Heart failure & cardiomyopathies

Association of Longer Leukocyte Telomere Length With Cardiac Size, Function, and Heart Failure

JAMA CardiolPublished Cross-sectional study

Main finding · Incident HFResult — go to the resultHazard ratio 0.86 95% CI 0.81–0.91

Authors' conclusion

In this cross-sectional study, longer LTL was associated with a larger heart with better cardiac function in middle age, which could potentially explain the observed lower risk of incident HF.

Study context

Population
UK Biobank participants recruited 2006–2010 with CMR imaging; mean age 55.1 years, 48.3% men
Participants
40,459 participants
Exposure
Longer vs shorter leukocyte telomere length (LTL)
Outcome
Cardiovascular imaging traits (CMR) and heart failure (HF)
Methodological detailspopulation-based, mendelian randomization, Data analyzed January to May 2023, LTL measured by quantitative PCR; CMR measurements derived using machine learning
  • Population-based
  • Mendelian randomization
  • Data analyzed January to May 2023
  • LTL measured by quantitative PCR; CMR measurements derived using machine learning

Main finding

Incident HF · median follow-up 12.0 years

Hazard ratio

0.86

95% CI 0.81–0.91

P = 1.8 × 10-6

LTL fourth quartilevs LTL first quartile
HR 0.86 (95% CI 0.81–0.91); P = 1.8 × 10-6

As reported in the abstract

Observational data: associations, not effects.

Further findings

Mendelian randomization

Potential causal association between LTL and LV mass, global ventricular volume and LV stroke volume

Original publication

Association of Longer Leukocyte Telomere Length With Cardiac Size, Function, and Heart Failure. JAMA Cardiol. Published 1 September 2023. doi:10.1001/jamacardio.2023.2167

Composed by AI from the published abstract and checked against it. How Briefs are made →

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