Heart failure & cardiomyopathies

Association between anti-SSA autoantibodies and conduction disturbances in heart failure

Heart RhythmPublished Retrospective cohort study

Authors' conclusion

Anti-SSA is independently associated with AVB and BBB in patients with HF.

Study context

Population
Patients hospitalised with heart failure (HF) tested for anti-SSA and with ECG, Beijing Anzhen Hospital, Jan 2018–Jun 202270 (9.1%) anti-SSA positive
Participants
766 patients
Exposure
Anti-SSA positive vs anti-SSA negative
  • Anti-SSA positiven = 70
Outcome
Conduction disturbances (AVB, BBB, intraventricular conduction delay)
Methodological detailssingle-centre, ECG conduction disturbances confirmed by a cardiologist blinded to anti-SSA status
  • Single-centre
  • ECG conduction disturbances confirmed by a cardiologist blinded to anti-SSA status

Main finding

As reported in the abstract

Anti-SSA positive

Atrioventricular block (AVB) prevalence
20%
Bundle branch block (BBB) prevalence
27.3 %

Anti-SSA positive

Atrioventricular block (AVB) prevalence20%
Bundle branch block (BBB) prevalence27.3 %
anti-SSAOdds ratio (95% CI)P value
AVB; adjusted for known risk factors
2.42(1.18–5.43)
P = 0.03
BBB; adjusted for known risk factors
3.15(1.68–5.89)
P < 0.001

Observational data: associations, not effects.

Original publication

Association between anti-SSA autoantibodies and conduction disturbances in heart failure. Heart Rhythm. Published 5 June 2024. doi:10.1016/j.hrthm.2024.05.060

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