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Toxoplasma gondii Infection in Patients with Cardiovascular Diseases from Western Romania: A Case-Control Study
Angela Dragomir1,2,3, Maria Alina Lupu1,2,3,4, Rodica Lighezan1,3,5
1Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.
Insights
Toxoplasma gondii infection is common in Romanian cardiovascular patients, with higher rates found in those with hypertension and unstable angina. This study highlights a potential link between Toxoplasma gondii and cardiovascular disease prevalence.
Area of Science:
- Infectious Diseases
- Cardiovascular Epidemiology
- Parasitology
Background:
- Toxoplasma gondii is a widespread parasite affecting a significant portion of the global population.
- Limited research exists on the seroepidemiology of T. gondii within cardiovascular patient cohorts.
- This study addresses a gap by investigating T. gondii prevalence in cardiovascular patients in Western Romania.
Purpose of the Study:
- To determine the seroprevalence of Toxoplasma gondii antibodies in cardiovascular patients.
- To compare T. gondii seroprevalence between cardiovascular patients and healthy blood donors.
- To identify potential associations between T. gondii infection and specific cardiovascular conditions.
Main Methods:
- Serologic testing for T. gondii antibodies was performed on 256 cardiovascular patients and 261 matched blood donors.
- Data analysis included comparing seroprevalence rates between patient and control groups.
- Statistical significance was assessed using appropriate methods (p-values indicated).
Main Results:
- Overall T. gondii seroprevalence was 64.06% in cardiovascular patients versus 52.88% in blood donors.
- Seroprevalence increased with age in both groups.
- Significantly higher T. gondii antibody prevalence was observed in male cardiovascular patients (69.94%) compared to male blood donors (55.69%; p=0.006).
- Hypertension (82.35%; p=0.01) and unstable angina (67.56%; p=0.02) showed significantly higher T. gondii prevalence.
Conclusions:
- This research provides novel epidemiological data on T. gondii in Romanian cardiovascular patients.
- A significantly higher prevalence of T. gondii antibodies was noted in patients with hypertension and unstable angina.
- These findings suggest a potential link between T. gondii infection and these cardiovascular conditions, warranting further investigation.
Abstract:
(1) Background: Toxoplasma gondii infects approximately one third of the world's human population. The seroepidemiology of T. gondii in cardiovascular patients is poorly discussed in the existing literature. We aimed to evaluate, for the first time, the seroprevalence of T. gondii in cardiovascular patients from Western Romania. (2) Methods: Serologic testing to demonstrate the presence of T. gondii antibodies was conducted in 256 patients with cardiovascular diseases and 261 matched blood donors. (3) Results: The overall seroprevalence of T. gondii antibodies was 64.06% in patients with cardiovascular diseases and 52.88% in blood donors and tended to increase with age in both groups. The seroprevalence of T. gondii antibodies was significantly higher in cardiovascular male patients (69.94%) compared to male blood donors (55.69%) (p = 0.006). When compared to the control group, a significantly higher prevalence of T. gondii antibodies was found among patients with hypertension (82.35%; p = 0.01) and unstable angina (67.56%; p = 0.02). (4) Conclusions: This study brings new epidemiological information on the prevalence of T. gondii in Romanian cardiovascular patients. T. gondii seroprevalence was significantly higher in patients with hypertension and unstable angina, suggesting that individuals with these diagnoses may be more frequently infected with T. gondii. This study may be a valuable starting point for further research to better evaluate the impact of T. gondii exposure on patients with cardiovascular diseases.
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