Heart failure & cardiomyopathies

Familial Risk of Dilated and Hypertrophic Cardiomyopathy: A National Family Study in Sweden

ESC Heart FailPublished Population-based multigenerational cohort study

Authors' conclusion

Familial risk of HCM and DCM is high and associated with genetic resemblance, with strongest aggregations observed in relatives of affected females with HCM, whereas this association was distinctly attenuated for DCM.

Study context

Population
Full-siblings, half-siblings and cousin pairs born to Swedish parents 1932–201510,272 DCM, 3769 hypertrophic cardiomyopathy (HCM)
Participants
6,334,979 participants
Exposure
Relatives of individuals with DCM/HCM vs relatives of individuals without DCM/HCM
  • Full-siblingsn = 5,577,449
  • Half-siblingsn = 1,321,414
  • Cousinsn = 3,952,137
Outcome
Familial incidence (adjusted odds ratios (ORs)) of DCM and HCM in relatives of affected individuals
Methodological detailsregister-based, national
  • Register-based
  • National

Main finding

As reported in the abstract

Adjusted odds ratio (95% CI)
Full-siblingsvs Relatives of unaffectedDCM
5.35(4.85–5.90)
Half-siblingsvs Relatives of unaffectedDCM
2.68(1.86–3.87)
Cousinsvs Relatives of unaffectedDCM
1.72(1.12–2.64)
Full-siblingsvs Relatives of unaffectedHCM
42.44(37.66–47.82)
Half-siblingsvs Relatives of unaffectedHCM
32.70(21.32–50.15)
Cousinsvs Relatives of unaffectedHCM
36.96(29.50–46.31)

Observational data: associations, not effects.

Further findings

Familial risk by sex of affected individual (sex-stratified)

Relatives of affected females more likely affected than relatives of affected males; stronger aggregation for HCM

Original publication

Familial Risk of Dilated and Hypertrophic Cardiomyopathy: A National Family Study in Sweden. ESC Heart Fail. Published 28 September 2022. doi:10.1002/ehf2.14171

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

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