Heart failure & cardiomyopathies

Common Variants on FGD5 Increase Hazard of Mortality or Rehospitalization in Patients With Heart Failure From the ASCEND-HF Trial

Circ Heart FailPublished Genome-wide association study and transethnic meta-analysis

Authors' conclusion

In this multiethnic genome-wide association study of ASCEND-HF, single-nucleotide polymorphisms in FGD5 were associated with increased risk of death or rehospitalization.

Study context

Population
Patients hospitalized with HF in the ASCEND-HF trial
Participants
2,173 vs 507
Comparison
FGD5 common variants and death or HF rehospitalization
  • European ancestryn = 2,173
  • African ancestryn = 507
Outcome
Death or HF rehospitalization, FGD5 variants (rs2342882 and rs35850039)
Follow-up
180 days
Methodological detailsgenetic substudy of the ASCEND-HF randomised trial, multiethnic, Cox models adjusted for 11 a priori predictors and 5 genetic principal components, significance threshold P<5×10-8
  • Genetic substudy of the ASCEND-HF randomised trial
  • Multiethnic
  • Cox models adjusted for 11 a priori predictors and 5 genetic principal components
  • Significance threshold P<5×10-8

Pooled result

As reported in the abstract

Hazard ratio

1.38

P = 2.42×10–6

European ancestry · European Americans

Hazard ratio

1.51

P = 4.43×10–3

African ancestry

Hazard ratio

1.41

P = 4.25×10–8

Meta-analysis · transethnic meta-analysis

Further pooled results

OutcomeHRP value
Death or HF rehospitalization, rs748431 (previous GWAS hit in FGD5)1.20meta P<0.01
Death or HF rehospitalization, FGD5 variants, censoring at 30 days1.39P = 1.59×10-5

Sensitivity analysis: mediation via CAD or nesiritide treatment

Association did not appear to operate via CAD or nesiritide treatment
P > 0.05

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Common Variants on FGD5 Increase Hazard of Mortality or Rehospitalization in Patients With Heart Failure From the ASCEND-HF Trial. Circ Heart Fail. Published 26 July 2023. doi:10.1161/circheartfailure.122.010438

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

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