Cardio-oncology & other

Cardiovascular Disease Risk in Adults With Hematological Malignancies: A Population-Based Cohort Study Using Linked Databases

J Am Coll CardiolPublished Matched cohort study

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

OutcomeHR (95% CI)
DVT, first yearChronic lymphocytic leukemiavs ControlLowest3.52 (2.58–4.80)
DVT, first yearHodgkin lymphomavs ControlHighest34.04 (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: 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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