Heart failure & cardiomyopathiesCohort study

Age at Onset of Heart Failure and Subsequent Risk of Dementia

JACC Heart FailPublished

  • Prospective cohort study
  • propensity-score matched

Authors' conclusion

Younger age at HF onset was associated with increased risk of dementia.

Study context

Population
UK Biobank participants
Participants
14,413 vs 442,791
Exposure
Heart failure (HF) vs no HF
  • HFn = 14,413
  • Without HFn = 442,791reference
Outcome
Incident all-cause dementia, AD and VD by age at HF onset

Main finding

As reported in the abstract

All-cause dementia, AD and VD by age at HF onset

HR

HF vs Without HF · all-cause dementia
1.14
HF · all-cause dementia per 10-year decrease in age at HF onset, multivariable-adjusted
1.18
HF · Alzheimer disease (AD) per 10-year decrease in age at HF onset, multivariable-adjusted
1.64
HF · vascular dementia (VD) per 10-year decrease in age at HF onset, multivariable-adjusted
1.27
HF onset ≥75 years vs Matched controls · all-cause dementia, propensity-score matched
1.05
HF onset 65-74 years vs Matched controls · all-cause dementia, propensity-score matched
1.10
HF onset <65 years vs Matched controls · all-cause dementia, propensity-score matched
1.67

Observational data: associations, not effects.

Original publication

Age at Onset of Heart Failure and Subsequent Risk of Dementia. JACC Heart Fail. Published 27 September 2023. doi:10.1016/j.jchf.2023.08.006

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