Cardiomyopathies, Secondary/extrinsic

I9_CARDMSEC

cardiomyopathy: A disease of the heart muscle or myocardium proper. Cardiomyopathies may be classified as either primary or secondary, on the basis of etiology, or on the pathophysiology of the lesion: hypertrophic, dilated, or restrictive.

Suggest a new description

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 I42.6, I42.7#
  • Hospital discharge: ICD-9 4258A
  • Cause of death: ICD-10 I42.6, I42.7#
  • Cause of death: ICD-9 4258A

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

224

4. Check minimum number of events

None

224

5. Include endpoints

None

224

6. Filter based on genotype QC (FinnGen only)

224

Control definitions (FinnGen only)

Control exclude
I9_OTHHEART

Extra metadata

Level in the ICD hierarchy
4
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 4781 746 3926
Only index persons 2094 381 1713
Unadjusted period prevalence (%)
Whole population 0.10 0.02 0.11
Only index persons 0.06 0.01 0.07
Median age at first event (years)
Whole population 56.51 59.10 55.87
Only index persons 58.60 60.45 58.19

-FinnGen-

Key figures

All Female Male
Number of individuals 224 65 159
Unadjusted period prevalence (%) 0.06 0.02 0.07
Median age at first event (years) 60.19 55.59 62.07

