Evidence map›Paper›PMID 36169166›Full record

ArticleESC heart failure2023

Familial risk of dilated and hypertrophic cardiomyopathy: a national family study in Sweden.

Fabrizio Ricci, Behzad Banihashemi, Mirnabi Pirouzifard, Jan Sundquist, Kristina Sundquist, Richard Sutton, Artur Fedorowski, Bengt Zöller

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% of its field
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Familial risk of Wolff-Parkinson-White syndrome: a nationwide family study in Sweden.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Sex Differences in Heart Failure: What Do We Know?Journal of cardiovascular development and disease · 2023
    Review
  10. 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

8 authors at 6 institutions in 4 countries.

Fabrizio RicciDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Behzad BanihashemiDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Mirnabi PirouzifardCenter for Primary Health Care Research, Lund University/Region Skåne, Malmö, Sweden.
Jan SundquistCenter for Primary Health Care Research, Lund University/Region Skåne, Malmö, Sweden.
Kristina SundquistCenter for Primary Health Care Research, Lund University/Region Skåne, Malmö, Sweden.
Richard SuttonDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Artur FedorowskiDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Bengt ZöllerCenter for Primary Health Care Research, Lund University/Region Skåne, Malmö, Sweden.
Skåne University Hospital · SEHealth First · USImperial College London · GBKarolinska University Hospital · SELund University · SEUniversity of Chieti-Pescara · IT

Funding

Region SkåneSparbanken SkåneSwedish Heart Lung FoundationSwedish Research Council
6 · The paper itself

Abstract

aimsThis study aims to determine the familial incidence of dilated (DCM) and hypertrophic cardiomyopathy (HCM) in first-degree, second-degree, and third-degree relatives of affected individuals. METHODS AND

resultsIn this population-based multigenerational cohort study, full-siblings, half-siblings, and cousin pairs born to Swedish parents between 1932 and 2015 were included, and register-based DCM and HCM diagnoses among relatives were ascertained. Adjusted odds ratios (ORs) for DCM and HCM were calculated for relatives of individuals with DCM and HCM compared with relatives of individuals without DCM and HCM for reference. Total study population included 6 334 979 subjects and consisted of 5 577 449 full-siblings, 1 321 414 half-siblings, and 3 952 137 cousins. Overall, 10 272 (0.16%) unique individuals were diagnosed with DCM and 3769 (0.06%) with HCM. Of these, 7716 (75.12%) and 2375 (63.01%) were males, respectively. Familial risk ORs for DCM were 5.35 [95% confidence intervals (CI): 4.85-5.90] for full-siblings, 2.68 (95% CI:1.86-3.87) for half-siblings, and 1.72 (95% CI:1.12-2.64) for cousins of affected individuals. The ORs for HCM were 42.44 (95% CI:37.66-47.82) for full-siblings, 32.70 (95% CI:21.32-50.15) for half-siblings, and 36.96 (95% CI:29.50-46.31) for cousins of affected individuals. In sex-stratified analysis, relatives of affected females were found more likely to be affected than were relatives of affected males, with stronger aggregation observed for HCM.

conclusionsFamilial 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. The finding of a Carter effect, more pronounced in HCM, suggests a multifactorial threshold model of inheritance.

Indexed as

Cardiomyopathy, HypertrophicGenetic Predisposition to DiseaseCohort StudiesFemaleHumansMaleSwedenDilated cardiomyopathyEpidemiologyFamilial riskHeart muscle diseaseHypertrophic cardiomyopathyInherited cardiomyopathies

Identifiers

PMID36169166
PMCPMC9871695
OpenAlexW4297459292

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.