Cardio-oncology & otherMeta-analysis

Cardiovascular safety of assisted reproductive technology: a meta-analysis

Eur Heart JPublished

  • Systematic review and meta-analysis
  • random-effects model

Authors' conclusion

Assisted reproductive technology use does not appear to be significantly associated with an increased long-term risk of cardiovascular diseases in women.

Study context

Population
Women; randomised, cohort or case-control studies with adjusted assisted reproductive technology (ART)–CV outcome association, control group and ≥1-year follow-up10 studies
Participants
500,664 vs 36,395,240
Comparison
ART vs controls
  • ARTn = 500,664
  • Controlsn = 36,395,240reference
Outcome
Long-term CV risk (MACE, CHD, stroke, VTE, hypertension, DM, HF)

Pooled result

As reported in the abstract

MACE; I2 87.61%
Effect size (ES) 1.04 (95% CI 0.88–1.23); P = 0.63
CHD; I2 24.36%
ES 0.88 (95% CI 0.71–1.10); P = 0.26
stroke; I2 70.40%
ES 1.21 (95% CI 0.92–1.59); P = 0.17
VTE; I2 49.13%
ES 0.95 (95% CI 0.70–1.28); P = 0.73
hypertension; I2 94.63%
ES 1.08 (95% CI 0.88–1.32); P = 0.46
DM; I2 78.44%
ES 1.03 (95% CI 0.86–1.22); P = 0.77
HF; I2 0.00%
ES 0.75 (95% CI 0.60–0.94); P = 0.01

Original publication

Cardiovascular safety of assisted reproductive technology: a meta-analysis. Eur Heart J. Published 23 December 2024. doi:10.1093/eurheartj/ehae886

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