Systemic sclerosis & Raynaud's

Risk of ischaemic and non-ischaemic heart failure in patients with systemic sclerosis: a population-based study

Rheumatology (Oxford)Published Population-based matched cohort study

Authors' conclusion

SSc is associated with both ischaemic and non-ischaemic HF

Study context

Population
All patients with incident SSc in Sweden 2004–19 and general population comparatorsmatched cohort
Participants
1,598 vs 16,616
Exposure
Incident SSc vs age- and sex-matched general population comparators
  • SScn = 1,598
  • Comparatorsn = 16,616reference
Outcome
Incident HF (ICD-10: I50) as main diagnosis, stratified into ischaemic and non-ischaemic HF
Methodological detailsnationwide Swedish registers, age- and sex-matched comparators (1:10), flexible parametric models
  • Nationwide Swedish registers
  • Age- and sex-matched comparators (1:10)
  • Flexible parametric models

Main finding

As reported in the abstract

Incident HF overall
HR for heart failure (HF) overall, SSc vs comparators, at end of first year of follow-up
5.7 (95% CI 4.2-7.9)

Observational data: associations, not effects.

Further findings

Ischaemic HF · end of first year of follow-up

HR for ischaemic HF, SSc vs comparators
6.7 (95% CI 3.5-13.0)
Ischaemic HF share of all HF cases in both groups
35%

Non-ischaemic HF · end of first year of follow-up

HR for non-ischaemic HF, SSc vs comparators
5.8 (95% CI 4.0-8.3)
Non-ischaemic HF share of all HF cases in both groups
65%

Original publication

Risk of ischaemic and non-ischaemic heart failure in patients with systemic sclerosis: a population-based study. Rheumatology (Oxford). Published 6 August 2025. doi:10.1093/rheumatology/keaf422

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