Systemic sclerosis & Raynaud's

Association of Systemic Sclerosis With Incident Clinically Evident Heart Failure

Arthritis Care Res (Hoboken)Published Retrospective cohort study

Main finding · HF hospitalizationResult — go to the resultAdjusted hazard ratio 3.26 95% CI 2.49–4.28

Authors' conclusion

SSc is associated with a markedly higher risk of clinically evident HF and not asymptomatic ventricular dysfunction alone.

Study context

Population
Incident systemic sclerosis (SSc) patients with no history of heart failure (HF) and matched non-SSc controls, nationwide insurance database, Taiwanmatched cohort
Participants
1,830 vs 27,981
Exposure
SSc vs matched non-SSc individuals
  • SScn = 1,830
  • Non-SScn = 27,981reference
Outcome
HF hospitalization (clinically overt HF)
Methodological detailsmatched by age, sex and cohort entry time, nationwide insurance database, multivariable Cox proportional hazards regression
  • Matched by age, sex and cohort entry time
  • Nationwide insurance database
  • Multivariable Cox proportional hazards regression

Main finding

HF hospitalization

Adjusted hazard ratio

3.26

95% CI 2.49–4.28

SScvs Non-SSc
aHR 3.26 (95% CI 2.49–4.28)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
HF, age <50 years (subgroup)7.8 (4.03–15.1)
HF, age ≥50 years (subgroup)2.78 (2.06–3.76)

Cumulative incidence of hospitalized HF in SSc · 3, 5 and 10 years

3 years
3.5%
5 years
5.3%
10 years
9.7%

Original publication

Association of Systemic Sclerosis With Incident Clinically Evident Heart Failure. Arthritis Care Res (Hoboken). Published 12 February 2023. doi:10.1002/acr.25016

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