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Murine Fecal Isolation and Microbiota Transplantation
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Constipation and cardiovascular disease: A two-sample Mendelian randomization analysis.

Qichao Dong1, Delong Chen2, Yuxuan Zhang2

  • 1Department of Cardiology, Shaoxing People's Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, China.

Frontiers in Cardiovascular Medicine
|March 13, 2023
PubMed
Summary
This summary is machine-generated.

This study investigated the causal link between constipation and cardiovascular disease (CVD) using Mendelian randomization. Results suggest a potential link between constipation and atrial fibrillation (AF) risk, but not other CVDs.

Keywords:
Mendelian randomizationatrial fibrillationcardiovascular diseasecausalityconstipation

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Area of Science:

  • Cardiovascular Epidemiology
  • Genetic Epidemiology

Background:

  • Observational studies suggest a link between constipation and cardiovascular disease (CVD).
  • A definitive causal relationship between constipation and CVD remains unestablished.
  • Mendelian randomization (MR) offers a robust method to infer causality.

Purpose of the Study:

  • To investigate the potential causal associations between constipation and various cardiovascular diseases (CVDs).
  • To leverage genetic variants to explore the etiological relationship between constipation and CVD outcomes.
  • To differentiate between observational associations and true causal effects.

Main Methods:

  • A two-sample Mendelian randomization (MR) design was employed.
  • Genetic instrumental variables for constipation were derived from the FinnGen consortium.
  • Summary-level data for multiple CVD outcomes (e.g., coronary artery disease, atrial fibrillation) were analyzed using established MR methods and sensitivity analyses.

Main Results:

  • A suggestive, albeit not statistically significant after multiple testing correction, association was found between genetically predicted constipation and an increased risk of atrial fibrillation (AF).
  • No evidence of a causal association was observed between constipation and coronary artery disease (CAD), myocardial infarction (MI), heart failure (HF), or stroke.
  • Sensitivity analyses confirmed the robustness of the findings.

Conclusions:

  • This MR study provides suggestive evidence for a potential causal link between constipation and atrial fibrillation (AF) risk.
  • No causal relationship was identified between constipation and other major cardiovascular diseases.
  • Further research may be warranted to explore the mechanisms underlying the suggestive AF association.