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The relation between Helicobacter pylori infection and cardiac syndrome X: a preliminary study
Insights
Helicobacter pylori infection may be linked to Cardiac Syndrome X, a heart condition. A study found a high prevalence of H. pylori in patients with this syndrome, suggesting a potential role in its development.
Area of Science:
- Cardiology
- Gastroenterology
- Infectious Diseases
Background:
- Cardiac Syndrome X (CSX) is characterized by angina pectoris despite normal coronary angiograms.
- The underlying causes of CSX remain incompletely understood.
- Helicobacter pylori (HP) infection is a common gastrointestinal pathogen with potential systemic effects.
Purpose of the Study:
- To investigate the association between Helicobacter pylori infection and Cardiac Syndrome X.
- To explore the potential role of HP infection in the pathogenesis of CSX.
Main Methods:
- A study was conducted involving 30 patients with CSX, 30 with stable angina, and 30 healthy controls.
- The urea breath test (UBT) was used to detect Helicobacter pylori infection in all participants.
Main Results:
- A significantly higher prevalence of positive UBT results (indicating HP infection) was observed in CSX patients (50%) compared to the stable angina and healthy control groups (0%).
- No positive UBT results were found in the stable angina or healthy control groups.
Conclusions:
- The findings suggest a potential association between Helicobacter pylori infection and Cardiac Syndrome X.
- HP infection may play a role in the pathogenesis of CSX, warranting further investigation.
- Well-designed clinical trials are necessary to confirm these preliminary results and establish causality.
Abstract:
Cardiac syndrome X is defined by an angina pectoris with normal or near normal coronary angiogram.We evaluated the association of Helicobacter pylori (HP) infection with cardiac syndrome X (CSX). We studied 30 patients with CSX, 30 cases with stable angina and also 30 healthy controls. All three groups underwent urea breath test (UBT). Fifty percent (15 out of 30) of CSX patients had positive UBT result (> or =200 dpm), while two other groups did not have the positive results. Regarding high prevalence of HP infection in patients with CSX in our study and probable causative effect of chronic infection in coronary artery diseases, possible role of HP infection in the pathogenesis of CSX is suggested. However well designed clinical trial studies are needed to confirm this preliminary result.
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