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Follow-up of ischae...
Follow-up of ischaemic heart disease in patients with coeliac disease
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- Emilsson, Louise, 1982- (author)
- Örebro universitet,Institutionen för läkarutbildning,Vårdcentralen Värmlands Nysäter, Värmlands Nysäter, Sweden
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- Carlsson, Roland (author)
- PCI unit, Department of Cardiology, Central Hospital, Karlstad, Sweden
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- James, Stefan (author)
- Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi
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- Hambraeus, Kristina (author)
- Department of Cardiology and Clinical Research Centre, Falun Hospital, Falun, Sweden
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- Ludvigsson, Jonas F., 1969- (author)
- Karolinska Institutet
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(creator_code:org_t)
- 2013-08-20
- 2015
- English.
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In: European Journal of Preventive Cardiology. - London, United Kingdom : Sage Publications. - 2047-4873 .- 2047-4881. ; 22:1, s. 83-90
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Abstract
Subject headings
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- Patients with coeliac disease and myocardial infarction have a more favourable atherosclerotic risk factor profile than controls with myocardial infarction (MI). Therefore, MI prognosis and treatment may differ according to coeliac status. This paper reports on the study of Swedish MI patients with and without coeliac disease (equal to villous atrophy; Marsh histopathology stage 3) based on duodenal or jejunal biopsy data. We used the Swedish Quality Register (SWEDEHEART) to identify individuals with a record of MI from 2005 to 2008 and to obtain data on medication, coronary interventions, and clinical and laboratory parameters at 6–10 weeks and one year after first MI. One-year mortality and coronary interventions were assessed for 430 coeliac patients and 1988 controls. For other outcome variables, we compared 42 coeliac patients with MI and 201 general population controls with MI. Odds ratios (ORs) were calculated by logistic regression. The results showed that compared with controls with MI, coeliac individuals with MI had significantly higher one-year all-cause mortality (OR = 1.43; 95% confidence interval (CI) = 1.04–1.95) but less often underwent a percutaneous coronary intervention (OR = 0.77; 95% CI = 0.61–0.96). Coeliac patients were more often prescribed warfarin but less often aspirin and statins. The readmission rate due to cardiac events in coeliac patients was 15.2% vs. 12.6% in controls (p-value = 0.69). Other clinical and laboratory parameters were similar. We conclude that the follow up of MI does not seem to differ between coeliac patients and controls, and is unlikely to explain the excess mortality from cardiovascular disease noted in Swedish patients with CD.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Autoimmunity
- coeliac
- inflammation
- riskfactors
- myocardialinfarction
- Cardiology
- Kardiologi
Publication and Content Type
- ref (subject category)
- art (subject category)
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