As expected, established risk factors were positively associated with incident IS, with hypertension being the strongest risk factor (Supplementary Fig. 7). Notably, the HR of the metaGRS (incident IS HR = 1.25 per s.d.) was similar to that of SBP (incident IS HR = 1.28 per s.d., where the s.d. of SBP was 21.7 mm Hg) and current smoking (incident IS HR = 1.25, s.d. = 0.3) (Supplementary Fig. 7).