Prevention & lipidsCohort study

Endometriosis and long-term cardiovascular risk: a nationwide Danish study

Eur Heart JPublished

  • Nationwide registry-based matched cohort study
  • 1:4 matched controls (year of birth)
  • nationwide registries

Authors' conclusion

Women with endometriosis have a higher associated long-term risk of cardiovascular outcomes compared with controls.

Study context

Population
Women in Danish nationwide registries; median age 37.3 yearsmatched cohort
Participants
60,508 vs 242,032
Exposure
Endometriosis vs matched controls
  • Endometriosisn = 60,508
  • Controlsn = 242,032reference
Outcome
Composite of:
  • Acute MI
  • Ischaemic stroke

Main finding

As reported in the abstract

Endometriosis vs ControlsHazard ratio (95% CI)
unadjusted
1.18(1.14–1.23)
adjusted
1.15(1.11–1.20)

Observational data: associations, not effects.

Secondary outcomes

OutcomeHR (95% CI)
Arrhythmias — Endometriosis vs Controls · unadjusted1.24 (1.20–1.28)
Arrhythmias — Endometriosis vs Controls · adjusted1.21 (1.17–1.25)
HF — Endometriosis vs Controls · unadjusted1.16 (1.09–1.22)
HF — Endometriosis vs Controls · adjusted1.11 (1.05–1.18)
Mortality — Endometriosis vs Controls · unadjusted0.95 (0.92–0.97)
Mortality — Endometriosis vs Controls · adjusted0.93 (0.91–0.96)

Original publication

Endometriosis and long-term cardiovascular risk: a nationwide Danish study. Eur Heart J. Published 2 September 2024. doi:10.1093/eurheartj/ehae563

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