Arrhythmias & electrophysiologyCohort study

Long-term rate of ventricular arrhythmia in autoimmune disease

Eur J Prev CardiolPublished

  • Matched cohort study
  • nationwide registries
  • matched by age and sex

Authors' conclusion

Despite a low cumulative incidence, patients with a history of AIDs had a higher relative rate of VAs than matched individuals.

Study context

Population
Individuals with autoimmune disease, Danish nationwide registries, 2005–18median follow-up 6.0 years
Participants
186,733 vs 746,932
Exposure
Autoimmune disease vs matched background population
  • Autoimmune diseases (AIDs)n = 186,733
  • Matched individualsn = 746,932reference
Outcome
Ventricular arrhythmias (composite of VT, VF, ventricular flutter or cardiac arrest)
Follow-up
Median 6.0 years

Main finding

Ventricular arrhythmias

Hazard ratio

1.39

95% CI 1.29–1.49

By group

AIDs vs Matched individuals
HR 1.39 (95% CI 1.29–1.49)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Ventricular arrhythmias, systemic sclerosis · highest HR among individual AIDs3.86 (1.92–7.75)

Ventricular arrhythmias, by ischaemic heart disease or HF/cardiomyopathy (subgroup)

Higher rate with AIDs more pronounced in patients without ischaemic heart disease or HF/cardiomyopathy
P for interaction < 0.05
  • interaction P <0.05

Original publication

Long-term rate of ventricular arrhythmia in autoimmune disease. Eur J Prev Cardiol. Published 28 March 2024. doi:10.1093/eurjpc/zwae118

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