Congenital heart diseaseCase-control study

Accelerated epigenetic ageing in congenital heart disease: the AccelerAGE study

Eur Heart JPublished

  • Case-control study
  • age- and sex-matched

Authors' conclusion

Accelerated epigenetic ageing is observed in adults with moderate and complex congenital heart disease, while individuals with simple disease show ageing patterns comparable to healthy peers.

Study context

Population
Adults with congenital heart disease, age 29–50 years120 patients · 120 controls
Participants
120 / 40 / 40 / 40
Comparison
Adults with congenital heart disease vs healthy controls
  • Healthy controlsn = 120reference
  • Simplen = 40
  • Moderaten = 40
  • Complexn = 40
Outcome
Epigenetic age acceleration (Horvath, Hannum, Zhang, GrimAge2, PhenoAge clocks) and pace of ageing (DunedinPACE)

Main finding

As reported in the abstract

Epigenetic age acceleration vs healthy controls
Moderate
PhenoAge age acceleration +3.0 years; P = 0.019
Complex
PhenoAge age acceleration +5.5 years; P < 0.001
Moderate
GrimAge2 age acceleration +2.1 years; P = 0.045
Complex
GrimAge2 age acceleration +2.3 years; P = 0.022

Observational data: associations, not effects.

Original publication

Accelerated epigenetic ageing in congenital heart disease: the AccelerAGE study. Eur Heart J. Published 11 June 2026. doi:10.1093/eurheartj/ehag455

Summarised from the published abstract; every number is checked against it