Prevention & lipidsCohort study

Ages at coronary heart disease and death in familial hypercholesterolaemia: a Danish nationwide study spanning 44 years

Eur Heart JPublished

  • Retrospective cohort study
  • nationwide registries

Authors' conclusion

Nationwide from 1978 to 2021 in Denmark, normalization of age at death but not age at coronary heart disease was observed for individuals diagnosed with familial hypercholesterolaemia.

Study context

Population
All Danish residents, nationwide registries, 1978–2021
Participants
10,199 vs 9,174,926
Exposure
Familial hypercholesterolaemia vs no familial hypercholesterolaemia
  • with familial hypercholesterolaemian = 10,199
  • without familial hypercholesterolaemian = 9,174,926reference
Outcome
Trends over time in age at death and age at CHD
Follow-up
1978 to 2021

Main finding

As reported in the abstract

Age at death 22 years younger with vs without FH in 1978

P < .001

Age at death similar with vs without FH in 2021

P = .16

Age at CHD 20 years younger with vs without FH in 1978

P < .001

Age at CHD still 7 years younger with vs without FH in 2021

P < .001

Observational data: associations, not effects.

Further findings

Death and CHD during follow-up

Died

CHD

Sex subgroups and 1:100 matched analysis (sex, ethnicity, time of birth)

Results similar in women and men and in the matched analysis
  • matched analysis 1:100

Original publication

Ages at coronary heart disease and death in familial hypercholesterolaemia: a Danish nationwide study spanning 44 years. Eur Heart J. Published 17 January 2025. doi:10.1093/eurheartj/ehae912

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