Association between cardiovascular risk factors and dilated and hypertrophic cardiomyopathy: Mendelian randomization

Chenchao Zou1, Huaxi Zou2, Ying Jiang2

  • 1Department of Cardiac Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, 330006, China; Department of Cardiac Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, 330006, China.

Insights

Smoking and obesity are causally linked to an increased risk of dilated cardiomyopathy. This genetic study provides new insights into heart failure causes.

Area of Science:

  • Cardiovascular Genetics
  • Epidemiology
  • Mendelian Randomization

Background:

  • Dilated cardiomyopathy (DCM) is a primary cause of heart failure.
  • Hypertrophic cardiomyopathy (HCM) is a leading cause of sudden cardiac death in young adults.
  • Observational studies on cardiovascular risk factors (smoking, alcohol, obesity) and cardiomyopathies are limited and prone to bias.

Purpose of the Study:

  • To investigate the causal associations between common cardiovascular risk factors and dilated and hypertrophic cardiomyopathies using a Mendelian randomization approach.
  • To leverage large-scale genetic data for robust causal inference.

Main Methods:

  • A two-sample Mendelian randomization analysis was conducted.
  • Genetic variants for body mass index, smoking, and alcohol consumption served as instrumental variables.
  • Genome-wide association study (GWAS) meta-analysis data from European populations were utilized for DCM (355,318 samples) and HCM (489,727 samples).

Main Results:

  • A genetic predisposition for smoking showed a significant association with an increased risk of dilated cardiomyopathy (OR = 1.33; 95% CI: 1.07-1.67).
  • A genetic predisposition for obesity was significantly associated with an increased risk of dilated cardiomyopathy (OR = 1.62; 95% CI: 1.30-2.02).
  • No significant associations were found for other investigated risk factors or for hypertrophic cardiomyopathy.

Conclusions:

  • This study provides evidence for a causal relationship between smoking and obesity and an elevated risk of developing dilated cardiomyopathy.
  • Findings highlight smoking and obesity as significant modifiable risk factors for dilated cardiomyopathy.
Abstract

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