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[Association between ischemic heart disease and peptic ulcer. A case-control study]
J Baena Díez1, D López Gosp, M De La Poza Abad
1Area Básica de Salud, Barcelona, Spain. jbaenad@meditex.es
Insights
Patients with ischemic heart disease (IHD) have a significantly higher risk of developing peptic ulcers (PU). This study found a 77% increased odds of PU in IHD patients, particularly duodenal ulcers.
Area of Science:
- Cardiology
- Gastroenterology
- Epidemiology
Context:
- Ischemic heart disease (IHD) is a prevalent condition.
- Peptic ulcer (PU) disease affects a significant portion of the population.
- The relationship between IHD and PU risk requires further investigation.
Purpose:
- To investigate the association between ischemic heart disease (IHD) and the risk of developing peptic ulcers (PU).
Summary:
- A case-control study involving 310 IHD patients and 310 controls was conducted.
- Data from clinical histories revealed a higher incidence of PU in the IHD group (18.7% vs. 12.3%).
- Adjusted analysis showed an increased odds ratio (OR) of 1.77 for PU in IHD patients, primarily driven by duodenal ulcers (OR 2.22).
Impact:
- Findings suggest IHD is an independent risk factor for peptic ulcer development.
- Highlights the need for increased vigilance for PU in patients with IHD.
- Informs clinical practice regarding gastrointestinal health in cardiac patients.
Aim:
To determine whether patients with ischemic heart disease (IHD) are at higher risk for peptic ulcer (PU).
Material And Methods:
We performed a case-control study. The patients were selected by simple random sampling of clinical histories.
Cases:
310 patients with IHD (angina pectoris, myocardial infarct or both).
Controls:
310 patients without IHD, paired by age, sex and tobacco consumption. Data were obtained by review of the patients' clinical histories. Response variable: diagnosis of peptic ulcer by endoscopy, esophagogastroduodenal transit or surgery. The odds ratio (OR) was determined by logistic regression, adjusting for the effect of confounding variables and risk for PU.
Results:
The mean age of the patients was 72.7 years (SD 8.6) and 70% were men. PU was found in 18.7% of the patients and in 12.3% of the controls with an adjusted OR of 1.77 (95% CI: 1.12-2.77; p = 0.01). This effect was produced at the expense of duodenal ulcer with an adjusted OR of 2.22 (95% CI: 1.29-3.74; p = 0.003). The adjusted OR of gastric ulcer was 1.13 (95% CI: 0.45-2.82; p = 0.8).
Conclusions:
After adjusting for the effect of confounding variables and risk factors for the development of PU, this disease was more frequent in the group of patients with IHD.
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