Gender- and age-specific rates of heart failure and other adverse cardiovascular outcomes in systemic sclerosis

Guoli Sun, Adelina Yafasova, Charlotte Andersson, John J. McMurray, Pardeep S. Jhund, Kieran F. Docherty, Mikkel Faurschou, Christoffer T. Nielsen, Morten Schou, Gunnar H. Gislason, Christian Torp-Pedersen, Emil L. Fosbøl, Lars Køber, Jawad H. Butt*

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

3 Citationer (Scopus)

Abstract

Objective To investigate the long-term rates of heart failure (HF) and other adverse cardiovascular outcomes, including arrhythmias, myocardial infarction, ischaemic stroke, venous thromboembolism, pulmonary hypertension and pericarditis, in SSc patients according to gender and age. Methods Using Danish nationwide registries, SSc patients (diagnosed from 1996 to 2018) were matched with four controls from the background population by gender, age and comorbidities. Cox regression was used to compare the rates of cardiovascular outcomes between SSc patients and controls and the rate of mortality between SSc patients developing HF and HF patients without SSc, according to gender and age (above/below median). Results In total, 1569 SSc patients were matched with 6276 non-SSc controls (median age 55 years, 80.4% women, median follow-up 7.3 years). SSc had a higher rate of HF in both women [HR 2.99 (95% CI 2.18, 4.09)] and men [HR 3.01 (1.83, 4.95)] (P-interaction = 0.88), with similar trends for other cardiovascular outcomes. SSc had a higher rate of HF in patients = 55 years [HR 2.74 (1.98, 3.78)] (P-interaction = 0.22), with similar trends for other cardiovascular outcomes. SSc patients with new-onset HF had a higher rate of mortality than HF patients without a history of SSc, irrespective of gender (P-interaction = 0.53) and age (P-interaction = 0.43). Conclusions SSc was associated with higher rates of HF and other cardiovascular outcomes than matched controls, irrespective of gender and age. Among patients with new-onset HF, a history of SSc was associated with higher mortality.

OriginalsprogEngelsk
TidsskriftRheumatology
Vol/bind61
Udgave nummer11
Sider (fra-til)4374–4383
Antal sider10
ISSN1462-0324
DOI
StatusUdgivet - 2022

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