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Ischaemic heart disease in Behçet's syndrome: a systematic review and meta-analysis
Yang Yang1, Ye Yu1, Chuanyin Sun1
1Division of Rheumatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Insights
Behçet's syndrome (BS) is linked to a higher risk of ischemic heart disease (IHD). This meta-analysis found a 30% increased risk of IHD in BS patients, highlighting the need for further research.
Area of Science:
- Cardiovascular Medicine
- Rheumatology
- Epidemiology
Background:
- Cardiovascular involvement is a known complication of Behçet's syndrome (BS).
- The association between BS and an increased risk of ischemic heart disease (IHD) remains unclear.
Purpose of the Study:
- To conduct a meta-analysis on the incidence of IHD in patients with BS.
- To determine the relationship between BS and the risk of IHD.
Main Methods:
- A comprehensive literature search was performed on PubMed and Embase databases.
- Incidence of IHD was calculated using metaproportion.
- Pooled risk ratios and 95% confidence intervals were calculated using a random-effect model.
Main Results:
- Four studies involving 9237 BS patients and 40353 controls were included.
- A pooled risk ratio of 1.30 (95% CI 1.04-1.64) indicated a statistically significant increased risk of IHD in BS patients.
- Low statistical heterogeneity was observed (I² = 39%, p=0.18).
Conclusions:
- Behçet's syndrome is associated with an elevated risk of ischemic heart disease.
- Further prospective research is warranted to explore the pathophysiological and prognostic implications of increased IHD in BS.
Objectives:
Behçet's syndrome (BS) has been reported with cardiovascular involvement. It's still unclear that BS is associated with the increased risk of ischaemic heart disease (IHD). We aimed to conduct a meta-analysis concerning the incidence of IHD in BS and identify the relationship between IHD and BS.
Methods:
We performed a comprehensive literature search based on PubMed and Embase databases up to 7 July, 2021. Incidence of IHD was calculated by metaproportion. Pooled risk ratio and 95% confidence interval (CI) were calculated using a random-effect, generic inverse variance method of DerSimonian and Laird.
Results:
Four studies with 9237 patients with IHD in BS and 40353 controls were identified and included in our meta-analysis. The pooled risk ratio of IHD in patients with BS was 1.30 and achieved statistical significance (95% CI 1.04-1.64). The statistical heterogeneity was low with an I2 of 39% (p=0.18).
Conclusions:
In this meta-analysis the presence of BS was associated with an increased risk of IHD. Prospective researches should be done to determine the pathophysiological and prognostic implications of increased IHD in BS.
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