Heart failure & cardiomyopathiesResearch article

Short-Term Exposure to Low and High Temperatures and Mortality Among Patients With Heart Failure in Sweden

JAMA CardiolPublished

  • Time-stratified case-crossover study
  • nationwide

Authors' conclusion

This nationwide Swedish time-stratified case-crossover study indicates that short-term exposure to both low and high temperatures was associated with increased risk of all-cause and cardiovascular mortality in patients with heart failure.

Study context

Population
Swedish patients with HF who died from any cause, 2006–2021
Participants
250,640 patients
Comparison
Low and high ambient temperatures
Outcome
All-cause and CV mortality

Main finding

As reported in the abstract

Odds ratio (95% CI)
Low temperaturesall-cause mortality, entire study period
1.130(1.074–1.189)
High temperaturesall-cause mortality, entire study period
1.054(1.017–1.093)
Low temperaturesCV mortality, entire study period
1.160(1.083–1.242)
High temperaturesCV mortality, 2014-2021
1.084(1.014–1.159)

Further findings

High-temperature mortality risk by period

More pronounced during 2014-2021 than 2006-2013

Susceptible subgroups

Low temperatures: men, comorbid DM and diuretic users more susceptible
High temperatures: stronger association with comorbid AF or flutter and elevated ozone exposure

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Short-Term Exposure to Low and High Temperatures and Mortality Among Patients With Heart Failure in Sweden. JAMA Cardiol. Published 1 December 2025. doi:10.1001/jamacardio.2025.3932

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