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Identification of genomic loci associated with resting heart rate and shared genetic predictors with all-cause mortality

Accepted version
Peer-reviewed

Type

Article

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Authors

Eppinga, RN 
Hagemeijer, Y 
Hinds, DA 
Stefansson, K 

Abstract

Resting heart rate is a heritable trait correlated with life span. Little is known about the genetic contribution to resting heart rate and its relationship with mortality. We performed a genome-wide association discovery and replication analysis starting with 19.9 million genetic variants and studying up to 265,046 individuals to identify 64 loci associated with resting heart rate (P < 5 × 10−8); 46 of these were novel. We then used the genetic variants identified to study the association between resting heart rate and all-cause mortality. We observed that a genetically predicted resting heart rate increase of 5 beats per minute was associated with a 20% increase in mortality risk (hazard ratio 1.20, 95% confidence interval 1.11-1.28, P = 8.20 × 10−7) translating to a reduction in life expectancy of 2.9 years for males and 2.6 years for females. Our findings provide evidence for shared genetic predictors of resting heart rate and all-cause mortality.

Description

Keywords

Arrhythmias, Cardiac, Female, Genetic Loci, Genetic Variation, Genome-Wide Association Study, Genomics, Heart Rate, Humans, Male, Middle Aged, Rest, Risk Factors, Survival Rate

Journal Title

Nature Genetics

Conference Name

Journal ISSN

1061-4036
1546-1718

Volume Title

48

Publisher

Nature Publishing Group
Sponsorship
Wellcome Trust (100114/Z/12/Z)
Medical Research Council (MC_UU_00002/7)
This research was conducted using the UK Biobank Resource. This project is supported by the Netherlands organization for health research and development (ZonMw grant 90.700.441). S.B. is supported by the Wellcome Trust (grant 100114). P.B.M. acknowledges support from the NIHR Cardiovascular Biomedical Research Unit at Barts and the London School of Medicine and Dentistry, Queen Mary University of London. N.V. is supported by Netherlands Heart Institute and Marie Sklodowska-Curie Global Fellowship (grant 661395).