Carriers of RAD51 rs1801321 TT genotype were more likely higher NYHA class in the univariable analysis (OR = 10.0, 95% CI = 1.63–61.33, p = 0.013) and after adjustment for hyperlipidemia and BMI (OR = 9.27, 95% CI = 1.28–67.02, p = 0.027). Here, RAD51 is linked to hyperlipidemia.