Periodontal disease: a new factor associated with the presence of multiple complex coronary lesions
Identifieur interne : 004322 ( Istex/Corpus ); précédent : 004321; suivant : 004323Periodontal disease: a new factor associated with the presence of multiple complex coronary lesions
Auteurs : Christine Romagna ; Laurie Dufour ; Odile Troisgros ; Luc Lorgis ; Carole Richard ; Philippe Buffet ; Gilles Soulat ; Jean Marie Casillas ; Gilles Rioufol ; Claude Touzery ; Marianne Zeller ; Yves Laurent ; Yves CottinSource :
- Journal of Clinical Periodontology [ 0303-6979 ] ; 2012-01.
English descriptors
- KwdEn :
- Agence regionale, American college, American journal, Angiographic, Angiographic characteristics, Angiographic morphology, Artery disease, Beta blockers, Biological data, Biological parameters, Bone loss, Bonferroni correction, Cardiac rehabilitation, Cardiology, Cardiovascular, Cardiovascular diseases, Cardiovascular risk, Cardiovascular risk factors, Clin periodontol, Clinical periodontology, Clinical periodotonlogy, Complex lesion, Complex lesions, Complex nature, Consecutive patients, Continuous variables, Coronary, Coronary angiography, Coronary artery disease, Coronary heart disease, Coronary lesions, Coronary plaques, Current smoking, Dental lesions, Dental treatment, Dijon, Endothelial function, England journal, European heart journal, European workshop, Frisc study group, Greater proportion, Incremental value, Infarction, John wiley sons, Lesion, Lesion group, Multivariate, Multivariate analysis, Multivariate model, Multivessel, Multivessel disease, Myocardial infarction, Occluding cuspid teeth, Occlusal contact, Oral bacteria, Panoramic, Panoramic radiograph, Panoramic radiographs, Panoramic radiography, Periodontal, Periodontal disease, Periodontal diseases, Periodontal health, Periodontal lesions, Periodontal pathogens, Periodontitis, Plaque, Porphyromonas gingivalis, Previous studies, Protein levels, Recent data, Risk factors, Systematic review, Third quartile, Tooth loss, Tooth loss score, University hospital, Unstable angina, Variables model, Ventricular ejection fraction.
- Teeft :
- Agence regionale, American college, American journal, Angiographic, Angiographic characteristics, Angiographic morphology, Artery disease, Beta blockers, Biological data, Biological parameters, Bone loss, Bonferroni correction, Cardiac rehabilitation, Cardiology, Cardiovascular, Cardiovascular diseases, Cardiovascular risk, Cardiovascular risk factors, Clin periodontol, Clinical periodontology, Clinical periodotonlogy, Complex lesion, Complex lesions, Complex nature, Consecutive patients, Continuous variables, Coronary, Coronary angiography, Coronary artery disease, Coronary heart disease, Coronary lesions, Coronary plaques, Current smoking, Dental lesions, Dental treatment, Dijon, Endothelial function, England journal, European heart journal, European workshop, Frisc study group, Greater proportion, Incremental value, Infarction, John wiley sons, Lesion, Lesion group, Multivariate, Multivariate analysis, Multivariate model, Multivessel, Multivessel disease, Myocardial infarction, Occluding cuspid teeth, Occlusal contact, Oral bacteria, Panoramic, Panoramic radiograph, Panoramic radiographs, Panoramic radiography, Periodontal, Periodontal disease, Periodontal diseases, Periodontal health, Periodontal lesions, Periodontal pathogens, Periodontitis, Plaque, Porphyromonas gingivalis, Previous studies, Protein levels, Recent data, Risk factors, Systematic review, Third quartile, Tooth loss, Tooth loss score, University hospital, Unstable angina, Variables model, Ventricular ejection fraction.
Abstract
Periodontal disease, including bone loss, is thought to be involved in coronary artery disease. Multiple complex coronary lesions relate to multifocal destabilization of coronary plaques. We investigated whether bone loss could be associated with the presence of multiple complex coronary lesions.
