Hepatitis C Infection Is Not a Cardiovascular Risk Factor in Young Adults

Paweł Rajewski1,2, Małgorzata Pawłowska3, Dorota Kozielewicz3

  • 1Department of Internal and Infectious Diseases, Provincial Infectious Disease Hospital, 85-030 Bydgoszcz, Poland.

Biomedicines
|October 26, 2024
PubMed

Insights

Hepatitis C virus (HCV) infection in young adults under 45 was not linked to cardiovascular disease. Risk factor prevalence was similar to the general population, suggesting early HCV detection may prevent heart issues.

Area of Science:

  • Cardiology
  • Hepatology
  • Public Health

Background:

  • Cardiovascular diseases (CVDs) are a leading cause of mortality globally, with risk factors like hypertension, obesity, and diabetes being major concerns.
  • Hepatitis C virus (HCV) infection is emerging as a non-classical risk factor for CVD, though research often focuses on older populations.
  • Understanding HCV's impact on cardiovascular health in younger demographics is crucial for effective prevention strategies.

Purpose of the Study:

  • To investigate the prevalence of cardiovascular disease and associated risk factors in young adults (under 45) infected with HCV.
  • To analyze these factors based on gender, HCV genotype, and infection duration.
  • To assess the role of HCV as a cardiovascular risk factor in a younger population.

Main Methods:

  • A study involving 217 patients aged 21–45 with confirmed HCV infection.
  • Data collection included assessment of cardiovascular disease, traditional risk factors (hypertension, diabetes, smoking, obesity), and metabolic parameters.
  • Analysis stratified by gender, HCV genotype, and infection duration.

Main Results:

  • No cardiovascular disease was detected in the study group of young HCV-infected adults.
  • The most prevalent risk factor was smoking (20.7%), followed by hypertension (12%) and diabetes (5.5%), with rates lower than the general population.
  • Mean BMI was 26.39 kg/m², indicating overweight; other metabolic parameters were within normal ranges, but mean CRP (1.43) suggested moderate cardiovascular risk.

Conclusions:

  • HCV infection in young adults (<45 years) does not appear to be a direct risk factor for cardiovascular disease.
  • The prevalence of traditional cardiovascular risk factors among these young HCV patients is comparable to the general population.
  • Early detection and treatment of HCV infection may serve as a preventive measure against cardiovascular disease, warranting further research into HCV's effect on C-reactive protein levels.

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