Asociación entre gota y enfermedad cardiovascular: un estudio de cohorte basado en registros

Gout and cardiovascular disease (CVD) are globally widespread diseases, yet evidence on their association in the Chinese population remains limited. We aimed to investigate the association between gout and the risk of CVD incidence in a large register-based cohort of the Chinese population.

A register-based cohort study was conducted based on a city-wide health information platform in Shenzhen, China (2016-2022). We included individuals without CVD at baseline who were diagnosed with gout and used the propensity score to select a 5-fold number of matched controls without gout. Electronic medical records and death registration were used to identify gout patients and CVD events. Cox regression models were used to estimate hazard ratios (HR) and 95% confidence intervals (CI) between gout and the incident risk of CVD, including ischemic heart disease (IHD), stroke, and heart failure (HF).

We included 230,339 CVD-free gout patients and matched 1,055,509 controls. During a maximum follow-up of 5.7 years, a total of 5108 and 16,621 incident CVD in gout patients and the controls were recorded, with incidence rates of 9.82 and 6.24 per 1000 person-years, respectively. Compared with the controls, gout patients had a higher risk (HR: 1.27, 95% CI: 1.24 to 1.29) for the total CVD incidence. Subgroup analyses showed that women and younger patients (18 to 44 years) with gout had higher relative risks of CVD than their counterparts (P for interaction ≤ 0.001).

We provide evidence that gout is associated with incident CVD risk, emphasizing the need for effective prevention and management strategies to mitigate CVD burden.