Atherosclerotic Cardiovascular Diseases Are Associated With Incident Metastatic and Nonmetastatic Cancer

  • 0Neufeld and Tamman Cardiovascular Research Institutes, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.

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Summary

This summary is machine-generated.

Atherosclerotic cardiovascular disease (ASCVD) is linked to a higher risk of cancer metastasis at diagnosis, especially in middle-aged individuals. This finding may improve prevention and treatment strategies for metastatic cancer in ASCVD patients.

Area Of Science

  • Cardiovascular research
  • Oncology
  • Epidemiology

Background

  • Cardiovascular diseases (CVD) are known risk factors for cancer.
  • The specific relationship between CVD and metastatic cancer, a key prognostic factor, remains understudied.

Purpose Of The Study

  • To investigate the association between atherosclerotic cardiovascular disease (ASCVD) and the presence of metastasis at cancer diagnosis.
  • To explore age-related differences in this association.

Main Methods

  • Analysis of data from 21,654 adults initially free of cancer and ASCVD.
  • A 1-year blanking period was used to exclude prevalent cancers.
  • Cause-specific Cox regression with time-dependent covariates assessed the ASCVD-metastasis link.
  • Interaction analysis examined age-group differences (≤54 vs. >54 years).

Main Results

  • Over a median 6-year follow-up, ASCVD was diagnosed in 6.2% and cancer in 8.3% of participants.
  • ASCVD was independently associated with an increased risk of cancer metastasis at diagnosis (HR: 1.75).
  • This association was stronger in middle-aged adults (HR: 1.64, P=0.036) than older adults (HR: 1.11, P=0.56), with significant interaction (P=0.039).

Conclusions

  • ASCVD is significantly associated with an elevated risk of cancer metastasis at diagnosis.
  • This risk is particularly pronounced in middle-aged adults.
  • Identifying this link can aid in preventing and managing metastatic cancer in individuals with ASCVD.

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