Alcoholic cardiomyopathy

I9_CARDMYOALC

alcoholic cardiomyopathy: Disease of CARDIAC MUSCLE resulting from chronic excessive alcohol consumption. Myocardial damage can be caused by: (1) a toxic effect of alcohol; (2) malnutrition in alcoholics such as THIAMINE DEFICIENCY; or (3) toxic effect of additives in alcoholic beverages such as COBALT. This disease is usually manifested by DYSPNEA and palpitations with CARDIOMEGALY and congestive heart failure (HEART FAILURE).

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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
  • Hospital discharge: ICD-9 4255A
  • Cause of death: ICD-10 I42.6
  • Cause of death: ICD-9 4255A

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

170

4. Check minimum number of events

None

170

5. Include endpoints

None

170

6. Filter based on genotype QC (FinnGen only)

170

Control definitions (FinnGen only)

Control exclude
I9_CARDMYO

Extra metadata

Level in the ICD hierarchy
C
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
I42
Name in latin
Cardiomyopathia alcoholica

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 5527 579 4785
Only index persons 1818 218 1600
Unadjusted period prevalence (%)
Whole population 0.12 0.02 0.13
Only index persons 0.05 0.01 0.06
Median age at first event (years)
Whole population 54.66 56.03 54.42
Only index persons 58.18 59.42 58.01

-FinnGen-

Key figures

All Female Male
Number of individuals 170 16 154
Unadjusted period prevalence (%) 0.06 0.01 0.07
Median age at first event (years) 61.18 53.35 61.99

-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
152
Matched controls
1521
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
I42.6
ICD-10 Finland
Alcoholic cardiomyopathy
+∞
168.9
129
*
I42.0
ICD-10 Finland
Dilated cardiomyopathy
+∞
60.5
54
*
201
Kela drug reimbursment
Chronic cardiac insufficiency
20.2
34.2
53
39
I42.9
ICD-10 Finland
Cardiomyopathy, unspecified
+∞
26.9
25
*
4255A
ICD-9 Finland
Cardiomyopathy, Alcoholic cardiomyopathy
+∞
26.9
25
*
C01AA05
ATC
digoxin; systemic
8.7
22.8
54
90
C03DA01
ATC
spironolactone; oral
8.7
21.3
50
81
F10.1
ICD-10 Finland
Mental and behavioural disorders due to use of alcohol, Harmful use
9.4
20.8
46
67
K70.0
ICD-10 Finland
Alcoholic fatty liver
45.6
16.8
20
5
I50.9
ICD-10 Finland
Heart failure, unspecified
4.9
15.4
59
173
F10.29
ICD-10 Finland
Addiction caused by alcohol UNS
14.0
14.7
25
21
3039X
ICD-9 Finland
Alcohol dependence syndrome, Other and unspecified alcohol dependence
17.9
12.5
19
12
C09DX04
ATC
valsartan and sacubitril; oral
70.5
11.8
13
*
A98
ICPC
Health maint/preventive medicine
0.3
11.7
71
1140
C03CA01
ATC
furosemide; systemic
3.4
11.6
82
390
3050A
ICD-9 Finland
Nondependent abuse of drugs, Alcohol abuse
18.9
11.5
17
10
F10.40
ICD-10 Finland
Withdrawal symptoms and delirium caused by alcohol without seizures
17.2
11.1
17
11
289
Kela drug reimbursment
Combination product containing sacubitril and valsartan
64.7
10.8
12
*
N07BB01
ATC
disulfiram; oral
9.0
10.6
22
28
I50.1
ICD-10 Finland
Left ventricular failure
7.7
10.4
24
36
P15
ICPC
Chronic alcohol abuse
10.7
10.1
19
20
381
Kela drug reimbursment
Combination product containing sacubitril and valsartan
58.9
9.8
11
*
F10.26
ICD-10 Finland
Alcohol dependence periodic alcoholism
19.1
9.6
14
8
F10.31
ICD-10 Finland
Withdrawal symptoms caused by alcohol with seizures
19.1
9.6
14
8
N05BA02
ATC
chlordiazepoxide; systemic
11.8
9.0
16
15
F10.20
ICD-10 Finland
Alcohol dependence currently independent
11.8
9.0
16
15
I50.0
ICD-10 Finland
Congestive heart failure
4.6
8.7
31
80
F10.2
ICD-10 Finland
Mental and behavioural disorders due to use of alcohol, Dependence syndrome
13.9
8.6
14
11
F10.0
ICD-10 Finland
Mental and behavioural disorders due to use of alcohol, Acute intoxication
15.6
8.4
13
9
4273A
ICD-9 Finland
Cardiac dysrhythmias, Atrial fibrillation and flutter
9.0
8.3
17
21
F10.25
ICD-10 Finland
Alcohol dependence continuous use
11.0
8.2
15
15
F10.21
ICD-10 Finland
Alcohol dependence currently abstinent, but staying in restrictive environment
23.5
8.1
11
5
C01BD01
ATC
amiodarone; systemic
14.1
8.0
13
10
F10.24
ICD-10 Finland
Alcohol depence active use
14.1
8.0
13
10
N05AA02
ATC
levomepromazine; systemic
6.2
7.7
20
36
K70.4
ICD-10 Finland
Alcoholic hepatic failure
84.0
7.5
8
*
R56.8
ICD-10 Finland
Other and unspecified convulsions
5.9
7.4
20
38
F10.00
ICD-10 Finland
Alcohol-related acute intoxication uncomplicated
9.5
7.2
14
16
K70.3
ICD-10 Finland
Alcoholic cirrhosis of liver
10.8
7.2
13
13
SFA20
NOMESCO Finland
Filling on two surfaces of tooth
0.3
7.2
20
507
XF400
NOMESCO Finland
ECG with 12 standard connections
3.1
6.8
41
164
F10.09
ICD-10 Finland
Alcohol intoxication UNS
8.8
6.5
13
16
1CX08
NOMESCO Finland
NA
+∞
6.3
6
*
FPG96
NOMESCO Finland
Other implantation of permanent cardioverter-defibrillator
+∞
6.3
6
*
4254A
ICD-9 Finland
Cardiomyopathy, Other primary cardiomyopathies
+∞
6.3
6
*
4259X
ICD-9 Finland
Cardiomyopathy, Secondary cardiomyopathy, unspecified
+∞
6.3
6
*
X69
ICD-10 Finland
Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances
8.2
6.3
13
17
T36
ICD-10 Finland
Poisoning by systemic antibiotics
6.5
6.2
15
25

Mortality – FinRegistry

Association

Association between endpoint I9_CARDMYOALC and mortality.

Females

No data

Males

Parameter HR [95% CI] p-value
I9_CARDMYOALC 8.396 [6.95, 10.14] < 0.001
Birth year 0.986 [0.98, 1.0] 0.003

During the follow-up period (1.1.1998 — 31.12.2019), 408 out of 630 males with I9_CARDMYOALC died.

Mortality risk

Mortality risk for people of age

years, who have I9_CARDMYOALC.

N-year risk Females Males
1 No data 1.353%
5 No data 8.938%
10 No data 20.736%
15 No data 36.196%
20 No data 53.948%

Relationships between endpoints

Index endpoint: I9_CARDMYOALC – Alcoholic cardiomyopathy

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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