Pituitary & hypothalamus

Cardiovascular morbidity and mortality in acromegaly-associated diabetes: a Swedish nationwide study

J Clin Endocrinol MetabPublished Retrospective cohort study

Main finding · Overall mortalityResult — go to the resultHazard ratio 1.18 95% CI 0.96–1.46

Authors' conclusion

The risk of cardiovascular morbidity was increased in patients with ACRO-DM compared to T2DM.

Study context

Population
Patients with acromegaly-associated diabetes and matched T2D controls, Swedish national registersmatched cohort
Participants
348 vs 3,480
Exposure
Acromegaly-associated diabetes vs T2D
  • ACRO-DMn = 348
  • T2DMn = 3,480reference
Outcome
Overall mortality
Methodological detailsnationwide, matched cohort, matched 10:1 for sex, age, calendar year, diabetes duration
  • Nationwide
  • Matched cohort
  • Matched 10:1 for sex, age, calendar year, diabetes duration

Main finding

As reported in the abstract

Hazard ratio

1.18

95% CI 0.96–1.46

ACRO-DMvs T2DM
HR 1.18 (95% CI 0.96–1.46)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Cardiovascular morbidity1.55 (1.24–1.94)
Cardiovascular mortality1.12 (0.78–1.60)

Baseline age

Baseline diabetes duration

Baseline cardiovascular morbidity

Hypertension

Heart failure

Arrhythmia

Stroke

Cardiovascular morbidity

Increased hazards for VTE, specifically pulmonary, and arrhythmia in ACRO-DM

Original publication

Cardiovascular morbidity and mortality in acromegaly-associated diabetes: a Swedish nationwide study. J Clin Endocrinol Metab. Published 10 August 2026. doi:10.1210/clinem/dgag322

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