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.
Abstract

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