medRxiv PreprintsInternational6 November 2026
Shared additive- and variance-associated genetic architecture of cardiac structure and function
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Cardiac remodeling underlies cardiomyopathy and heart failure, yet how common genetic effects are organized across the four chambers, and whether they influence phenotypic variability beyond additive genetic effects, remains unclear. We analyzed 22 cardiac magnetic resonance phenotypes in up to 77,271 UK Biobank participants. Additive mapping identified 748 locus-trait associations across 239 regions. Multivariate fine-mapping revealed that 96% of signals showed effects across multiple cardiac chambers, while resolving independent signals with distinct anatomical profiles, including predominan
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