Rheumatic fever with heart involvement

I9_RHEUFEVHRT

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 I01, I02.0
  • Hospital discharge: ICD-9 391
  • Hospital discharge: ICD-8 391
  • Cause of death: ICD-10 I01, I02.0
  • Cause of death: ICD-9 391
  • Cause of death: ICD-8 391

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

179

4. Check minimum number of events

None

179

5. Include endpoints

None

179

6. Filter based on genotype QC (FinnGen only)

179

Control definitions (FinnGen only)

Control exclude
I9_RHEUFEV

Extra metadata

Level in the ICD hierarchy
3
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 1875 843 1004
Only index persons 1312 610 702
Unadjusted period prevalence (%)
Whole population 0.03 0.02 0.03
Only index persons 0.02 0.02 0.03
Median age at first event (years)
Whole population 45.88 50.55 41.60
Only index persons 36.70 41.53 32.50

-FinnGen-

Key figures

All Female Male
Number of individuals 179 87 92
Unadjusted period prevalence (%) 0.04 0.03 0.04
Median age at first event (years) 44.87 45.90 43.90

-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
163
Matched controls
1630
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
I01.0
ICD-10 Finland
Acute rheumatic pericarditis
+∞
68.7
61
*
39199
ICD-8 Finland
Rheumatic fever with heart involvement, Other active rheumatic heart disease
+∞
21.3
20
*
39197
ICD-8 Finland
Rheumatic fever with heart involvement, Suspecta
+∞
21.3
20
*
I01.9
ICD-10 Finland
Acute rheumatic heart disease, unspecified
+∞
11.6
11
*
I01.1
ICD-10 Finland
Acute rheumatic endocarditis
+∞
10.5
10
*
TDM10
NOMESCO Finland
Puncture of maxillary antrum
12.5
9.8
17
15
3910A
ICD-9 Finland
Rheumatic fever with heart involvement, Acute rheumatic pericarditis
+∞
8.4
8
*
I01.8
ICD-10 Finland
Other acute rheumatic heart disease
+∞
8.4
8
*
DM1QA
NOMESCO Finland
Paranasal sinuses X-ray examination in one projection
7.9
8.2
18
25
H02AB06
ATC
prednisolone; systemic
2.6
7.9
87
501
J32.0
ICD-10 Finland
Chronic maxillary sinusitis
5.4
7.5
22
46
R50.9
ICD-10 Finland
Fever, unspecified
3.5
7.4
36
123
J01.0
ICD-10 Finland
Acute maxillary sinusitis
3.1
7.2
43
168
J46
ICD-10 Finland
Status asthmaticus
9.4
7.2
14
16
UJF32
NOMESCO Finland
Coloscopy
2.6
6.3
54
263
201
Kela drug reimbursment
Chronic cardiac insufficiency
4.8
6.3
20
46
35399
ICD-8 Finland
Sciatica
27.8
6.3
8
*
I02.0
ICD-10 Finland
Rheumatic chorea with heart involvement
+∞
6.3
6
*

