Heart failure & cardiomyopathies

Risk of Worsening Heart Failure and All-Cause Mortality Following COVID-19 Vaccination in Patients With Heart Failure: A Nationwide Real-World Safety Study

Circ Heart FailPublished Retrospective cohort study

Authors' conclusion

Receiving an mRNA vaccine was not associated with an increased risk of worsening heart failure, myocarditis, venous thromboembolism, or all-cause mortality.

Study context

Population
Danish patients with HF aged 40 to 95 years
Participants
101,786 patients
Exposure
mRNA SARS-CoV-2 vaccination vs no vaccination
Outcome
All-cause mortality, worsening HF, VTE and myocarditis
Follow-up
90 days
Methodological detailsnationwide registries, 1:1 exact exposure matching on age, sex and HF duration
  • Nationwide registries
  • 1:1 exact exposure matching on age, sex and HF duration

Main finding

As reported in the abstract

Vaccinated

All-cause mortality (standardized risk)
2.23% (95% CI, 2.10%-2.36%)
Worsening HF (standardized risk)
1.10% (95% CI, −1.01% to 1.19%)

Unvaccinated

All-cause mortality (standardized risk)
2.56% (95% CI, 2.43%-2.70%)
Worsening HF (standardized risk)
1.08% (95% CI, 0.99%-1.17%)

All-cause mortality (standardized risk)

Vaccinated2.23% (95% CI, 2.10%-2.36%)
Unvaccinated2.56% (95% CI, 2.43%-2.70%)

Worsening HF (standardized risk)

Vaccinated1.10% (95% CI, −1.01% to 1.19%)
Unvaccinated1.08% (95% CI, 0.99%-1.17%)
Vaccinated vs UnvaccinatedRisk difference (95% CI)
All-cause mortality
−0.33%(−0.52% to −0.15%)
Worsening HF
0.02%(−0.11% to 0.15%)

Observational data: associations, not effects.

Original publication

Risk of Worsening Heart Failure and All-Cause Mortality Following COVID-19 Vaccination in Patients With Heart Failure: A Nationwide Real-World Safety Study. Circ Heart Fail. Published 28 July 2023. doi:10.1161/circheartfailure.123.010617

Composed by AI from the published abstract and checked against it. How Briefs are made →

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