Arrhythmias & electrophysiologyCohort study

Association Between Mosaic Loss of Y Chromosome and Atrial Fibrillation

JACC Clin ElectrophysiolPublished

  • large hospital-based biobank cohort

Authors' conclusion

mLoY is independently associated with a higher prevalence of AF and higher mortality among AF patients. These findings support mLoY as a potential biomarker for cardiovascular risk stratification in aging men and highlight fibrosis as a key mechanistic pathway warranting further investigation.

Study context

Population
Male participants aged ≥20 years from the Mass General Brigham Biobank with available genomic and clinical dataAtrial fibrillation (AF) patients 2,940 · control participants 14,976
Participants
17,916 male participants
Exposure
Associations among mLoY, AF, and mortality
  • AF patientsn = 2,940
  • control participantsn = 14,976

Main finding

As reported in the abstract

mLoY prevalence
  • mLoY prevalence was higher in AF patients across both classification methods

Observational data: associations, not effects.

Further findings

AF

Comparisonadjusted OR (95% CI)
Y chromosome value <−0.1 · 25% increased odds of AF; adjusted for age and comorbidities1.25 (1.01–1.55)

All-cause mortality among patients with AF

Comparisonadjusted OR (95% CI)
mLoY1.37 (1.06–1.79)
  • All-cause mortality among patients with AF: 37% higher risk of all-cause mortality, among patients with AF

Original publication

Association Between Mosaic Loss of Y Chromosome and Atrial Fibrillation. JACC Clin Electrophysiol. Published 8 June 2026. doi:10.1016/j.jacep.2026.05.013

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