• S.H.C, S.J.J., S.A.L. and P.T.E. conceived and designed the study. S.H.C., S.J.J., V.N.M., N.A.M., L.-C.W., J.P.P., G.J., C.R. and J.L.H. performed data curation and data processing for the discovery datasets. S.H.C. and S.J.J. performed the main statistical and bioinformatic analyses in the discovery datasets. A.S.v.F., A.N., A.T., B.G., D.R.V.W., D.D., D.H., E.Z.S., G.E.D., H.C., J.L.A., J.A.B., J.B., J.E.H., J.D.S., J.C.B., K.Y., L.S.B.J., L.R., L.J.G., L.C.K., M.K., M.P., N.A.N., N.L.S., P.M.N., P.v.d.H., Q.S.W., R.L.J., R.S., R.J., R.A.J.S., S. Knight, T.F., T.W.B., Y.-I.M., Z.T.Y., Z.W.M.L., C.R.B., A.A., B.M.P., C.M.A., D.E.A., D.M.R., D.I.C., D.J.R., D.C., D.D.M., D.F., E.J.B., E.B., G.M.M., I.E.C., J.G.S., J.D.R., L.M.R., M.B.S., M.H.C., M.J.C., M.R., M.K.C., M.S.O., M.F.S., N.S., P.K., R.J.F.L., S.N., S.M., S.M.D., S. Kaab, S.R.H., S.R., S.H.S., T.T., Y.E., C.T.R., M.S.S., K.L.L., S.A.L. and P.T.E. were involved in site-specific sample ascertainment, phenotype data collection, DNA collection for sequencing, data processing or supervision for the TOPMed-CCDG, CCDG and FOURIER datasets. N.G. and S.G. were involved in the coordination of sequencing at the Broad Institute for various discovery datasets. V.N.M., N.A.M., L.-C.W., J.P.P., C.R., M.D.C., V.N. and X.W. contributed critically to the analysis plan. C.M.H. performed data curation and bioinformatic analyses for the Geisinger MyCode dataset, with contributions from Regeneron Genetics Center authors, as specified in Supplementary Note. G.S., D.O.A. and D.F.G. were responsible for data curation and bioinformatic analyses in the deCODE dataset. H.H. and K.S. were responsible for coordination and supervision of the deCODE dataset. L.X., M.C.H. and H.M. were responsible for the functional studies of KDM5B, including CRISPR knockout, optical mapping and RNA-seq analyses. K.L.L., S.A.L. and P.T.E. supervised the overall study. S.H.C., S.J.J. and P.T.E. wrote the manuscript. All authors critically revised and approved the manuscript.