LabWAS

OMOP Concept
People with measurements
Mean N measurements
Mean measured value
(ID) Name
N Cases
N Controls
OR
-log10(p)
cases
controls
cases
controls
unit
-log10(p)
N cases
N controls
15
37
4.33
5.75
1.4
1.3
357.1
299.4
ug/g
—
9
23
41
204
2.31
4.82
3.0
1.8
30.1
29.3
s
0.42
41
196
26
110
2.60
4.31
12.9
7.1
—
—
—
0
0
32
151
2.36
4.22
4.4
1.8
—
—
—
0
0
88
623
1.81
3.72
14.3
5.4
1.2
1.2
mmol/l
0.61
82
566
62
394
1.88
3.71
7.7
4.1
—
—
—
0
0
32
166
2.13
3.36
2.9
2.2
190.8
125.6
ug/g
0.41
25
134
94
695
1.74
3.30
12.7
5.7
0.2
0.2
e9/l
0.13
86
603
8
15
5.53
3.23
1.5
1.2
—
—
—
0
0
35
191
2.03
3.22
16.0
5.1
1.1
1.0
mmol/l
0.54
35
176
18
74
2.59
3.16
1.6
1.3
—
—
—
0
0
91
675
1.71
3.10
12.3
5.4
0.0
0.0
e9/l
0.05
81
573
54
350
1.78
2.95
14.3
6.6
—
—
—
0
0
90
672
1.68
2.95
12.4
5.4
0.6
0.6
e9/l
0.11
80
569
92
692
1.68
2.92
12.3
5.4
1.7
2.0
e9/l
1.42
84
607
9
22
4.25
2.92
4.2
2.9
57.1
58.6
%
—
9
22
9
22
4.25
2.92
4.2
2.1
3.7
4.5
e9/l
—
9
22
62
424
1.71
2.79
11.2
4.0
7.4
7.4
ph
—
8
88
6
10
6.16
2.72
1.5
1.2
—
—
—
0
0
63
438
1.68
2.64
2.8
2.3
55.4
53.7
u/l
0.19
58
406
13
50
2.73
2.59
1.5
1.2
—
—
—
0
0
63
442
1.66
2.54
10.6
5.4
—
—
—
0
0
100
790
1.60
2.47
16.9
9.3
4.4
4.1
e9/l
0.42
92
679
51
342
1.69
2.42
5.7
2.6
364.5
7014.9
umol/l
1.47
46
284
90
696
1.59
2.41
4.5
3.8
0.0
0.0
estimate
0.00
15
140
8
22
3.76
2.39
5.9
2.0
—
—
—
0
0
83
633
1.58
2.34
11.3
5.7
24.0
28.1
%
2.29
78
586
7
18
4.00
2.27
1.4
1.7
—
—
—
0
0
76
573
1.57
2.23
19.3
8.0
1.4
1.2
inr
0.51
27
181
22
116
2.02
2.22
18.6
6.1
10.5
9.9
mmol/l
0.18
22
108
36
224
1.76
2.22
5.4
3.3
0.8
0.8
mmol/l
0.77
36
208
48
325
1.65
2.18
4.6
3.7
—
—
—
0
0
46
308
1.66
2.18
8.2
4.6
—
—
—
0
0
63
457
1.58
2.17
4.6
3.1
2.4
2.4
mmol/l
0.33
58
396
76
576
1.56
2.16
5.1
4.2
41.8
41.2
ng/l
0.02
59
428
23
131
1.87
1.88
9.6
3.7
—
—
—
0
0
21
116
1.92
1.88
7.4
4.3
0.8
0.7
%
—
6
40
87
696
1.49
1.85
5.4
5.1
0.0
0.0
estimate
0.00
16
139
123
1060
1.51
1.78
12.8
7.1
78.3
78.7
u/l
0.04
117
990
67
513
1.49
1.75
4.4
3.8
128.6
84.6
e6/l
0.32
48
374
58
432
1.51
1.73
3.9
3.3
—
—
—
0
0
5
13
3.92
1.72
1.0
1.1
—
—
—
0
0
113
962
1.47
1.70
4.7
4.0
—
—
—
0
0
6
19
3.23
1.67
2.8
1.4
—
—
—
0
0
25
153
1.74
1.64
2.2
1.4
—
—
—
0
0
86
704
1.43
1.54
4.4
3.8
0.0
0.0
estimate
0.00
15
131
5
15
3.40
1.53
2.0
1.3
—
—
—
0
0
6
21
2.92
1.52
1.8
1.3
14900.8
2985.2
e6/l
—
6
11
20
119
1.77
1.45
1.8
2.1
332.8
350.2
nmol/l
0.21
20
106
25
159
1.67
1.44
2.6
1.4
—
—
—
0
0
31
209
1.58
1.43
3.8
2.0
—
—
—
0
0
24
153
1.66
1.37
1.3
1.2
—
—
—
0
0
5
17
2.99
1.37
13.2
2.2
56.2
60.8
%
—
5
17
55
423
1.43
1.36
3.6
2.4
—
—
—
0
0
114
997
1.39
1.32
6.9
4.1
14.9
12.2
mm/h
0.96
109
905
11
55
2.07
1.30
4.8
3.5
—
—
—
0
0
31
216
1.53
1.24
1.3
1.2
14.9
30.1
iu/ml
—
6
68
10
49
2.10
1.24
1.2
2.8
—
—
—
0
0
35
471
0.68
1.22
3.0
3.0
—
—
—
0
0
6
26
2.35
1.19
14.7
2.5
—
—
—
0
0
17
103
1.72
1.17
1.5
1.4
—
—
—
0
0
