Cohort study

Cardiovascular Risk Factors and Genetic Risk in Transthyretin V142I Carriers

JACC Heart FailPublished

  • Pooled cohort study (cross-sectional and longitudinal analyses)
  • multicohort

Authors' conclusion

A favorable CV RF profile lowers but does not abrogate V142I variant-associated heart failure risk.

Study context

Population
Self-identified Black individuals without prevalent HF from 6 TOPMed cohorts, REGARDS and All of Us587 (3.2%) V142I carriers
Participants
18,407 individuals
Exposure
V142I carriers by cardiovascular (CV) RF profile vs noncarriers with favorable CV RF profile
Outcome
HF

Main finding

As reported in the abstract

Each group vs noncarriers, favorable profileAdjusted hazard ratio (95% CI)
Carriers, favorable profile
2.26(1.58–3.23)
Carriers, unfavorable profile
4.14(2.79–6.14)

Observational data: associations, not effects.

Further findings

Prevalence of CV risk factors (RFs) by V142I carrier status (cross-sectional, 1,625 carriers among 48,365)

Prevalence of CV RFs did not vary by V142I carrier status

Original publication

Cardiovascular Risk Factors and Genetic Risk in Transthyretin V142I Carriers. JACC Heart Fail. Published 6 November 2024. doi:10.1016/j.jchf.2024.08.019

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