Rheumatoid arthritis

Risk of Incident Heart Failure and Heart Failure Subtypes in Patients With Rheumatoid Arthritis

Arthritis Care Res (Hoboken)Published Cohort study

Main finding · Incident HFResult — go to the resultHazard ratio 1.79 95% CI 1.38–2.32

Authors' conclusion

RA was associated with a higher rate of HF overall compared with non-RA, even after adjustment for established CVD risk factors.

Study context

Population
Participants consenting to broad research at two large academic centers (mean age 51.4 and 51.7 years; 78.7% female)matched cohort
Participants
1,445 vs 4,335
Exposure
Rheumatoid arthritis (RA) vs matched non-RA comparators
  • RAn = 1,445
  • Non-RAn = 4,335reference
Outcome
Incident heart failure (HF) and HF subtypes (HF with preserved ejection fraction (HFpEF), HFrEF)
Methodological detailsmatched, two large academic centers, Cox proportional hazards models
  • Matched
  • Two large academic centers
  • Cox proportional hazards models

Main finding

Incident HF

Hazard ratio

1.79

95% CI 1.38–2.32

RAvs Non-RA
HR 1.79 (95% CI 1.38–2.32)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
HFpEF1.99 (1.43–2.77)
HFrEFNo statistical difference1.45 (0.81–2.60)

HFpEF as share of HF (most common subtype)

Original publication

Risk of Incident Heart Failure and Heart Failure Subtypes in Patients With Rheumatoid Arthritis. Arthritis Care Res (Hoboken). Published 16 January 2025. doi:10.1002/acr.25481

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