Metadata

Name Atrioventricular block, first degree (av_block_1)
Category Cardiovascular
Sex
Adult Yes
UUID 8ee1bbcd-449b-47f3-b3c3-357c8516bbb0
Definition An atrioventricular block that is characterized by prolonged PR interval on electrocardiogram caused by delayed conduction from atria to ventricles through the atrioventricular node.

Ontologies

Disease Ontology (DOID) DOID_0050821
GWAS Catalogue HP_0011705
SNOMED-CT 270492004

Key Summary Statistics

Cases from any source

Total 4000
Female (%) 1101 (28%)
Male (%) 2899 (72%)

Year first recorded

av_block_1 year of first event

Cases linked in all UK Biobank sources

Cross-source concordance

Vertical bars correspond to number of cases per source/intersection; horizontal bars to left correspond to total number of cases per source.

Cross-sourced av_block_1 cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of av_block_1

Baseline prevalence stratified by sex

Female 3.06 (1.89,4.24)
Male 10.92 (8.5,13.34)

Incidence stratified by sex

Female 1.9 (1.54,2.26)
Male 6.75 (6.01,7.49)

Incidence stratified by age

Ages 40-44 0.9 (0.31,1.5)
Ages 45-49 1.78 (1.07,2.49)
Ages 50-54 1.71 (1.07,2.36)
Ages 55-59 2.7 (1.97,3.44)
Ages 60-64 5.54 (4.63,6.44)
Ages 65-69 8.66 (7.37,9.96)

Period prevalence

Methods

Comparison with general population

Sex-standardised prevalence from CALIBER study (Kuan et al. 2019)

CALIBER and UKB av_block_1 prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 9 (6,13) 21 (17,24) 48 (43,53)
CALIBER 5 (5,6) 13 (12,14) 36 (34,38)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 12(5,24) 9(5,17) 37(29,46)
Low 5(1,14) 21(14,31) 50(40,61)
Medium 8(3,18) 30(21,41) 38(29,48)
High 10(5,20) 16(10,25) 54(44,67)
Most deprived 10(5,18) 27(19,37) 65(53,79)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 10(7,14) 22(18,27) 52(46,57)
Scotland 6(1,17) 18(10,30) 35(25,49)
Wales 7(1,27) 10(3,23) 29(18,45)

Risk factors analysis

‘Healthy’ BMI, smoking status ‘never’, or no hypertension (absence of hypertension records) were considered as reference values.

Hazard Ratio (HR) values with P < 0.0002 were considered to show significant association with disease onset after correction for multiple-testing using the Bonferroni method

N=154060, Events=218

Factor Level Hazard Ratio P value
BMI overweight 0.89 (0.65, 1.23) 0.488
BMI obese 1.16 (0.82, 1.63) 0.404
BMI underweight 0 (0, Inf) 0.989
smoking previous 1.75 (1.31, 2.35) 0.000182
smoking current 2.37 (1.58, 3.55) 3.07e-05
hypertension yes 1 (0.74, 1.36) 0.997

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
41202 Diagnoses - main ICD10 I44.0 Atrioventricular block, first degree
41204 Diagnoses - secondary ICD10 I44.0 Atrioventricular block, first degree
40001 Underlying (primary) cause of death: ICD10 I44.0 Atrioventricular block, first degree
40002 Contributory (secondary) causes of death: ICD10 I44.0 Atrioventricular block, first degree
42040 GP clinical event records 3294 ECG:partial A-V block-long P-R
42040 GP clinical event records 32I3.00 ECG: P-R interval prolonged
42040 GP clinical event records G561100 First degree atrioventricular block
42040 GP clinical event records G561111 Prolonged P-R interval
42040 GP clinical event records XE2QF First degree atrioventricular block