Gastroesophageal Reflux Disease (GERD) and Risk of Incident Acute Myocardial Infarction: A Systematic Review and

Tinsae Anebo1, Thitiphan Srikulmontri1, Karecia Byfield1

  • 1Department of Internal Medicine Jefferson Einstein Hospital Philadelphia Pennsylvania USA.

Insights

Gastroesophageal reflux disease (GERD) is linked to a higher risk of acute myocardial infarction (AMI). This meta-analysis of over a million participants confirms GERD as a significant risk factor for heart attacks.

Area of Science:

  • Cardiology
  • Gastroenterology
  • Epidemiology

Background:

  • Gastroesophageal reflux disease (GERD) is increasingly linked to cardiovascular diseases.
  • The association between GERD and acute myocardial infarction (AMI) requires further clarification.

Purpose of the Study:

  • To systematically review and meta-analyze cohort studies investigating the risk of AMI in individuals with GERD.

Main Methods:

  • A comprehensive search of MEDLINE and EMBASE databases was conducted up to January 2025.
  • Six cohort studies involving 1,324,362 participants were included.
  • Pooled relative risk (RR) was calculated using a random-effects model.

Main Results:

  • Individuals with GERD exhibited a 27% increased risk of incident AMI (pooled RR: 1.27, 95% CI: 1.13-1.47).
  • No significant publication bias was detected.
  • Potential contributing mechanisms include chronic inflammation, oxidative stress, and autonomic dysfunction.

Conclusions:

  • GERD may be a contributing factor to AMI risk.
  • Further research into preventive strategies and targeted interventions for GERD patients is warranted.
  • Exploring mechanistic pathways is crucial for improving patient care and mitigating cardiovascular risk.
Abstract

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