Cardiomyopathy due to drugs and other external agents

CARDIOMYOPATHY_DRUGS_OTHER_EXTER_AGENTS

Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

520210

1. Apply sex-specific rule

None

520210

2. Check conditions

None

520210

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

Registry filters:

  • Hospital discharge: ICD-10 I42.7#

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

70

4. Check minimum number of events

None

70

5. Include endpoints

None

70

6. Filter based on genotype QC (FinnGen only)

70

Control definitions (FinnGen only)

Controls for this endpoint are individuals that are not cases.

Extra metadata

Level in the ICD hierarchy
C
First used in FinnGen datafreeze
DF5

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 370 194 172
Only index persons 288 154 134
Unadjusted period prevalence (%)
Whole population 0.01 0.01 0.00
Only index persons 0.01 0.01 0.01
Median age at first event (years)
Whole population 58.64 60.72 56.11
Only index persons 57.79 60.94 54.16

-FinnGen-

Key figures

All Female Male
Number of individuals 70 46 24
Unadjusted period prevalence (%) 0.01 0.02 0.01
Median age at first event (years) 60.89 57.22 67.94

-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

No data

-FinnGen-

Cumulative Incidence Function

No data

CodeWAS (R11)

CodeWAS is a tool for exploring the associations between an endpoint and all of the medical codes and drug codes.

This is a new tool, please reach out using the contact form for feedback and improvement ideas.

First, a cohort is built by matching controls to the endpoint cases using year of birth and sex. Then, a Fisher test is done for all the medical codes and drug codes between the cases and controls of this cohort. Codes are reported in the table below if they have −log10(p-value) ≥ 6.

Matched cohort

Matched cases
63
Matched controls
629
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
I42.7
ICD-10 Finland
Cardiomyopathy due to drugs and other external agents
+∞
90.4
63
*
201
Kela drug reimbursment
Chronic cardiac insufficiency
53.6
26.5
31
11
I42.0
ICD-10 Finland
Dilated cardiomyopathy
50.9
23.0
27
9
117
Kela drug reimbursment
Leukaemia and other malignant diseases of the blood and bone marrow, and malignant diseases of the lymphatic tissue
53.8
20.8
24
7
I50.1
ICD-10 Finland
Left ventricular failure
28.4
19.1
26
15
C09AA05
ATC
ramipril; oral
10.7
16.1
39
83
I42.9
ICD-10 Finland
Cardiomyopathy, unspecified
105.0
15.4
16
*
I50.9
ICD-10 Finland
Heart failure, unspecified
12.5
14.8
29
40
C03CA01
ATC
furosemide; systemic
9.2
14.6
39
94
C03DA01
ATC
spironolactone; oral
13.0
14.4
27
34
I50.0
ICD-10 Finland
Congestive heart failure
18.9
13.1
20
15
I47.2
ICD-10 Finland
Ventricular tachycardia
26.1
11.9
16
8
L03AA02
ATC
filgrastim; parenteral
29.3
10.8
14
6
FM1AE
NOMESCO Finland
Standard cardiac ultrasound examination
7.7
10.7
28
59
C01AA05
ATC
digoxin; systemic
19.0
10.7
16
11
H02AB02
ATC
dexamethasone; systemic
8.6
10.3
24
42
FM1EE
NOMESCO Finland
Extensive structural and functional ultrasound examination of heart
6.3
10.1
33
93
XFP20
NOMESCO Finland
Check up of cardiac pacemaker
10.8
9.8
19
24
115
Kela drug reimbursment
Breast cancer
9.9
9.7
20
28
A03FA01
ATC
metoclopramide; systemic, rectal
6.4
9.3
28
70
C07AB07
ATC
bisoprolol; oral
5.2
8.6
46
214
FN1AC
NOMESCO Finland
Angiography of heart and/or coronary arteries
5.7
8.6
29
82
8500/3-C50.9
ICD-O-3
Infiltrating duct carcinoma, NOS, of breast, NOS
11.9
8.3
15
16
Z95.0
ICD-10 Finland
Presence of electronic cardiac devices
12.5
8.0
14
14
PJD52
NOMESCO Finland
Block dissection of axillary lymph nodes
9.5
7.4
15
20
A49.9
ICD-10 Finland
Bacterial infection, unspecified
7.9
7.0
16
26
C83.31
ICD-10 Finland
Diffuse lymphoma with large B cells
45.0
6.9
8
*
L02BA01
ATC
tamoxifen; oral
12.0
6.9
12
12
AN1
HP
Coronary angiography
6.2
6.9
19
41
127
Kela drug reimbursment
Transplant complication
77.4
6.6
7
*
TPH20
NOMESCO Finland
Insertion of central venous catheter through subclavian or brachiocephalic vein
20.6
6.5
9
5
FM1DE
NOMESCO Finland
Doppler ultrasound examination of heart
6.8
6.4
16
30
C50.99
ICD-10 Finland
Breast, unspecified
14.5
6.3
10
8
J01MA12
ATC
levofloxacin; systemic
4.6
6.3
24
74
Z45.0
ICD-10 Finland
Adjustment and management of cardiac devices
10.8
6.1
11
12
N02AA05
ATC
oxycodone; systemic
5.0
6.0
20
53

Mortality – FinRegistry

Association

Association between endpoint CARDIOMYOPATHY_DRUGS_OTHER_EXTER_AGENTS and mortality.

Females

Parameter HR [95% CI] p-value
CARDIOMYOPATHY_DRUGS_OTHER_EXTER_AGENTS 5.804 [3.29, 10.24] < 0.001
Birth year 0.991 [0.98, 1.0] 0.04

During the follow-up period (1.1.1998 — 31.12.2019), 70 out of 160 females with CARDIOMYOPATHY_DRUGS_OTHER_EXTER_AGENTS died.

Males

Parameter HR [95% CI] p-value
CARDIOMYOPATHY_DRUGS_OTHER_EXTER_AGENTS 4.335 [2.25, 8.34] < 0.001
Birth year 0.991 [0.98, 1.0] 0.118

During the follow-up period (1.1.1998 — 31.12.2019), 58 out of 136 males with CARDIOMYOPATHY_DRUGS_OTHER_EXTER_AGENTS died.

Mortality risk

Mortality risk for people of age

years, who have CARDIOMYOPATHY_DRUGS_OTHER_EXTER_AGENTS.

N-year risk Females Males
1 0.329% 0.929%
5 2.531% 5.604%
10 7.054% 13.748%
15 13.192% 25.687%
20 21.35% 40.197%

Relationships between endpoints

Index endpoint: CARDIOMYOPATHY_DRUGS_OTHER_EXTER_AGENTS – Cardiomyopathy due to drugs and other external agents

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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