Evidence map›Paper›PMID 40329638›Full record

ArticleJournal of internal medicine2025

Age-related cardiovascular disease in Down syndrome: A population-based matched cohort study.

Annie Pedersen, Anna Skarin Nordenvall, Giorgio Tettamanti, Ann Nordgren

Abstract read
In one paragraph

Article in Journal of internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Annie PedersenDepartment of Laboratory Medicine, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-7498-7755
Anna Skarin NordenvallDepartment of Radiology, Karolinska University Hospital, Stockholm, Sweden.
Giorgio TettamantiDepartment of Molecular Medicine and Surgery, Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden.
Ann NordgrenDepartment of Laboratory Medicine, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden.

Funding

Karolinska Institutet Research GrantsStockholm Regional County CouncilThe Bertil Hållsten Research FoundationThe Swedish Brain FoundationThe Swedish Research CouncilVästra Götaland Regional Council
6 · The paper itself

Abstract

backgroundLife expectancy for individuals with Down syndrome (DS) has increased dramatically. To improve detection and prevention, the risk of age-related cardiovascular disease in this population needs to be better defined.

methodsWe performed a population-based matched cohort study. Through the National Patient Register (NPR) and/or the Medical Birth Register, we identified all individuals born in Sweden between 1946 and 2000 with a diagnosis of DS. Each individual with DS was matched to 50 comparators by sex, birth year, and county of birth. Data on ischemic and hemorrhagic stroke, acute myocardial infarction (AMI), and covariates indicating cardiovascular risk were retrieved from the NPR. Associations between DS and cardiovascular outcomes were estimated using Cox proportional hazards models. We also assessed the influence of cardiovascular risk factors.

resultsWe included 5155 individuals with DS, of which 55% were male. The median age at the end of follow-up was 35 in the DS population and 42 among the comparisons. DS was associated with increased risk of ischemic stroke (hazard ratios [HR] 4.41, 95% confidence intervals [CI] 3.53-5.52) and hemorrhagic stroke (HR 5.14, 95% CI 3.84-6.89). The overall risk of AMI was similar in DS and comparators but increased in young individuals with DS. The risk of ischemic stroke was elevated in individuals with DS with selected atherosclerotic (HR 12.67, 95% CI 7.04-22.78) as well as embolic (HR 10.35, 95% CI 6.69-16.01) risk factors, as compared to comparators without risk factors.

conclusionIndividuals with DS were at increased risk of cardiovascular outcomes.

Indexed as

Cardiovascular DiseasesDown SyndromeAdultAge FactorsCohort StudiesFemaleHumansMaleMiddle AgedMyocardial InfarctionProportional Hazards ModelsRegistriesRisk FactorsSwedencardiovascular diseasecerebral hemorrhagecerebral infarctiondown syndromemyocardial infarction

Identifiers

PMID40329638
PMCPMC12087835

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.