Heart failure & cardiomyopathies

Prenatal Exposure to Severe Stress and the Risk of Heart Failure Up to Middle-Age

JACC Heart FailPublished Cohort study

Authors' conclusion

Maternal loss of a partner or older child and loss of a close relative caused by unnatural causes the year before or during pregnancy were associated with increased risk of HF in offspring.

Study context

Population
Live singleton births, Danish (1973–2016) and Swedish (1973–2014) Medical Birth Registers
Participants
6,758,560 births
Exposure
Maternal bereavement vs no bereavement
Outcome
HF in offspring
Follow-up
Up to 48 years
Methodological detailsnationwide registers, Denmark and Sweden
  • Nationwide registers
  • Denmark and Sweden

Main finding

As reported in the abstract

Adjusted hazard ratio (95% CI)
Maternal loss of any close family membernot associated with HF
1.04(0.88–1.23)
Death of a partner or an older child
1.47(1.06–2.04)
Unnatural death of a relative
2.77(1.49–5.17)
Offspring with heart failure (HF) diagnosis
4,812 (0.07%)

Observational data: associations, not effects.

Original publication

Prenatal Exposure to Severe Stress and the Risk of Heart Failure Up to Middle-Age. JACC Heart Fail. Published 21 February 2024. doi:10.1016/j.jchf.2024.01.009

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