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Published on: July 3, 2018
Diverticular disease increases the risk of acute myocardial infarction
Thanathip Suenghataiphorn1, Pojsakorn Danpanichkul2, Noppachai Siranart3
1Department of Internal Medicine, Griffin Hospital, Derby, CT, United States.
Insights
Patients with diverticular disease face a 27% higher risk of acute myocardial infarction (AMI). Comprehensive cardiovascular care should include attention to gastrointestinal health, such as diverticular disease.
Area of Science:
- Cardiology
- Gastroenterology
- Epidemiology
Background:
- Diverticular disease is prevalent in patients with cardiovascular diseases.
- A link exists between diverticular disease and adverse health outcomes.
- The association between diverticular disease and acute myocardial infarction (AMI) risk is debated.
Purpose of the Study:
- To systematically review and meta-analyze existing data.
- To investigate the association between diverticular disease and AMI risk.
Main Methods:
- Searched Medline and Embase databases from inception to August 2024.
- Included studies comparing AMI incidence in cohorts with and without diverticular disease.
- Combined effect sizes and 95% confidence intervals using the generic inverse variance method.
Main Results:
- Included four studies with 898,397 participants (mean age 57 years, 43% males).
- Patients with diverticular disease showed a 27% increased risk of AMI.
- Pooled risk ratio (RR) was 1.27 (95% CI: 1.17, 1.37), with significant heterogeneity (I² = 83%).
Conclusions:
- Diverticular disease is associated with an elevated risk of AMI.
- Integrating gastrointestinal health, including diverticular disease management, is crucial for cardiovascular care.
Introduction:
Diverticular disease is commonly seen among patients with cardiovascular diseases and is linked to adverse outcomes. However, the association between diverticular disease and the risk of acute myocardial infarction (AMI) remains conflicting.
Aim:
We aim to conduct a systematic review and meta-analysis to summarise the available data on this topic.Methods: We identified potentially eligible studies from the Medline and Embase databases, searching from inception to August 2024, to investigate the association between diverticular disease and the risk of developing AMI. To be included, studies needed to compare incidence of AMI between cohorts with and without diverticular disease. Effect size and 95% confidence intervals (CIs) were combined using the generic inverse variance method. All statistical analyses were performed by Review Manager 5.4.
Results:
Our meta-analysis included four studies that met the eligibility criteria. There were 898,397 participants, with a mean age of 57 years, and 43% were males. We found that patients with diverticular disease have a 27% increased risk of AMI with a pooled risk ratio (RR) of 1.27 (95% CI: 1.17, 1.37; I 2 = 83%; p < 0.001) compared to those without diverticular disease.
Conclusions:
Our study revealed that diverticular disease is associated with a higher risk of AMI. Emphasising and addressing gastrointestinal health, including diverticular disease, as an important issue, is essential for comprehensive cardiovascular care.
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