Heart failure & cardiomyopathies

Antecedent Flu-Like Illness and Onset of Idiopathic Dilated Cardiomyopathy: The Dilated Cardiomyopathy (DCM) Precision Medicine Study

Circ Heart FailPublished family-based cross-sectional DCM Study

Authors' conclusion

Approximately one-third of patients with DCM experienced flu-like illness symptoms before DCM diagnosis. We did not find evidence that a flu-like illness modified the effect of rare variants on DCM risk; however, our genome-wide association study analysis suggested that flu-like illness may modify the effect of a common variant on DCM risk.

Study context

Population
Patients with idiopathic dilated cardiomyopathy (DCM)patients with DCM
Participants
1,164 patients
Exposure
Modification by antecedent flu-like illness of the effect of rare and common variants on DCM risk
Outcome
Symptoms of flu-like illness proximal to DCM diagnosis
Methodological detailscase-only design
  • Case-only design

Main finding

As reported in the abstract

Patients reporting flu-like illness

30.2%

Observational data: associations, not effects.

Further findings

Antecedent flu-like illness by variant classification

Modification by antecedent flu-like illness of the effect of carrying any pathogenic, likely pathogenic, or variant of uncertain significance variants on DCM risk

Interaction relative risk
0.9 [95% CI, 0.7-1.3]
  • Not found to modify

Modification of the effect of rs2102158 (3q24) by antecedent flu-like illness (case-only genome-wide association study)

Significant modification
P = 2.74×10 −8

Original publication

Antecedent Flu-Like Illness and Onset of Idiopathic Dilated Cardiomyopathy: The DCM Precision Medicine Study. Circ Heart Fail. Published 14 April 2025. doi:10.1161/circheartfailure.124.012602

Summarised from the published abstract; every number is checked against it

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