Association of celiac disease and myocardial infarction: a systematic review and meta-analysis

Nikhil Sharma1,2, Muhammed Shabil3,4, Mahalaqua Nazli Khatib5

  • 1Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, Guwahati, 781101, India.

PubMed

Insights

This meta-analysis found no significant link between celiac disease (CD) and myocardial infarction (MI). Further research is needed due to study heterogeneity and to explore cardiovascular risks in CD patients.

Area of Science:

  • Cardiology
  • Gastroenterology
  • Epidemiology

Background:

  • Celiac disease (CD) is an autoimmune disorder triggered by gluten, primarily impacting the gut but with potential cardiovascular implications.
  • Emerging evidence suggests a link between CD and myocardial infarction (MI), yet existing studies present conflicting findings.
  • This study systematically reviewed and meta-analyzed data to determine the risk of MI in individuals diagnosed with CD.

Approach:

  • A comprehensive literature search was conducted across major databases (PubMed, Embase, Web of Science) up to August 2024.
  • Included studies focused on the association between CD and MI in adult populations, extracting relevant effect estimates.
  • A random-effects meta-analysis was performed using R software to calculate pooled hazard ratios (HRs) and odds ratios (ORs), assessing statistical heterogeneity.

Key Points:

  • The meta-analysis included 8 studies, examining the association between celiac disease and myocardial infarction.
  • Pooled HR analysis (HR=1.143, 95% CI: 0.619-2.109) and OR analysis (OR=0.879, 95% CI: 0.481-1.606) showed no statistically significant association.
  • High heterogeneity was noted across studies (I²=86% for HR, 99% for OR), indicating significant variability in results.

Conclusions:

  • This meta-analysis did not find a significant association between celiac disease and myocardial infarction.
  • Substantial heterogeneity across studies underscores the need for larger, more homogeneous cohorts to clarify cardiovascular risks in CD patients.
  • Future research should investigate specific subgroups and the influence of gluten-free diet adherence on cardiovascular outcomes in individuals with CD.
Abstract

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