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The Association between Arrhythmia and Helicobacter pylori Infection: A Meta-Analysis of Case-Control Studies
Jin Yan1,2, Qiang She3,4, Yifeng Zhang5,6
1Department of Gastroenterology, The First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China. yanjinnmu@163.com.
Insights
Helicobacter pylori (H. pylori) infection is linked to a higher risk of cardiac arrhythmia. Eradicating H. pylori may reduce arrhythmia occurrence, particularly in Asian and African populations.
Area of Science:
- Cardiology
- Infectious Diseases
- Gastroenterology
Background:
- Arrhythmia is a prevalent global condition.
- Helicobacter pylori (H. pylori) infection affects a significant portion of the world's population.
- The relationship between H. pylori and cardiac arrhythmia remains unclear.
Purpose of the Study:
- To investigate the association between H. pylori infection and cardiac arrhythmia.
- To determine if H. pylori is a risk factor for arrhythmia development.
Main Methods:
- A meta-analysis was conducted.
- Studies were systematically searched and selected from PubMed, Embase, Web of Science, and the Cochrane Library.
- Infection rates and odds ratios were compared between arrhythmia patients and control groups.
Main Results:
- The H. pylori infection rate was significantly higher in patients with arrhythmia (58.1%) compared to controls (47.8%).
- H. pylori infection was associated with an increased risk of arrhythmia (OR = 1.797, p < 0.05).
- Subgroup analysis revealed H. pylori as a risk factor for atrial fibrillation in Asia and Africa.
Conclusions:
- A correlation exists between H. pylori infection and cardiac arrhythmia.
- H. pylori eradication may potentially reduce the incidence of arrhythmia, especially in Asian and African populations.
Abstract:
Arrhythmia is a common disease around the world and Helicobacter pylori (H. pylori) is a bacterium infecting 28% to 84% of subjects, depending on the population tested. However, the implication of H. pylori in cardiac arrhythmia is poorly understood. We performed this meta-analysis with an aim to identify the association between arrhythmia and H. pylori. We searched PubMed, Embase, Web of Science, and the Cochrane library databases to select studies on the association between arrhythmia and H. pylori. In the arrhythmia group, 392 (58.1%) were H. pylori-positive and in the control group 640 (47.8%) were H. pylori-positive. Compared to the controls, the infection rate of H. pylori was higher in patients with arrhythmia than in controls (odds ratio (OR) = 1.797, 95% confidence interval (CI): 1.081-2.988, p < 0.05). Subgroup analysis indicated that H. pylori infection was a risk factor for atrial fibrillation in Asia and Africa. Therefore, a correlation between H. pylori infection and arrhythmia may exist and H. pylori eradication may decrease the occurrence of arrhythmia, especially in Asia and Africa.
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