Prevention & lipidsCohort study

Multi-modality non-invasive cardiovascular screening and sex-specific outcomes: the Viborg Screening Program

Eur Heart JPublished

  • Prospective population-based cohort study
  • propensity-score matched (1:3, nearest-neighbour)
  • intention-to-invite analysis
  • post hoc sex-stratified analyses

Authors' conclusion

Multi-modality non-invasive cardiovascular screening reduced 5-year all-cause mortality among 67-year olds, also when stratified by sex.

Study context

Population
67-year olds in Denmark, invitees 2014–20195,505 invitees
Participants
5,412 vs 16,236
Exposure
Invitation to multi-modality CV screening vs no screening access
  • Inviteesn = 5,412
  • Controlsn = 16,236reference
Outcome
All-cause mortality
Follow-up
Median 5.8 years

Main finding

As reported in the abstract

Hazard ratio

0.76

95% CI 0.68–0.85

P < 0.001

Events by group

Invitees vs Controls
HR 0.76 (95% CI 0.68–0.85); P < 0.001
Number needed to invite to save one life
49

Observational data: associations, not effects.

Further findings

CV mortality

HR, CV mortality
0.76 (95% CI 0.56-1.03)

MACE

HR, MACE
1.10 (95% CI 1.01-1.19)

Major adverse limb events

HR, major adverse limb events
0.70 (95% CI 0.50-0.98)

All-cause mortality, by sex (subgroup)

HR, men
0.73 (95% CI 0.63-0.84)
HR, women
0.82 (95% CI 0.68-0.98)
  • post hoc sex-stratified analyses

All-cause mortality, by prior cardiovascular disease (CVD) (subgroup)

HR, no prior CVD
0.70 (95% CI 0.61-0.80)
HR, prior CVD
0.97 (95% CI 0.78-1.21)

Original publication

Multi-modality non-invasive cardiovascular screening and sex-specific outcomes: the Viborg Screening Program. Eur Heart J. Published 28 April 2026. doi:10.1093/eurheartj/ehag309

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