Evidence map›Paper›PMID 39966645›Full record

ArticleNature genetics2025

Evaluation of polygenic scores for hypertrophic cardiomyopathy in the general population and across clinical settings.

Sean L Zheng, Sean J Jurgens, Kathryn A McGurk, Xiao Xu, Chris Grace, Pantazis I Theotokis, Rachel J Buchan, Catherine Francis, Antonio de Marvao, Lara Curran and 29 more

Abstract read
In one paragraph

Article in Nature genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing 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

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

  1. Pooled it
  2. Review
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  5. Review
  6. Article
  7. Clinical utility of polygenic risk scores in cardiovascular disorders.Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2026
    Article
  8. Article
  9. Precision Cardiogenomics in Athletes.International journal of molecular sciences · 2026
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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

39 authors.

Sean L ZhengNational Heart Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-5762-6392
Sean J JurgensDepartment of Experimental Cardiology, Amsterdam Cardiovascular Sciences, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0002-1605-9782
Kathryn A McGurkNational Heart Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-5445-6906
Xiao XuNational Heart Lung Institute, Imperial College London, London, UK.
Chris GraceRadcliffe Department of Medicine, University of Oxford, Division of Cardiovascular Medicine, John Radcliffe Hospital, Oxford, UK.
Pantazis I TheotokisNational Heart Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-8718-230X
Rachel J BuchanNational Heart Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0003-2490-9289
Catherine FrancisNational Heart Lung Institute, Imperial College London, London, UK.
Antonio de MarvaoNational Heart Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-9095-5887
Lara CurranNational Heart Lung Institute, Imperial College London, London, UK.
Wenjia BaiBiomedical Image Analysis Group, Department of Computing, Imperial College London, London, UK.ORCID http://orcid.org/0000-0003-2943-7698
Chee Jian PuaNational Heart Research Institute Singapore, National Heart Center, Singapore, Singapore.ORCID http://orcid.org/0000-0003-4683-3043
Hak Chiaw TangDepartment of Cardiology, National Heart Centre, Singapore, Singapore.
Paloma JordaCardiovascular Genetics Centre, Montreal Heart Institute, Montreal, Quebec, Canada.ORCID http://orcid.org/0000-0002-9236-1713
Marjon A van SlegtenhorstDepartment of Clinical Genetics, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Judith M A VerhagenDepartment of Clinical Genetics, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.ORCID http://orcid.org/0000-0002-0340-3433
Andrew R HarperRadcliffe Department of Medicine, University of Oxford, Division of Cardiovascular Medicine, John Radcliffe Hospital, Oxford, UK.
Elizabeth OrmondroydRadcliffe Department of Medicine, University of Oxford, Division of Cardiovascular Medicine, John Radcliffe Hospital, Oxford, UK.ORCID http://orcid.org/0000-0002-9116-4064
Calvin W L ChinDepartment of Cardiology, National Heart Centre, Singapore, Singapore.ORCID http://orcid.org/0000-0002-9867-4390
HCM GWAS Collaborators
Antonis PantazisRoyal Brompton & Harefield Hospitals, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
John BaksiNational Heart Lung Institute, Imperial College London, London, UK.
Brian P HallidayNational Heart Lung Institute, Imperial College London, London, UK.
Paul MatthewsDepartment of Brain Sciences, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-1619-8328
Yigal M PintoDepartment of Experimental Cardiology, Amsterdam Cardiovascular Sciences, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0002-2836-571X
Roddy WalshDepartment of Experimental Cardiology, Amsterdam Cardiovascular Sciences, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0001-5092-8825
Ahmad S AminDepartment of Experimental Cardiology, Amsterdam Cardiovascular Sciences, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0002-1600-7907
Arthur A M WildeDepartment of Experimental Cardiology, Amsterdam Cardiovascular Sciences, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.
Stuart A CookMedical Research Council Laboratory of Medical Sciences, Imperial College London, London, UK.
Sanjay K PrasadNational Heart Lung Institute, Imperial College London, London, UK.
Paul J R BartonNational Heart Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-1165-7767
Declan P O'ReganMedical Research Council Laboratory of Medical Sciences, Imperial College London, London, UK.
R T LumbersInstitute of Health Informatics, University College London, London, UK.ORCID http://orcid.org/0000-0002-9077-4741
Anuj GoelRadcliffe Department of Medicine, University of Oxford, Division of Cardiovascular Medicine, John Radcliffe Hospital, Oxford, UK.
Rafik TadrosCardiovascular Genetics Centre, Montreal Heart Institute, Montreal, Quebec, Canada.ORCID http://orcid.org/0000-0002-1472-0258
Michelle MichelsEuropean Reference Network for Rare and Low Prevalence Complex Diseases of the Heart, Paris, France.
Hugh WatkinsRadcliffe Department of Medicine, University of Oxford, Division of Cardiovascular Medicine, John Radcliffe Hospital, Oxford, UK.ORCID http://orcid.org/0000-0002-5287-9016
Connie R BezzinaDepartment of Experimental Cardiology, Amsterdam Cardiovascular Sciences, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0002-0633-3514
James S WareNational Heart Lung Institute, Imperial College London, London, UK. j.ware@imperial.ac.uk.ORCID http://orcid.org/0000-0002-6110-5880

Funding

British Heart Foundation (BHF) BBC/F/21/220106British Heart Foundation (BHF) FS/15/81/31817British Heart Foundation (BHF) FS/ICRF/21/26019British Heart Foundation (BHF) RE/13/1/30181British Heart Foundation (BHF) RE/18/4/34215Fondation Leducq 17CVD02Hartstichting (Dutch Heart Foundation) CVON PRIMEWellcome Trust
6 · The paper itself

Abstract

Hypertrophic cardiomyopathy (HCM) is an important cause of morbidity and mortality, with pathogenic variants found in about a third of cases. Large-scale genome-wide association studies (GWAS) demonstrate that common genetic variation contributes to HCM risk. Here we derive polygenic scores (PGS) from HCM GWAS and genetically correlated traits and test their performance in the UK Biobank, 100,000 Genomes Project, and clinical cohorts. We show that higher PGS significantly increases the risk of HCM in the general population, particularly among pathogenic variant carriers, where HCM penetrance differs 10-fold between those in the highest and lowest PGS quintiles. Among relatives of HCM probands, PGS stratifies risks of developing HCM and adverse outcomes. Finally, among HCM cases, PGS strongly predicts the risk of adverse outcomes and death. These findings support the broad utility of PGS across clinical settings, enabling tailored screening and surveillance and stratification of risk of adverse outcomes.

Indexed as

Cardiomyopathy, HypertrophicGenetic Predisposition to DiseaseMultifactorial InheritanceAdultFemaleGenome-Wide Association StudyHumansMaleMiddle AgedPenetrancePolymorphism, Single NucleotideUnited Kingdom

Identifiers

PMID39966645
PMCPMC11906360

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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.