Metadata

Name Dilated cardiomyopathy (dcm)
Category Cardiovascular
Sex
Adult Yes
UUID fbea7d4c-600e-422f-87d3-03e4a2faefa6
Definition Dilated cardiomyopathy (DCM) is a disease of your heart muscle where it becomes stretched and thin.

Ontologies

Disease Ontology (DOID) DOID_12930
GWAS Catalogue EFO_0000407
MeSH D002311
SNOMED-CT 399020009
FinnGen I9_NONISCHCARDMYOP_STRICT

Key Summary Statistics

Cases from any source

Total 1569
Female (%) 457 (29%)
Male (%) 1112 (71%)

Year first recorded

dcm 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 dcm cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of dcm

Baseline prevalence stratified by sex

Female 2.95 (1.79,4.1)
Male 16.52 (13.54,19.5)

Incidence stratified by sex

Female 0.97 (0.71,1.22)
Male 2.7 (2.23,3.17)

Incidence stratified by age

Ages 40-44 0.2 (-0.08,0.48)
Ages 45-49 0.89 (0.39,1.39)
Ages 50-54 1.46 (0.86,2.05)
Ages 55-59 1.14 (0.67,1.62)
Ages 60-64 2.27 (1.69,2.85)
Ages 65-69 3.27 (2.47,4.06)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB dcm prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 10 (8,14) 16 (13,20) 26 (23,30)
CALIBER 11 (10,11) 21 (19,22) 35 (33,36)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 6(2,15) 14(8,23) 22(15,30)
Low 9(3,20) 10(5,18) 26(19,34)
Medium 5(1,13) 15(9,24) 30(22,39)
High 9(4,18) 24(16,34) 26(19,35)
Most deprived 19(11,29) 17(11,26) 30(22,40)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 12(8,16) 17(14,21) 26(22,30)
Scotland 4(0,15) 10(4,19) 28(18,41)
Wales 6(1,22) 18(8,34) 28(17,44)

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=153996, Events=147

Factor Level Hazard Ratio P value
BMI overweight 0.93 (0.63, 1.37) 0.695
BMI obese 1 (0.64, 1.55) 0.987
BMI underweight 0 (0, Inf) 0.994
smoking previous 1.24 (0.87, 1.76) 0.231
smoking current 1.53 (0.9, 2.59) 0.116
hypertension yes 1.65 (1.18, 2.3) 0.00322

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
41202 Diagnoses - main ICD10 I42.0 Dilated cardiomyopathy
41202 Diagnoses - main ICD10 I42.6 Alcoholic cardiomyopathy
41204 Diagnoses - secondary ICD10 I42.0 Dilated cardiomyopathy
41204 Diagnoses - secondary ICD10 I42.6 Alcoholic cardiomyopathy
40001 Underlying (primary) cause of death: ICD10 I42.0 Dilated cardiomyopathy
40001 Underlying (primary) cause of death: ICD10 I42.6 Alcoholic cardiomyopathy
40002 Contributory (secondary) causes of death: ICD10 I42.0 Dilated cardiomyopathy
40002 Contributory (secondary) causes of death: ICD10 I42.6 Alcoholic cardiomyopathy
42040 GP clinical event records G554000 Congestive cardiomyopathy
42040 GP clinical event records G554400 Primary dilated cardiomyopathy
42040 GP clinical event records G555.00 Alcoholic cardiomyopathy
42040 GP clinical event records G55y.11 Secondary dilated cardiomyopathy
42040 GP clinical event records XE0V1 Secondary cardiomyopathy NOS
42040 GP clinical event records XE0Uz Congestive cardiomyopathy