Evidence map›Paper›PMID 22683750›Full record

SynthesisHeart rhythm2012

A meta-analysis of genome-wide association studies of the electrocardiographic early repolarization pattern.

Moritz F Sinner, Kimmo Porthan, Peter A Noseworthy, Aki S Havulinna, Jani T Tikkanen, Martina Müller-Nurasyid, Gina Peloso, Sheila Ulivi, Britt Maria Beckmann, A Catharina Brockhaus and 34 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Heart rhythm, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Epidemiology of inherited arrhythmias.Nature reviews. Cardiology · 2020
    Review
  6. Electrophysiological Basis for Early Repolarization Syndrome.Frontiers in cardiovascular medicine · 2018
    Review
  7. Early repolarization syndrome caused byHeartRhythm case reports · 2017
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Early Repolarisation Syndrome - New Concepts.Arrhythmia & electrophysiology review · 2015
    Article
  13. Early repolarization pattern: its ECG characteristics, arrhythmogeneity and heritability.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2014
    Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

44 authors.

Moritz F SinnerCardiovascular Research Center, Massachusetts General Hospital, Charlestown, MA, USA.
Kimmo Porthan
Peter A Noseworthy
Aki S Havulinna
Jani T Tikkanen
Martina Müller-Nurasyid
Gina Peloso
Sheila Ulivi
Britt Maria Beckmann
A Catharina Brockhaus
Rebecca R Cooper
Paolo Gasparini
Christian Hengstenberg
Shih-Jen Hwang
Annamaria Iorio
M Juhani Junttila
Norman Klopp
Mika Kähönen
Maarit A Laaksonen
Terho Lehtimäki
Peter Lichtner
Leo-Pekka Lyytikäinen
Eimo Martens
Christa Meisinger
Thomas Meitinger
Faisal M Merchant
Markku S Nieminen
Annette Peters
Arto Pietilä
Siegfried Perz
Lasse Oikarinen
Olli Raitakari
Wibke Reinhard
Kaisa Silander
Barbara Thorand
H-Erich Wichmann
Gianfranco Sinagra
Jorma Viikari
Christopher J O'Donnell
Patrick T Ellinor
Heikki V Huikuri
Stefan Kääb
Christopher Newton-Cheh
Veikko Salomaa

Funding

IDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2009 to 2025
$20.6M
Genomic Epidemiology of Cardiovascular DiseaseZIAHL006002 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI O'DONNELL, CHRISTOPHER · 2009 to 2015
$8.0M
Physiologic effects of natriuretic peptide genetic variationR01HL098283 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NEWTON-CHEH, CHRISTOPHER HOLMES, WANG, THOMAS J. · 2010 to 2013
$2.9M
Gene Expression for Functional Genomics in Human PopulationsZIAHL006175 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI O'DONNELL, CHRISTOPHER · 2013 to 2015
$2.2M
Determining the Role of the Potassium Channel, KCNN3, in Atrial FibrillationR01HL104156 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS · 2010 to 2013
$2.1M
Functional Genetic Variation Underlying Cardiovascular Genomic EpidemiologyZIAHL006173 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI O'DONNELL, CHRISTOPHER · 2013 to 2015
$2.0M
Mentoring in Arrhythmia ResearchK24HL105780 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS · 2011 to 2020
$1.2M
Functional Assessment of the Locus for Atrial Fibrillation on Chromosome 4q25R21DA027021 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS · 2009 to 2010
$934k
Genetic determinants of cardiac repolarizationK23HL080025 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NEWTON-CHEH, CHRISTOPHER HOLMES · 2005 to 2009
$797k
THE FRAMINGHAM HEART STUDY-N01HC25195-268025195-268025195N01HC025195 · HC · TRUSTEES OF BOSTON UNIVERSITY · PI WOLF, PHILIP A · 2002 to 2006
–
Intramural NIH HHSNHLBI NIH HHS 1K24HL10578NHLBI NIH HHS 1R01HL104156NHLBI NIH HHS K23 HL080025NHLBI NIH HHS K24 HL105780NHLBI NIH HHS N01 HC025195NHLBI NIH HHS N01-HC-25195NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01HL092577NHLBI NIH HHS R01 HL098283NHLBI NIH HHS R01 HL104156NIDA NIH HHS 5R21DA027021NIDA NIH HHS R21 DA027021Wellcome Trust
6 · The paper itself

Abstract

backgroundThe early repolarization pattern (ERP) is common and associated with risk of sudden cardiac death. ERP is heritable, and mutations have been described in syndromatic cases.

objectiveTo conduct a meta-analysis of genome-wide association studies to identify common genetic variants influencing ERP.

methodsWe ascertained ERP on the basis of electrocardiograms in 3 large community-based cohorts from Europe and the United States: the Framingham Heart Study, the Health 2000 Study, and the KORA F4 Study. We analyzed genome-wide association studies in participants with and without ERP by logistic regression assuming an additive genetic model and meta-analyzed individual cohort results. We then sought to strengthen support for findings that reached P ≤ 1 × 10(-5) in independent individuals by direct genotyping or in-silico analysis of genome-wide data. We meta-analyzed the results from both stages.

resultsOf 7482 individuals in the discovery stage, 452 showed ERP (ERP positive: mean age 46.9 ± 8.9 years, 30.3% women; ERP negative: 47.5 ± 9.4 years, 54.2% women). After meta-analysis, 8 single nucleotide polymorphisms reached P ≤ 1 × 10(-5): The most significant finding was intergenic rs11653989 (odds ratio 0.47; 95% confidence interval 0.36-0.61; P = 6.9 × 10(-9)). The most biologically relevant finding was intronic to KCND3: rs17029069 (odds ratio 1.46; 95% confidence interval 1.25-1.69; P = 8.5 × 10(-7)). In the replication step (7151 individuals), none of the 8 variants replicated, and combined meta-analysis results failed to reach genome-wide significance.

conclusionsIn a genome-wide association study, we were not able to reliably identify genetic variants predisposing to ERP, presumably due to insufficient statistical power and phenotype heterogeneity. The reported heritability of ERP warrants continued investigation in larger well-phenotyped populations.

Indexed as

Death, Sudden, CardiacElectrocardiographyGenome-Wide Association StudyArrhythmias, CardiacFemaleGenetic Predisposition to DiseaseHeart Conduction SystemHumansMaleMutationPhenotypePolymorphism, Single NucleotideRisk Factors

Identifiers

PMID22683750
PMCPMC3459269

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.