Valvular & structural heart disease

Dysglycaemia and incident aortic stenosis: a cohort study

HeartPublished cohort study

Authors' conclusion

Dysglycaemia, including glucose levels below the diabetic range, is associated with a higher risk of aortic stenosis.

Study context

Population
Participants from the Swedish Apolipoprotein Mortality Risk cohort (1985–1996) free of aortic valve disease at baseline with fasting glucose and lipid levels recorded
Participants
324,449 participants
Exposure
Fasting glucose categories compared with normal glucose levels
Outcome
Incident aortic stenosis
Follow-up
Mean 25.9 years

Main finding

As reported in the abstract

Each group vs normal glucose levelsAdjusted hazard ratio (95% CI)
Low glucose
0.96(0.82–1.13)
Impaired fasting glucose
1.36(1.24–1.50)
High glucose
1.79(1.60–1.99)
Diabetes
2.21(1.80–2.73)
Participants developed aortic stenosis
8523

Observational data: associations, not effects.

Further findings

Spline analysis of glucose and aortic stenosis risk

Continuous increase in risk with rising glucose levels, even below the impaired fasting glucose threshold

Original publication

Dysglycaemia and incident aortic stenosis: a cohort study. Heart. Published 6 February 2025. doi:10.1136/heartjnl-2024-325150

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