Arrhythmias & electrophysiology

Association of Life’s Essential 8 and incident cardiac conduction disorder: a prospective cohort study

Eur J Prev CardiolPublished Prospective cohort study

Main finding · Incident CCDResult — go to the resultHazard ratio 0.48 95% CI 0.40–0.56

Authors' conclusion

Higher LE8 scores were associated with a lower risk of CCD, including severe conduction block requiring pacemaker implantation and left bundle branch or fascicular block.

Study context

Population
Adults from the UK Biobank free of CVD at baseline2,760 cardiac conduction disorders (CCD) cases
Participants
112,160 adults
Exposure
High vs moderate vs low cardiovascular health (CVH)
Outcome
Incident cardiac conduction disorders (CCD)
Follow-up
Median 11.6 years
Methodological detailsUK Biobank
  • UK Biobank

Main finding

Incident CCD

Hazard ratio

0.48

95% CI 0.40–0.56

High CVHvs Low CVH
HR 0.48 (95% CI 0.40–0.56)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Severe conduction blockHigh CVHvs Low CVH0.63 (0.52–0.78)
Left bundle branch or fascicular blockHigh CVHvs Low CVH0.35 (0.25–0.49)

Individual LE8 metrics (WQS analysis)

BMI and sleep health were the major contributors to reduced CCD risk

Original publication

Association of Life’s Essential 8 and incident cardiac conduction disorder: a prospective cohort study. Eur J Prev Cardiol. Published 20 February 2025. doi:10.1093/eurjpc/zwaf089

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