Cardiovascular Disease Risk in Adults With Hematological Malignancies: A Population-Based Cohort Study Using Linked Databases
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)
Methodological detailspopulation-based, registry-linked, general population matched controls
- Population-based
- Registry-linked
- General population matched controls
Main finding
As reported in the abstract
HF excess rate per 1,000 person-years
Excess rate per 1,000 person-years
37.75
95% CI 35.60–39.90
Myelodysplastic syndrome · highest HF excess rate
Excess rate per 1,000 person-years
24.68
95% CI 23.46–25.90
Multiple myeloma · HF
Observational data: associations, not effects.
Further findings
| Outcome | HR (95% CI) | |
|---|---|---|
| DVT, first yearChronic lymphocytic leukemiavs ControlLowest | 3.52 (2.58–4.80) | |
| DVT, first yearHodgkin lymphomavs ControlHighest | 34.04 (19.83–58.44) | |
| 0.050.21520Hazard ratio (log scale) |
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: A Population-Based Cohort Study Using Linked Databases. J Am Coll Cardiol. Published 8 April 2026. doi:10. 1016/ j. jacc. 2026. 02. 5089
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