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Published on: November 4, 2010
Association of asthma with coronary heart disease: A meta analysis of 11 trials
Lida Wang1, Shuyan Gao2, Mingdong Yu3
1Department of E.N.T, Weifang People's Hospital, Weifang, China.
Insights
Asthma is linked to increased coronary heart disease (CHD) risk, particularly in females with adult-onset asthma. Further research is needed to confirm these findings on asthma and heart disease.
Area of Science:
- Cardiology
- Pulmonology
- Epidemiology
Background:
- The association between asthma and coronary heart disease (CHD) lacks consistent description.
- Understanding gender and asthma onset influences on this relationship is crucial.
Purpose of the Study:
- To define the relationship between asthma and CHD.
- To explore the impact of gender and asthma onset (child- vs. adult-onset) on this association.
Main Methods:
- Systematic review of published reports on asthma and CHD.
- Meta-analysis of eleven identified trials involving 666,355 subjects.
Main Results:
- Asthma overall showed a significant association with CHD in both prospective and retrospective studies.
- Females with asthma had a significantly higher risk of CHD, while males did not show a significant association.
- Only females with adult-onset asthma demonstrated a significant association with increased CHD risk.
Conclusions:
- Asthma is associated with CHD, primarily driven by females with adult-onset asthma.
- These findings suggest a specific risk profile for certain asthma populations.
- Study limitations necessitate cautious interpretation of the results.
Purpose:
While the relationship of asthma and coronary heart disease (CHD) (a specific manifestation of cardiovascular disease) has not been described consistently, we tried to defined this relation and explore the influence of gender and asthma status (child- and adult-onset asthma) on this issue.
Methods:
We searched published reports that described the relationship of asthma and CHD.
Results:
Eleven trials were identified, covering 666,355 subjects. Asthma overall was significantly associated with CHD both for prospective trials (HR 1.34 [1.09,1.64], P = 0.005) and for retrospective trials(OR 1.29 [1.13,1.46], P = 0.001), when compared to individuals without asthma. Subgroup analysis split by gender indicated that females with asthma were significantly associated with CHD (HR 1.40 [1.20,1.62], P<0.001), but males with asthma were not significantly related with CHD (HR 1.19 [0.98,1.44], P = 0.07). For the four subgroups (Females with adult-onset asthma,males with adult-onset asthma,females with child-onset asthma,and males with child-onset asthma), pooled analysis of two trials indicated that only females with adult-onset asthma were significantly associated with CHD (HR 2.06 [1.32,3.19], P<0.001).
Conclusions:
Our data indicated that asthma was associated with CHD, and the relationship between them seemed to derived mostly from females with adult-onset asthma. Considering the limits of our study, these findings should be taken with caution.
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