Heart failure & cardiomyopathiesCohort study

Long-Term Rate of Heart Failure in Patients with Autoimmune Disease: A Nationwide Cohort Study

Eur J Heart FailPublished

  • Nationwide cohort study
  • matched cohort
  • Danish nationwide registries

Authors' conclusion

Patients with AID, irrespective of the type, had a higher associated rate of HF compared to the background population.

Study context

Population
Individuals diagnosed with an autoimmune disease in Denmark, 2000–2021median follow-up 7.9 years
Participants
272,959 vs 1,091,836
Exposure
AID vs matched background population
  • AIDn = 272,959
  • Matched individualsn = 1,091,836reference
Outcome
Rate of HF

Main finding

HF · 10-year cumulative incidence

Hazard ratio

1.55

95% CI 1.52–1.59

By group

AID vs Matched individuals
HR 1.55 (95% CI 1.52–1.59)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Incident HF by individual AID (subgroup) — Systemic sclerosis vs Matched individuals · highest relative rate3.31 (2.63–4.16)
Incident HF by individual AID (subgroup) — Addison's disease vs Matched individuals3.03 (2.35–3.91)

Incident heart failure (HF) by individual AID (subgroup)

Higher rate of HF with each AID; not statistically significant for Reiter's and Behcet's disease

Original publication

Long-Term Rate of Heart Failure in Patients with Autoimmune Disease: A Nationwide Cohort Study. Eur J Heart Fail. Published 9 December 2024. doi:10.1002/ejhf.3541

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