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Increased Cardiovascular Risk and All-cause Death in Patients with Behçet Disease: A Korean Nationwide

Hyo-Suk Ahn1,2, Dongjae Lee1,2, Soo Young Lee1,2

  • 1From the Departments of Cardiology and Dermatology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea; Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea; Department of Biostatistics, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

The Journal of Rheumatology
|August 3, 2019
PubMed

Insights

Patients with Behçet disease (BD) face higher risks of cardiovascular disease (CVD), including myocardial infarction and stroke, and all-cause death. This large-scale study highlights the need for vigilant CVD monitoring in BD patients.

Area of Science:

  • Cardiovascular Medicine
  • Rheumatology
  • Epidemiology

Background:

  • Behçet disease (BD) is a chronic, multisystem inflammatory disorder.
  • Previous studies suggest an elevated risk of cardiovascular disease (CVD) and mortality in BD patients, but large-scale nationwide data are limited.

Purpose of the Study:

  • To investigate the nationwide, large-scale association between Behçet disease and the risks of cardiovascular disease (CVD) and all-cause mortality.
  • To compare the incidence of CVD and death rates in BD patients versus a matched control group.

Main Methods:

  • Utilized the Korean National Health Insurance Service claim database.
  • Included 5,576 patients with BD and 27,880 controls, matched for age and sex, from 2010-2014.
  • Followed cohorts until 2015 for incident CVD and all-cause death.

Main Results:

  • Patients with BD showed significantly higher risks of myocardial infarction (HR 1.72) and stroke (HR 1.65) compared to controls.
  • The risk of all-cause death was also significantly elevated in BD patients (HR 1.82).

Conclusions:

  • Korean patients with Behçet disease exhibit an increased overall risk of cardiovascular disease.
  • Close cardiovascular monitoring and early intervention are crucial for managing patients with BD.
Abstract

Keywords:
BEHÇET DISEASECARDIOVASCULAR DISEASECONGESTIVE HEART FAILUREINCIDENCEMYOCARDIAL INFARCTIONSTROKE

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