Type 2 & other diabetes

Mortality risk following ischaemic and non‐ischaemic heart failure in people with type 2 diabetes: Observational study in England, 2000–2021

Diabetes Obes MetabPublished Matched population-based cohort study

Authors' conclusion

Our findings indicate broadly similar mortality rates in people with ischaemic and non-ischaemic HF, with higher rates in people with type 2 diabetes compared to those without diabetes in both women and men.

Study context

Population
Adults with incident heart failure (HF) (ischaemic if following an ischaemic heart disease event, otherwise non-ischaemic), UK Clinical Practice Research Datalink, England, 2000–202118,296 ischaemic HF
Participants
73,344 adults
Exposure
T2D vs no diabetes
Outcome
All-cause mortality following HF diagnosis
Methodological detailsmatched by sex, year of birth and general practice, linked primary care, hospital and mortality records
  • Matched by sex, year of birth and general practice
  • Linked primary care, hospital and mortality records

Main finding

As reported in the abstract

All-cause mortality following HF diagnosis (adjusted HR)

HR for mortality, ischaemic HF, women

1.26

1.17–1.36

HR for mortality, ischaemic HF, men

1.23

1.15–1.31

HR for mortality, non-ischaemic HF, women

1.24

1.19–1.29

HR for mortality, non-ischaemic HF, men

1.20

1.15–1.25

Observational data: associations, not effects.

Further findings

Per 100 person-years

OutcomeType 2 diabetesWithout diabetes
Age-standardised mortality rate following ischaemic HF, women19.2 (95% CI 18.1–20.3)15.1 (CI 14.4–15.8)
Age-standardised mortality rate following ischaemic HF, men20.4 (CI 19.5–21.4)16.5 (CI 15.9–17.1)

Deaths

Deaths in ischaemic HF
9584
Deaths in non-ischaemic HF
31 800

Age-standardised mortality rates following non-ischaemic HF

Corresponding rates in non-ischaemic HF
19.5 (19.0-20.1), 22.0 (21.4-22.6), 16.6 (16.2-17.0) and 19.4 (18.9-19.8)

Original publication

Mortality risk following ischaemic and non‐ischaemic heart failure in people with type 2 diabetes: Observational study in England, 2000–2021. Diabetes Obes Metab. Published 2 May 2025. doi:10.1111/dom.16413

Composed by AI from the published abstract and checked against it. How Briefs are made →

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