Aortic & peripheral vascular disease

Incidence of myocardial infarction, heart failure, and cardiovascular mortality in patients with peripheral artery disease: trends between 1997 and 2016

Eur Heart J Qual Care Clin OutcomesPublished Nationwide registry-based cohort study

Authors' conclusion

The incidence of MI (since 2002) and HF in patients with PAD has significantly decreased over time, together with a decline in CV mortality.

Study context

Population
Patients aged ≥18 years with first diagnosis of PAD, Denmark, 1997–2016
Participants
131,568 patients
Outcome
Age-standardized incidence rates per 1000 person-years and trends of MI, HF and CV mortality
Methodological detailsDanish nationwide registers, Median age 70.67 (IQR 61-78) years; 53.05% males
  • Danish nationwide registers
  • Median age 70.67 (IQR 61-78) years; 53.05% males

Main finding

As reported in the abstract

Trends in age-standardized incidence rates (IRs) (APC)

Myocardial infarction (MI) annual percentage change (APC) until 2002 (95% CI 3.3-16.1, P-value 0.2)

+ 0.6

MI APC after 2002

−5.0

95% CI 3.7–6.3P < 0.0001

Heart failure (HF) APC

−3.3

95% CI 2.0–4.6P < 0.0001

Cardiovascular (CV) mortality APC

−3.5

95% CI 3.0–4.0P < 0.0001

Observational data: associations, not effects.

Original publication

Incidence of myocardial infarction, heart failure, and cardiovascular mortality in patients with peripheral artery disease: trends between 1997 and 2016. Eur Heart J Qual Care Clin Outcomes. Published 17 May 2022. doi:10.1093/ehjqcco/qcac022

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