-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

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
200
Matched controls
1998
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
I42.6
ICD-10 Finland
Alcoholic cardiomyopathy
+∞
156.5
129
*
I50.9
ICD-10 Finland
Heart failure, unspecified
319.7
94.4
89
5
I42.0
ICD-10 Finland
Dilated cardiomyopathy
+∞
88.2
78
*
201
Kela drug reimbursment
Chronic cardiac insufficiency
119.6
77.2
80
11
I42.7
ICD-10 Finland
Cardiomyopathy due to drugs and other external agents
+∞
71.1
64
*
I48
ICD-10 Finland
Atrial fibrillation and flutter
69.3
58.7
66
14
I50.1
ICD-10 Finland
Left ventricular failure
+∞
54.7
50
*
I50.0
ICD-10 Finland
Congestive heart failure
330.4
51.6
50
*
C01AA05
ATC
digoxin; systemic
55.0
50.4
59
15
C03CA01
ATC
furosemide; systemic
10.9
49.0
118
233
C03DA01
ATC
spironolactone; oral
18.4
46.0
75
63
I42.9
ICD-10 Finland
Cardiomyopathy, unspecified
+∞
43.3
40
*
207
Kela drug reimbursment
Chronic arrhythmias
460.1
39.5
38
*
XFP20
NOMESCO Finland
Check up of cardiac pacemaker
112.7
35.0
37
*
FM1AE
NOMESCO Finland
Standard cardiac ultrasound examination
9.7
31.3
70
105
B01AA03
ATC
warfarin; systemic
9.6
29.7
66
97
C07AB07
ATC
bisoprolol; oral
5.7
29.3
127
466
Z95.0
ICD-10 Finland
Presence of electronic cardiac devices
+∞
27.7
26
*
I47.2
ICD-10 Finland
Ventricular tachycardia
+∞
23.4
22
*
290
Kela drug reimbursment
Apixaban, dabigatran, edoxaban and rivaroxaban for the treatment of atrial fibrillation
258.0
23.1
23
*
Z45.0
ICD-10 Finland
Adjustment and management of cardiac devices
258.0
23.1
23
*
351
Kela drug reimbursment
Apixaban, dabigatran, edoxaban and rivaroxaban for the treatment of atrial fibrillation
+∞
22.3
21
*
FN1AC
NOMESCO Finland
Angiography of heart and/or coronary arteries
5.8
21.9
72
177
K78
ICPC
Atrial fibrillation/flutter
30.9
20.6
27
10
C09DX04
ATC
valsartan and sacubitril; oral
+∞
20.1
19
*
289
Kela drug reimbursment
Combination product containing sacubitril and valsartan
+∞
20.1
19
*
C09AA05
ATC
ramipril; oral
4.5
19.4
85
280
FM1EE
NOMESCO Finland
Extensive structural and functional ultrasound examination of heart
5.9
19.4
60
135
F10.1
ICD-10 Finland
Mental and behavioural disorders due to use of alcohol, Harmful use
8.1
19.1
45
69
C01BD01
ATC
amiodarone; systemic
208.5
18.9
19
*
TFP20
NOMESCO Finland
Cardiodefibrillation
73.5
18.1
20
*
FM1DE
NOMESCO Finland
Doppler ultrasound examination of heart
9.9
17.1
35
42
I34.09
ICD-10 Finland
Mitral (valve) insufficiency
+∞
15.8
15
*
XF400
NOMESCO Finland
ECG with 12 standard connections
4.8
15.8
58
155
381
Kela drug reimbursment
Combination product containing sacubitril and valsartan
+∞
14.8
14
*
K70.0
ICD-10 Finland
Alcoholic fatty liver
24.5
14.5
20
9
GD1UA
NOMESCO Finland
Thorax X-ray examination outside radiological department
4.9
14.3
50
126
F10.29
ICD-10 Finland
Addiction caused by alcohol UNS
12.2
13.4
24
22
I44.7
ICD-10 Finland
Left bundle-branch block, unspecified
+∞
12.6
12
*
I35.1
ICD-10 Finland
Aortic (valve) insufficiency
138.1
12.6
13
*
GD1LA
NOMESCO Finland
GD
138.1
12.6
13
*
117
Kela drug reimbursment
Leukaemia and other malignant diseases of the blood and bone marrow, and malignant diseases of the lymphatic tissue
9.2
12.5
26
32
F10.40
ICD-10 Finland
Withdrawal symptoms and delirium caused by alcohol without seizures
24.6
11.8
16
7
AN1
HP
Coronary angiography
4.7
11.1
39
97
P15
ICPC
Chronic alcohol abuse
11.5
10.5
19
18
TFC00
NOMESCO Finland
Catheterisation of right atrium or ventricle
115.7
10.5
11
*
PH1AC
NOMESCO Finland
Flebography of over extremity with X-ray
115.7
10.5
11
*
N07BB01
ATC
disulfiram; oral
7.3
9.8
23
35
F10.31
ICD-10 Finland
Withdrawal symptoms caused by alcohol with seizures
18.6
9.5
14
8
A12BA01
ATC
potassium chloride; oral
10.3
9.5
18
19
FPG96
NOMESCO Finland
Other implantation of permanent cardioverter-defibrillator
+∞
9.4
9
*
I46.0
ICD-10 Finland
Cardiac arrest with successful resuscitation
+∞
9.4
9
*
4273A
ICD-9 Finland
Cardiac dysrhythmias, Atrial fibrillation and flutter
+∞
9.4
9
*
A98
ICPC
Health maint/preventive medicine
0.4
9.2
124
1634
K77
ICPC
Heart failure
38.5
9.1
11
*
Z2221
NOMESCO Finland
Medical doctor
2.9
9.0
62
264
F10.26
ICD-10 Finland
Alcohol dependence periodic alcoholism
14.9
8.8
14
10
F10.2
ICD-10 Finland
Mental and behavioural disorders due to use of alcohol, Dependence syndrome
14.9
8.8
14
10
R56.8
ICD-10 Finland
Other and unspecified convulsions
7.0
8.7
21
33
F10.20
ICD-10 Finland
