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Updated: Jan 15, 2026

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
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.
Aims:
Recent evidence suggests that gastroesophageal reflux disease (GERD) is associated with cardiovascular diseases, including increased coronary artery calcification. However, whether GERD is a risk factor for acute myocardial infarction (AMI) remains uncertain. This study aims to clarify this association through a systematic review and meta-analysis.
Methods And Results:
We searched MEDLINE and EMBASE databases from inception to January 2025, including cohort studies that compared AMI incidence in individuals with and without GERD. Relative risk (RR), hazard ratio (HR), and 95% confidence intervals (CIs) were extracted and combined using a random-effects model with the generic inverse variance method. Our meta-analysis included six cohort studies with 1 324 362 participants. Patients with GERD had a 27% increased risk of incident AMI compared to those without GERD (pooled RR: 1.27, 95% CI: 1.13-1.47; I 2 = 88%, p = 0.0001). The funnel plot showed no significant publication bias. Potential mechanisms underlying this association include chronic inflammation, oxidative stress, and autonomic dysfunction.
Conclusion:
These findings suggest that GERD may contribute to AMI risk, highlighting the need for further research into preventive strategies and targeted interventions, such as acid suppression therapy and lifestyle modifications, to mitigate cardiovascular risk in GERD patients. Future studies should also explore mechanistic pathways to better understand this link and improve patient care.
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