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. 2023 May 6;42(10):2557–2575. doi: 10.1007/s10067-023-06599-4

Table 1.

Mortality and cardiovascular involvement in patients with IIM

Author (year of publication) Study group (n) Diagnosis Study design Key observation Country
Dobloug et al. [2] (2017) 716 IIM Cohort study IIM patients had a higher mortality rate compared to the general population. Malignancies, cardiac diseases and respiratory diseases were the main causes of death. Cardiac disease accounted for 28.1% of all deaths in IIM patients. The mortality rate was highest in the first year after the diagnosis of IIM Sweden
Limaye et al. [12] (2012) 364 IIM Retrospective Cohort study A standardized mortality ratio (SMR) of 1.75 was reported in IIM, and it was highest in patients with DM (2.40). The major causes of death were cardiovascular disease (31%), infection (22%) and malignancy (11%). Risk factors for death included the absence of autoantibodies Australia
Dankó et al. [13] (2004) 162

DM (n = 42)

PM (n = 75)

Juvenile (n = 9)

Cancer associated myositis (n = 7)

Overlap myositis (n = 29)

Cohort study The most frequent causes of death were cardiac and pulmonary complications. Cardiovascular manifestations were responsible for 8 out of 18 deaths (two cases of arrhythmia, three of heart failure, two of cardiac arrest and one of myocardial infarction) and were significant prognostic factors for mortality. Deaths from cardiovascular disease occurred a median of 59 months post IIM diagnosis Hungary
Jung et al. [14] (2020) 3014

DM (n = 1860)

PM (n = 1154)

Population based study Reported a very high SMR in young IIM patients (DM: 15.0, PM: 8.1). No influence of sex on the SMR was observed. Cardiovascular events were reported in 155 (5.1%) patients and 40.6% of patients with cardiovascular disease died Korea