Alcohol dependence currently independent
12.3
8.7
15
13
I42.2
ICD-10 Finland
Other hypertrophic cardiomyopathy
+∞
8.4
8
*
I48.1
ICD-10 Finland
Persistent atrial fibrillation
+∞
8.4
8
*
FPG32
NOMESCO Finland
Implantation of cardioverter-defibrillator with atrial and ventricular electrodes
+∞
8.4
8
*
FPE96
NOMESCO Finland
Other implantation or replacement of transvenous cardiac pacemaker
+∞
8.4
8
*
4258A
ICD-9 Finland
Cardiomyopathy in other diseases classified elsewhere
+∞
8.4
8
*
I34.00
ICD-10 Finland
Mitral (valve) incompetence NOS or of specified cause, except rheumatic
+∞
8.4
8
*
FPE20
NOMESCO Finland
Implantation of transvenous cardiac pacemaker with atrial and ventricular electrodes
+∞
8.4
8
*
F10.00
ICD-10 Finland
Alcohol-related acute intoxication uncomplicated
12.4
8.2
14
12
F10.21
ICD-10 Finland
Alcohol dependence currently abstinent, but staying in restrictive environment
23.1
8.1
11
5
TPH07
NOMESCO Finland
Cathetrisation of artery
4.3
8.1
30
79
J18.9
ICD-10 Finland
Pneumonia, unspecified
2.7
8.1
64
295
8500/3-C50.9
ICD-O-3
Infiltrating duct carcinoma, NOS, of breast, NOS
9.0
8.0
16
19
F10.25
ICD-10 Finland
Alcohol dependence continuous use
10.0
7.9
15
16
GD1AA
NOMESCO Finland
Thorax X-ray examination
2.4
7.8
90
509
F10.24
ICD-10 Finland
Alcohol depence active use
12.5
7.7
13
11
ZX120
NOMESCO Finland
Intravenous
4.2
7.5
28
74
GD1QA
NOMESCO Finland
Supine thorax X-ray examination
3.2
7.5
41
148
C07AB02
ATC
metoprolol; systemic
2.9
7.4
49
202
K70.3
ICD-10 Finland
Alcoholic cirrhosis of liver
11.5
7.4
13
12
I42.8
ICD-10 Finland
Other cardiomyopathies
+∞
7.3
7
*
I48.9
ICD-10 Finland
Atrial fibrillation and atrial flutter, unspecified
+∞
7.3
7
*
1CX08
NOMESCO Finland
NA
+∞
7.3
7
*
N05CF01
ATC
zopiclone; oral
2.4
7.2
75
396
115
Kela drug reimbursment
Breast cancer
5.3
7.2
21
43
I47.1
ICD-10 Finland
Supraventricular tachycardia
31.2
7.2
9
*
Z3231
NOMESCO Finland
Registered nurse
2.5
7.2
62
299
C07AA07
ATC
sotalol; systemic
10.6
7.1
13
13
F10.09
ICD-10 Finland
Alcohol intoxication UNS
10.6
7.1
13
13
F10.0
ICD-10 Finland
Mental and behavioural disorders due to use of alcohol, Acute intoxication
10.6
7.1
13
13
XF404
NOMESCO Finland
Ambulatory ECG
6.3
7.1
18
31
B01AF02
ATC
apixaban; oral
8.0
7.0
15
20
F10.39
ICD-10 Finland
Withdrawal symptoms caused by alcohol UNS
14.4
7.0
11
8
N05BA02
ATC
chlordiazepoxide; systemic
8.7
6.9
14
17
PJD52
NOMESCO Finland
Block dissection of axillary lymph nodes
7.6
6.8
15
21
XFE00
NOMESCO Finland
Epicardial ultrasonography
23.4
6.7
9
*
M04AA01
ATC
allopurinol; systemic
3.2
6.7
37
134
L03AA02
ATC
filgrastim; parenteral
6.6
6.6
16
26
N05BA04
ATC
oxazepam; oral
2.6
6.6
54
250
R06.0
ICD-10 Finland
Dyspnoea
2.6
6.5
51
231
T36
ICD-10 Finland
Poisoning by systemic antibiotics
6.3
6.4
16
27
XF640
NOMESCO Finland
NA
11.5
6.4
11
10
I42.1
ICD-10 Finland
Obstructive hypertrophic cardiomyopathy
+∞
6.3
6
*
TFP30
NOMESCO Finland
Cathetric examination for cardiac arrythmia
+∞
6.3
6
*
FPJ24
NOMESCO Finland
Revision of biventricular cardioverter-defibrillator with atrial and ventricular electrodes
+∞
6.3
6
*
I44.2
ICD-10 Finland
Atrioventricular block, complete
+∞
6.3
6
*
2000B
ICD-9 Finland
Lymphosarcoma and reticulosarcoma, Reticulosarcoma[LYMPHOMA MALIGNUM DIFFUSUM]
+∞
6.3
6
*
42792
ICD-8 Finland
Symptomatic heart disease, Fibrillatio auricularis
+∞
6.3
6
*
I50
ICD-10 Finland
Heart failure
27.6
6.3
8
*
K70.4
ICD-10 Finland
Alcoholic hepatic failure
27.6
6.3
8
*
WX892
NOMESCO Finland
Monitored bed care
4.5
6.2
21
51
N05AA02
ATC
levomepromazine; systemic
4.9
6.2
19
42

Mortality – FinRegistry

Association

Association between endpoint I9_CARDMSEC and mortality.

Females

Parameter HR [95% CI] p-value
I9_CARDMSEC 6.432 [4.18, 9.9] < 0.001
Birth year 0.995 [0.99, 1.0] 0.206

During the follow-up period (1.1.1998 — 31.12.2019), 110 out of 233 females with I9_CARDMSEC died.

Males

Parameter HR [95% CI] p-value
I9_CARDMSEC 7.233 [5.83, 8.98] < 0.001
Birth year 0.986 [0.98, 1.0] 0.003

During the follow-up period (1.1.1998 — 31.12.2019), 480 out of 782 males with I9_CARDMSEC died.

Mortality risk

Mortality risk for people of age

years, who have I9_CARDMSEC.

N-year risk Females Males
1 0.612% 1.675%
5 3.985% 8.275%
10 9.404% 18.906%
15 17.163% 33.051%
20 27.778% 49.542%

Relationships between endpoints

Index endpoint: I9_CARDMSEC – Cardiomyopathies, Secondary/extrinsic

GWS hits: 1

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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