39
289
1.45
1.17
1.7
1.7
1529.8
1267.7
nmol/l
0.74
33
212
51
398
1.39
1.15
5.2
3.9
0.0
0.0
estimate
0.00
15
128
20
128
1.63
1.14
5.5
3.6
—
—
—
0
0
56
445
1.38
1.14
3.9
3.9
20.4
8.7
mg/mmol
0.43
36
283
7
30
2.39
1.13
1.4
1.3
—
—
—
0
0
23
153
1.58
1.13
14.2
6.5
97.0
95.6
%
2.05
23
146
56
447
1.37
1.10
3.2
3.0
6.9
7.5
mmol/l
0.52
45
371
6
123
0.47
1.10
1.2
1.4
—
—
—
0
0
11
60
1.89
1.05
8.1
2.6
0.6
0.7
%
0.20
11
60
35
260
1.43
1.04
8.3
3.7
818.4
94.3
ng/l
0.51
29
199
107
947
1.32
1.03
5.5
4.3
—
—
—
0
0
7
35
2.04
1.01
16.1
4.2
25.5
54.3
mg/l
—
7
27
7
35
2.04
1.01
16.0
4.2
51.8
30.9
mg/l
—
7
27
11
61
1.86
1.01
8.1
2.6
1.0
1.2
%
0.70
11
61
62
510
1.33
1.00
2.3
2.0
—
—
—
0
0
5
23
2.21
0.98
2.6
3.6
—
—
—
0
0
12
70
1.77
0.95
17.6
6.6
—
—
—
0
0
12
70
1.77
0.95
1.3
1.3
—
—
—
0
0
19
128
1.54
0.90
3.0
2.8
90.8
71.6
e9/l
1.01
14
97
51
414
1.32
0.89
3.4
3.1
103.6
211.8
mg/l
0.30
34
270
73
623
1.29
0.89
18.0
10.0
0.0
0.0
e9/l
0.62
60
498
8
44
1.86
0.87
1.1
1.4
0.2
0.2
g/l
—
8
44
24
172
1.46
0.86
14.5
6.2
1.5
1.5
mmol/l
0.01
18
132
40
315
1.35
0.85
6.2
4.1
1.0
1.0
kg/l
—
6
36
43
343
1.33
0.84
1.6
1.7
1.3
1.3
mmol/l
0.17
34
282
49
399
1.31
0.84
3.7
3.0
0.7
0.4
e6/l
0.53
39
300
0
25
0.00
0.79
0.0
1.0
—
14.2
—
0
12
54
449
1.29
0.79
3.8
3.2
19.8
223.2
e6/l
0.81
45
353
112
1018
1.27
0.78
4.7
3.7
15.0
14.9
pmol/l
0.19
105
911
23
169
1.41
0.74
15.0
6.1
5.2
5.1
kpa
0.17
23
158
23
169
1.41
0.74
15.0
6.1
11.6
11.5
kpa
0.04
23
161
15
101
1.53
0.73
1.3
1.4
—
—
—
0
0
36
289
1.31
0.68
1.8
1.8
1.0
1.3
mg/l
0.41
24
228
144
1360
1.30
0.68
32.0
15.0
23.4
23.0
mg/l
0.06
121
1085
7
43
1.65
0.67
11.6
3.1
—
—
—
0
0
7
44
1.61
0.66
1.1
1.5
1.2
1.1
g/l
—
7
44
46
384
1.27
0.65
4.0
2.9
—
—
—
0
0
5
30
1.69
0.62
2.2
1.4
—
—
—
0
0
63
549
1.23
0.61
2.5
2.0
93.4
95.5
pmol/l
0.14
31
269
20
149
1.39
0.61
1.4
1.3
—
—
—
0
0
8
53
1.53
0.59
5.0
1.9
117.0
448.5
ug/l
—
8
48
0
23
0.00
0.58
0.0
1.0
—
1.2
—
0
8
26
204
1.32
0.58
1.3
1.2
1.8
7.4
u/ml
1.40
12
80
6
37
1.64
0.56
4.0
2.6
1.9
1.6
mg/l
—
6
32
6
40
1.52
0.52
23.3
5.5
1.3
1.3
mmol/l
—
6
35
7
47
1.51
0.48
9.3
13.7
—
—
—
0
0
24
192
1.29
0.48
2.3
1.5
—
—
—
0
0
8
59
1.37
0.41
1.6
1.2
—
—
—
0
0
0
15
0.00
0.41
0.0
1.7
—
—
—
0
0
14
106
1.35
0.40
12.4
3.5
—
—
—
0
0
31
265
1.21
0.37
1.7
1.4
2.0
2.3
g/l
0.37
17
150
5
77
0.64
0.36
4.8
2.4
—
—
—
0
0
10
75
1.35
0.31
4.6
2.8
—
—
—
0
0
12
93
1.31
0.31
10.6
2.6
—
—
—
0
0
34
299
1.17
0.30
1.2
1.3
0.7
1.1
u/ml
—
6
79
14
113
1.26
0.27
11.9
3.3
64.2
66.6
g/l
0.44
14
103
26
227
1.17
0.25
2.6
1.9
—
—
—
0
0
15
124
1.23
0.25
3.1
3.6
—
—
—
0
0
116
1203
0.90
0.24
33.9
15.4
38.0
40.2
%
1.49
78
836
5
37
1.36
0.23
2.2
2.6
—
—
—
0
0
5
37
1.36
0.23
1.0
1.1
—
—
—
0
0
5
38
1.32
0.23
4.4
2.8
—
—
—
0
0
5
40
1.26
0.22
3.0
1.4
14.4
21.1
iu/l
—
5
31
5
42
1.20
0.21
1.0
1.2
—
—
—
0
0
0
11
0.00
0.21
0.0
1.1
—
—
—
0
0
14
117
1.21
0.21
2.0
1.6
—
—
—
0
0
0
13
