牙周病和心脏病:一个系统性审查
1Department of Oral and Maxillofacial Surgery and Diagnostic Science, Taif University, Taif, Saudi Arabia.
Journal of pharmacy & bioallied sciences
|September 1, 2023
概括
牙周病 (PD) 与心血管疾病 (CVD) 的更高风险有关. 男人和患有严重PD的个体面临心血管疾病风险增加,强调需要有针对性的预防策略.
科学领域:
- 心血管健康 心血管健康
- 牙周病学 牙周病学
- 公共卫生 公共卫生
背景情况:
- 牙周病 (PD) 影响全球高达50%,而心血管疾病 (CVD) 是一个主要的健康问题.
- 观察性研究表明,PD和CVD之间存在联系.
- 本综述综合了PD患者心血管疾病发病率的证据.
研究的目的:
- 在被诊断患有PD的个人中调查心血管疾病的发生率.
- 分析与牙周病相关的心血管死亡风险.
- 检查影响PD-CVD关系的因素,包括诊断方法和严重程度.
主要方法:
- 纵向队列研究和随机试验的系统审查和元分析.
- 在EMBASE,Medline,Pubmed和Scopus数据库中进行了广泛的文献搜索.
- 关键词包括"PD,CVD,心肌梗塞,冠心病 (CHD) 和中风.
主要成果:
- 包括32项纵向队列研究,显示PD患者心血管疾病风险增加了20% (RR: 1.20).
- 在临床和自我报告的PD诊断之间,心血管疾病风险没有显著差异 (RR:0.97).
- 男人患重症PD (RR: 1.25) 和心血管疾病 (RR: 1.16) 的风险较高;中风 (RR: 1.24) 和心血管疾病 (RR: 1.14) 的风险较高.
结论:
- 患有PD的个体具有持续的,适度增加的心血管疾病风险.
- 在男性和患有严重PD的人群中观察到更高的心血管疾病风险,这表明需要针对性干预.
- 研究结果强调了管理牙周健康对心血管健康的重要性.
相关概念视频
01:22Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
38
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
38
01:23Rheumatic Heart Disease I: Introduction
16
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
16
01:21Rheumatic Heart Disease III: Medical Management
12
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
12
01:26Coronary Artery Disease II: Pathophysiology
12
Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
12
01:23Assessment of the Cardiovascular System I: Subjective Data
366
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
366
01:19Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
119
Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
119