Heart failure & cardiomyopathies

Pulmonary Embolism-Attributable Mortality in Patients With Heart Failure in the United States, 2010 to 2020

JACC AdvPublished Data on pulmonary embolism (PE)-attributable mortality in heart failure (HF) patients aged ≥25 years were obtained from the Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research database

Authors' conclusion

PE-attributable mortality among U.S. patients with HF has risen significantly over the past decade particularly among younger adults, certain ethnoracial groups, and residents of the Midwest.

Study context

Population
U.S. patients with heart failure (HF) aged ≥25 years, 2010 to 2020U.S. patients with HF aged ≥25 years who died from PE · men 17,772 · women 20,357
Participants
38,129 patients
Outcome
Proportionate mortality from PE among HF deaths
Follow-up
2010 to 2020
Methodological detailsjoinpoint regression
  • Joinpoint regression

Main finding

As reported in the abstract

Proportionate mortality

97.5 per 1,000 deaths

≈9.8%

Observational data: associations, not effects.

Further findings

AAMR trend · 2010 to 2020

Average annual percentage change
+4.7%; 95% CI: 3.3%-6.1%; P < 0.001
No sex differences (P for parallelism)
0.23
  • Linear increase

AAMR by subgroup

AAMR increased among individuals aged 25 to 65 years, Asian/Pacific Islanders, non-Hispanic/non-Latinx Black individuals, and residents of the Midwest

HF prevalence and VTE risk factors

Rises in age-adjusted rates of obesity, prior smoking, atherosclerotic cardiovascular disease, chronic kidney disease, and cancer
P < 0.001 for all
Age-adjusted prevalence of HF plateaued overall

Original publication

Pulmonary Embolism-Attributable Mortality in Patients With Heart Failure in the United States, 2010 to 2020. JACC Adv. Published June 2026. doi:10.1016/j.jacadv.2026.102841

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