Across rheumatic diseases

Immune-mediated diseases and risk of incident cardiovascular diseases: a prospective cohort study

Rheumatology (Oxford)Published Prospective cohort study

Main finding · Total CVDResult — go to the resultHazard ratio 1.57 95% CI 1.52–1.61

Authors' conclusion

Total and individual IMDs were associated with an increased risk of overall CVDs.

Study context

Population
UK Biobank participants with baseline assessment at 2006–10 (55.6% women; mean age 55.9 years)median follow-up 12.1 years
Participants
414,495 participants
Exposure
Participants with immune-mediated diseases (IMDs) vs without IMDs
  • IMDsn = 21,784
Outcome
Incident CVD
Methodological detailsUK Biobank, Cox proportional hazard models, multivariable adjustment
  • UK Biobank
  • Cox proportional hazard models
  • Multivariable adjustment

Main finding

Total CVD · median follow-up of 12.1 years

Hazard ratio

1.57

95% CI 1.52–1.61

Events by group

IMDsvs Without IMDs
HR 1.57 (95% CI 1.52–1.61)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Cardiovascular disease (CVD) by individual IMD (20 IMDs)

HR (CI)
Celiac diseaseLowest HR1.34 (1.16–1.54)
SLEHighest HR2.75 (2.10–3.61)
OutcomeHR (CI)
Individual CVD events, any IMD exposureIMDsvs Without IMDsCerebral hemorrhage (lowest)1.34 (1.14–1.58)
Individual CVD events, any IMD exposureIMDsvs Without IMDsPericardium diseases (highest)1.80 (1.54–2.11)
CVD by individual IMD (20 IMDs) — 16 of 20 IMDs significantly associated with CVD
all P < 0.0025 after Bonferroni correction

Individual CVD events, any IMD exposure

Higher risk of all individual CVD events

Total CVD by IMD duration

IMD duration <5 years: increased risk
55%
IMD duration 5-10 years: increased risk
59%
IMD duration >10 years: increased risk
56%

Original publication

Immune-mediated diseases and risk of incident cardiovascular diseases: a prospective cohort study. Rheumatology (Oxford). Published 1 June 2023. doi:10.1093/rheumatology/kead266

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