Cardio-oncology & otherCohort study

Cardiovascular Disease Risk in Adults With Hematological Malignancies

J Am Coll CardiolPublished

  • Matched cohort study
  • population-based
  • registry-linked
  • general population matched controls

Authors' conclusion

Patients and survivors of hematological malignancies face substantially elevated short- and long-term risk of CVD compared with the general population, varying markedly by malignancy subtype.

Study context

Population
Adults (≥18 years) with hematological malignancies, Netherlands Cancer Registry 1995–2023
Participants
174,984 vs 855,085
Exposure
Hematological malignancies vs matched general population controls
  • Hematological malignanciesn = 174,984
  • Controln = 855,085reference
Outcome
Short- and long-term incidence of cardiovascular disease (CVD) (11 CV outcomes)

Main finding

As reported in the abstract

HF excess rate per 1,000 person-years
Myelodysplastic syndrome · highest HF excess rate
excess rate per 1,000 person-years 37.75 (95% CI 35.60–39.90)
Multiple myeloma · HF
excess rate per 1,000 person-years 24.68 (95% CI 23.46–25.90)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
DVT, first year — Chronic lymphocytic leukemia vs Control · lowest3.52 (2.58–4.80)
DVT, first year — Hodgkin lymphoma vs Control · highest34.04 (19.83–58.44)

VTE · up to 5 years

VTE risk peaked within first year after diagnosis and remained elevated up to 5 years across all malignancies

Original publication

Cardiovascular Disease Risk in Adults With Hematological Malignancies. J Am Coll Cardiol. Published 8 April 2026. doi:10.1016/j.jacc.2026.02.5089

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