Arrhythmias & electrophysiology

Insight into the relationship between resting heart rate and atrial fibrillation: a Mendelian randomization study

EuropacePublished Mendelian randomisation study

Authors' conclusion

In contrast with the current observational knowledge of RHR and AF, an inverse causal association between RHR and AF was demonstrated in both linear and non-linear MR for RHR values up to 90 bpm.

Study context

Population
Individuals in the Trøndelag Health Study (HUNT) and UK Biobank (UKB)
Participants
69,155 vs 431,852
Comparison
Genetically predicted lower resting heart rate (RHR) and atrial fibrillation (AF) risk
  • HUNTn = 69,155
  • UKBn = 431,852
Outcome
Causal association and its shape between RHR and AF
Methodological detailslinear and non-linear Mendelian randomization (MR), individual-level data
  • Linear and non-linear MR
  • Individual-level data

Main finding

As reported in the abstract

AF per unit decrease in RHR (linear MR)

HUNT

7,062

events

UKB

20 452

events

Per unit decrease in RHR
Odds ratio (95% CI)
HUNT
0.95(0.93–0.98)
UKB
0.96(0.95–0.97)

Per unit decrease in RHR, as printed

Further findings

Several sensitivity analyses were also consistent

Original publication

Insight into the relationship between resting heart rate and atrial fibrillation: a Mendelian randomization study. Europace. Published 21 September 2023. doi:10.1093/europace/euad292

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