Helicobacter pylori infection and coronary artery disease
Aleksandar Vcev1, Dario Nakić, Anamarija Mrden
1Department of Internal Medicine, School of Medicine, University "J.J. Strossmayer", Osijek, Osijek, Croatia. vcev.aleksandar@kbo.hr
Insights
Helicobacter pylori infection is more common in coronary artery disease (CAD) patients. However, H. pylori seropositivity did not correlate with traditional CAD risk factors in this study.
Area of Science:
- Cardiology
- Infectious Diseases
- Epidemiology
Background:
- Coronary artery disease (CAD) is a leading cause of mortality worldwide.
- The potential role of infections, including Helicobacter pylori (H. pylori), in CAD pathogenesis is under investigation.
- Understanding the association between H. pylori and CAD is crucial for public health.
Purpose of the Study:
- To investigate the seroprevalence of H. pylori infection in patients diagnosed with coronary artery disease (CAD).
- To examine the association between H. pylori seropositivity and established cardiovascular risk factors in CAD patients and controls.
Main Methods:
- A randomized, multi-centre study involving 90 patients with CAD and 90 controls.
- Serological assessment for H. pylori infection.
- Analysis of traditional CAD risk factors: age, gender, diabetes mellitus, hypertension, smoking, hypercholesterolemia, and socioeconomic status.
Main Results:
- A significantly higher seroprevalence of H. pylori was observed in CAD patients (78.8%) compared to controls (58.3%), with p < 0.05.
- H. pylori seropositivity showed no significant association with CAD risk factors, including smoking, BMI, diabetes, hypertension, cholesterol levels, or socioeconomic status (P > 0.05).
Conclusions:
- The findings suggest a potential link between H. pylori infection and the presence of coronary artery disease.
- However, H. pylori infection does not appear to be associated with common cardiovascular risk factors.
- Further research is warranted to elucidate the exact role of H. pylori in the development and progression of CAD.
Abstract:
The aim of this investigation was to determine the seroprevalence of H. pylori in patients with coronary artery disease (CAD). Patients with coronary artery disease (n = 90) and control group (n = 90) were enrolled into this randomized, multi-centre study. CAD risk factors analyzed included age, male gender, diabetes mellitus, systemic hypertension, cigarette smoking, hypercholesterolemia and socioeconomic status. The results of this study showed a higher seroprevalence of Helicobacter pylori infection in patients with CAD compared to controls (78.8% versus 58.3%, p < 0.05). However, Helicobacter pylori seropositivity was not associated with coronary artery risk factors (smoking, body mass index, diabetes mellitus, hypertension, total cholesterol and socioeconomic status) either in the whole study population or in the patients and control subjects analyzed separately (P > 0.05). Further study are needed to clarify the precise role of Helicobacter pylori infection on the development of coronary artery disease.
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