-value
I9_RHEUFEV 1.918 [1.69, 2.18] < 0.001
Birth year 0.984 [0.98, 0.99] 0.001

During the follow-up period (1.1.1998 — 31.12.2019), 1381 out of 2720 males with I9_RHEUFEV died.

Mortality risk

Mortality risk for people of age

years, who have I9_RHEUFEV.

N-year risk Females Males
1 0.123% 0.234%
5 0.939% 1.818%
10 2.767% 4.92%
15 5.439% 8.981%
20 9.551% 15.703%

Relationships between endpoints

Index endpoint: I9_RHEUFEV – Rheumatic fever incl heart disease

GWS hits: -

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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