The metabolites urobilin and sphingomyelin (30:1) are associated with incident heart failure in the general population.

ESC Heart Fail · 2019 · PMC6676274 · PMID 31148414

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nominally significantno p-value reported

For all of the 15 sphingomyelins measured in PIVUS, ULSAM, and TwinGene, all the associations went in the same direction as for sphingomyelin (30:1), and four of them were nominally significant (Supporting Information, Table S6 ).

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