Heart failure & cardiomyopathies

Characteristics and Outcomes of Patients with Heart Failure and History of Malignancy: Data from Swedish Heart Failure Registry and the National Cancer Register

Eur J Heart FailPublished Registry-based cohort study

Main finding · All-cause mortalityResult — go to the resultAdjusted hazard ratio 1.14 95% CI 1.11–1.18

Authors' conclusion

Previous cancer was common among patients with HF, and it was associated with comorbidity burden, non-cardiovascular outcomes and, in HFrEF, with lower use of guideline-recommended therapies.

Study context

Population
Patients with Heart Failure (HF) in the Swedish HF Registry, 2000–2020
Participants
53,314 patients
Exposure
Previous cancer vs no previous cancer
  • Previous cancern = 9,066
Outcome
All-cause mortality
Follow-up
Median 2.4 (0.0-5.0) years
Methodological detailsSwedish HF Registry linked with National Cancer Register
  • Swedish HF Registry linked with National Cancer Register

Main finding

As reported in the abstract

Adjusted hazard ratio

1.14

95% CI 1.11–1.18

By group

Previous cancervs No cancer
adjusted HR 1.14 (95% CI 1.11–1.18)

Observational data: associations, not effects.

Further findings

OutcomeAdjusted HR (95% CI)
Non-CV death1.38 (1.31–1.44)
First all-cause hospitalization1.11 (1.09–1.14)

Deaths due to cancer

Non-CV death

Risk of non-CV death declined with increasing time from cancer diagnosis

HF therapy use in HF and reduced ejection fraction (HFrEF)

Previous cancer associated with less frequent use of MRA, triple pharmacotherapy and HF devices

Original publication

Characteristics and Outcomes of Patients with Heart Failure and History of Malignancy: Data from Swedish Heart Failure Registry and the National Cancer Register. Eur J Heart Fail. Published 17 July 2025. doi:10.1002/ejhf.3775

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