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Published on: April 17, 2017
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.
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.
Abstract:
Background: Cardiovascular diseases are one of the leading causes of hospitalization and death in Poland and around the world and are still an ongoing problem for modern medicine. Despite advances in diagnosis and treatment, both conservative and invasive, the prevention of cardiovascular disease directed at reducing risk factors remains a problem. The main classical risk factors for the development of cardiovascular disease in Poland include hypertension, lipid disorders, obesity, diabetes and smoking. A new non-classical risk factor is HCV infection. Most of the studies on the impact of HCV infection on cardiovascular disease involve elderly populations with long-term infections and advanced liver fibrosis. Methods: Hence, we set out to analyze the prevalence of risk factors and cardiovascular disease in a population of young adults under 45 years of age infected with HCV, according to gender, HCV genotype and the duration of infection. The study group consisted of 217 patients of both sexes aged 21 to 45 years (mean age 36 years). Results: No cardiovascular disease was found among the young adults infected with HCV in the study group. The most common risk factor was cigarette smoking, which affected 20.7% of the subjects, followed by hypertension (12%) and diabetes mellitus (5.5%); the prevalence was lower than in the general population. Most of the patients were characterized as overweight, with a mean BMI of 26.39 kg/m2. The mean values of other metabolic parameters-total cholesterol, LDL, HDL, uric acid and glucose-were within the population norm. The mean value of CRP was 1.43, which may indicate a moderate cardiovascular risk. Conclusions: Based on the conducted research, it was found that HCV infection in young individuals was not a risk factor for cardiovascular diseases, and the prevalence of risk factors was similar to that in the general population. The effect of HCV on the increase in C-reactive protein requires further study. The early detection of HCV infection and treatment can be considered as a prevention of cardiovascular disease.
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