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Angina Pectoris Is Associated with Cervical Disc Disease: A Cross-Sectional, Population-Based Study Using the

Peter Ahorukomeye1, Jerry Du2, Amit K Bhandutia3

  • 1University Hospitals Cleveland Medical Center, Cleveland, Ohio; Case Western Reserve University School of Medicine, Cleveland, Ohio.

Journal of Surgical Orthopaedic Advances
|July 12, 2024
PubMed

Insights

Angina pectoris (AP), a heart condition, is linked to a higher likelihood of experiencing neck pain. This cardiovascular issue independently increases the odds of developing neck pain by 42%.

Area of Science:

  • Cardiovascular Medicine
  • Orthopedics
  • Epidemiology

Background:

  • Atherosclerotic disease affects blood vessels, potentially impacting both coronary arteries and those supplying the cervical spine.
  • Angina pectoris (AP) results from coronary vessel occlusion due to atherosclerosis.
  • Cervical spine issues can arise from atherosclerotic disease in its supplying vessels.

Purpose of the Study:

  • To investigate the association between angina pectoris (AP) and neck pain.
  • To determine if AP is an independent risk factor for neck pain, controlling for confounders.

Main Methods:

  • Analysis of a survey involving 30,461 participants, focusing on 1,049 with a history of cervical pain disorders.
  • Multivariate analysis was employed to adjust for demographic, educational, and mental health factors.
  • Prevalence of neck pain was assessed in relation to various health and lifestyle factors.

Main Results:

  • Neck pain was reported by 21% of the studied respondents.
  • Factors associated with higher neck pain prevalence included nonwhite race, smoking, lower income, hypertension, and diabetes.
  • Multivariate analysis revealed that AP was significantly associated with increased odds of neck pain (OR = 1.42, p = 0.026).

Conclusions:

  • Angina pectoris is independently associated with a 42% increased likelihood of experiencing neck pain.
  • The findings suggest a potential link between cardiovascular health and cervical spine pain.
  • Further research is recommended to explore the relationship between cardiovascular disease and degenerative disc disease pain.

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