0.00
0.21
0.0
1.3
—
—
—
0
0
0
13
0.00
0.21
0.0
6.7
—
—
—
0
0
9
112
0.79
0.20
1.2
1.2
—
—
—
0
0
6
52
1.16
0.19
1.3
1.7
—
—
—
0
0
127
1235
1.10
0.19
5.8
4.6
1.8
2.0
mu/l
0.50
120
1114
15
128
1.19
0.19
1.3
1.3
—
—
—
0
0
12
100
1.21
0.18
17.8
6.4
25.3
24.7
mmol/l
0.22
12
95
50
469
1.09
0.17
5.2
4.9
2.0
2.2
ug/l
0.22
45
419
128
1308
0.92
0.14
5.3
4.7
6.1
6.0
mmol/l
0.39
119
1187
37
345
1.09
0.14
1.4
1.5
—
—
—
0
0
134
1318
1.07
0.10
4.4
4.4
1.4
1.5
mmol/l
0.18
122
1203
13
116
1.13
0.09
8.1
4.4
—
—
—
0
0
127
1290
0.95
0.09
7.3
6.0
41.6
40.4
mmol/mol
0.63
118
1201
6
55
1.09
0.09
22.3
5.2
1.8
1.6
%
—
6
50
5
62
0.80
0.08
1.0
1.1
—
—
—
0
0
7
66
1.06
0.08
5.1
2.8
—
—
—
0
0
13
118
1.11
0.07
1.4
1.4
—
—
—
0
0
140
1415
0.95
0.06
25.3
14.2
—
—
—
0
0
40
415
0.95
0.06
3.6
4.2
—
—
—
0
0
14
130
1.08
0.04
1.4
1.7
—
—
—
0
0
146
1449
1.04
0.04
17.4
10.2
24.3
25.6
u/l
0.54
141
1389
38
390
0.97
0.03
3.6
3.5
—
—
—
0
0
145
1441
1.03
0.02
35.5
17.3
94.1
79.1
umol/l
1.30
145
1441
137
1361
1.03
0.02
5.2
5.0
2.5
2.7
mmol/l
1.54
125
1246
10
101
0.99
0.00
1.7
1.4
—
—
—
0
0
18
179
1.01
0.00
1.4
1.3
—
—
—
0
0
133
1326
1.01
0.00
4.6
4.5
4.4
4.6
mmol/l
0.76
121
1220
127
1265
1.01
0.00
4.1
4.0
1.3
1.3
mmol/l
0.04
118
1148
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
0.00
0.0
1.8
—
—
—
0
0
0
6
0.00
0.00
0.0
1.8
—
—
—
0
0
0
6
0.00
0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
—
—
0
0
9
92
0.98
0.00
1.9
2.6
3.6
3.4
e9/l
—
9
71
0
5
0.00
0.00
0.0
1.6
—
—
—
0
0
0
5
0.00
0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.6
—
—
—
0
0
0
9
0.00
0.00
0.0
1.3
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
18.6
—
0
5
10
100
1.00
0.00
2.9
2.3
11.2
13.5
nmol/l
—
10
92
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
3.2
—
—
—
0
0
0
5
0.00
0.00
0.0
2.8
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.5
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint I9_RHEUFEVHRT and mortality.

Females

Parameter HR [95% CI] p-value
I9_RHEUFEVHRT 1.944 [1.55, 2.44] < 0.001
Birth year 0.993 [0.98, 1.0] 0.117

During the follow-up period (1.1.1998 — 31.12.2019), 159 out of 399 females with I9_RHEUFEVHRT died.

Males

Parameter HR [95% CI] p-value
I9_RHEUFEVHRT 1.889 [1.43, 2.5] < 0.001
Birth year 0.986 [0.98, 1.0] 0.004

During the follow-up period (1.1.1998 — 31.12.2019), 139 out of 376 males with I9_RHEUFEVHRT died.

Mortality risk

Mortality risk for people of age

years, who have I9_RHEUFEVHRT.

N-year risk Females Males
1 0.185% 0.435%
5 1.056% 2.189%
10 2.706% 5.49%
15 5.191% 10.508%
20 8.884% 17.473%

Relationships between endpoints

Index endpoint: I9_RHEUFEVHRT – Rheumatic fever with heart involvement

GWS hits: -

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
rg [CI]
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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