Arrhythmias & electrophysiologyCohort study

Baseline and 10-year change in the number of ideal cardiovascular health metrics and sudden cardiac death in the community

EuropacePublished

  • Prospective cohort study
  • community-based

Authors' conclusion

Adherence to a higher number of ideal cardiovascular health was related to a substantial lower risk of definite SCD.

Study context

Population
Community-based cohort (Copenhagen City Heart Study), 1991–9457% women
Participants
8,837 participants
Exposure
Number of ideal cardiovascular health (CVH) metrics at baseline and its 10-year change
Outcome
Definite SCD
Follow-up
Median 22.6 years

Main finding

As reported in the abstract

Fine and Gray competing risk
sHR
Per additional ideal metric in 1991-94
0.58(95% CI 0.44–0.75)
Per change (improvement) in number of ideal metrics 1981-83 to 1991-94
0.68(CI 0.50–0.93)

Each row per its own increment, as printed

Definite sudden cardiac death (SCD) events
56

Observational data: associations, not effects.

Further findings

Coronary death, all-cause mortality, CHD events

Effect size lower than for SCD

Original publication

Baseline and 10-year change in the number of ideal cardiovascular health metrics and sudden cardiac death in the community. Europace. Published 14 March 2025. doi:10.1093/europace/euaf046

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