Url:
DOI: 10.1111/j.1600-051X.2011.01802.x
Links to Exploration step
ISTEX:8742CEC6177352A0D4246C3A8747D8033B205F0DLe document en format XML
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Dufour</name><affiliations><json:string>Cardiologie, CHU, Dijon</json:string></affiliations></json:item><json:item><name>Odile Troisgros</name><affiliations><json:string>Réeducation‐Réadaptation, CHU, Dijon Cedex</json:string></affiliations></json:item><json:item><name>Luc Lorgis</name><affiliations><json:string>Cardiologie, CHU, Dijon</json:string></affiliations></json:item><json:item><name>Carole Richard</name><affiliations><json:string>Cardiologie, CHU, Dijon</json:string></affiliations></json:item><json:item><name>Philippe Buffet</name><affiliations><json:string>Cardiologie, CHU, Dijon</json:string></affiliations></json:item><json:item><name>Gilles Soulat</name><affiliations><json:string>Cardiologie, CHU, Dijon</json:string></affiliations></json:item><json:item><name>Jean Marie Casillas</name><affiliations><json:string>Réeducation‐Réadaptation, CHU, Dijon Cedex</json:string></affiliations></json:item><json:item><name>Gilles Rioufol</name><affiliations><json:string>Cardiologie, CHU Hôpital Louis Pradel, Bron Cedex</json:string></affiliations></json:item><json:item><name>Claude Touzery</name><affiliations><json:string>Cardiologie, CHU, Dijon</json:string></affiliations></json:item><json:item><name>Marianne Zeller</name><affiliations><json:string>Laboratoire de Physiopathologie et Pharmacologie Cardiovasculaire Expérimentale, IFR santé‐STIC, Dijon, France</json:string><json:string>Address:E‐mail:</json:string><json:string>E-mail: marianne.zeller@u-bourgogne.fr</json:string></affiliations></json:item><json:item><name>Yves Laurent</name><affiliations><json:string>Réeducation‐Réadaptation, CHU, Dijon Cedex</json:string></affiliations></json:item><json:item><name>Yves Cottin</name><affiliations><json:string>Cardiologie, CHU, Dijon</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>bone loss</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>complex multiple coronary lesion</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>coronary artery disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>inflammation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>multifocal coronary plaque destabilization</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>periodontal disease</value></json:item></subject><articleId><json:string>JCPE1802</json:string></articleId><arkIstex>ark:/67375/WNG-36QH94N6-G</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Periodontal disease, including bone loss, is thought to be involved in coronary artery disease. Multiple complex coronary lesions relate to multifocal destabilization of coronary plaques. We investigated whether bone loss could be associated with the presence of multiple complex coronary lesions.</abstract><qualityIndicators><score>7.014</score><pdfWordCount>4522</pdfWordCount><pdfCharCount>31125</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>7</pdfPageCount><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>41</abstractWordCount><abstractCharCount>297</abstractCharCount><keywordCount>6</keywordCount></qualityIndicators><title>Periodontal disease: a new factor associated with the presence of multiple complex coronary lesions</title><pmid><json:string>22092604</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Journal of Clinical Periodontology</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1600-051X</json:string></doi><issn><json:string>0303-6979</json:string></issn><eissn><json:string>1600-051X</json:string></eissn><publisherId><json:string>JCPE</json:string></publisherId><volume>39</volume><issue>1</issue><pages><first>38</first><last>44</last><total>7</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Periodontal Diseases</value></json:item></subject></host><namedEntities><unitex><date><json:string>2011-09-24</json:string></date><geogName></geogName><orgName><json:string>INTERHEART Study Investigators</json:string><json:string>Group E of European Workshop on Periodontology.</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Jean Marie</json:string><json:string>Marianne Zeller</json:string><json:string>Yves Laurent</json:string><json:string>Gilles Rioufol</json:string><json:string>John Wiley</json:string><json:string>Philippe Buffet</json:string><json:string>Louis Pradel</json:string><json:string>Gilles Soulat</json:string><json:string>Odile Troisgros</json:string><json:string>Yves Cottin</json:string><json:string>Claude Touzery</json:string><json:string>Luc Lorgis</json:string><json:string>Carole Richard</json:string><json:string>Philip Bastable</json:string><json:string>Laurie Dufour</json:string></persName><placeName><json:string>Helsinki</json:string><json:string>Dijon</json:string><json:string>France</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Kinane et al. 2010</json:string><json:string>Humphrey et al. 2008</json:string><json:string>Pussinen et al. 2007</json:string><json:string>James et al. 2003</json:string><json:string>Renvert et al. 2006</json:string><json:string>Hyman 2006</json:string><json:string>Pussinen et al. 2004 a, b</json:string><json:string>Loos et al. 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2000</json:string><json:string>Toss et al. 1997</json:string><json:string>Heeschen et al. 2000</json:string><json:string>Kinane et al. 2005</json:string><json:string>Romagna et al.</json:string><json:string>Dietrich et al. 2008</json:string><json:string>Zairis et al. 2002</json:string><json:string>Joshipura et al. 1996</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-36QH94N6-G</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - Periodontics</json:string></scopus></categories><publicationDate>2012</publicationDate><copyrightDate>2012</copyrightDate><doi><json:string>10.1111/j.1600-051X.2011.01802.x</json:string></doi><id>8742CEC6177352A0D4246C3A8747D8033B205F0D</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/8742CEC6177352A0D4246C3A8747D8033B205F0D/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/8742CEC6177352A0D4246C3A8747D8033B205F0D/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/8742CEC6177352A0D4246C3A8747D8033B205F0D/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Periodontal disease: a new factor associated with the presence of multiple complex coronary lesions</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Publishing Ltd</publisher><availability><licence>© 2011 John Wiley & Sons A/S</licence></availability><date type="published" when="2012-01"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Periodontal disease: a new factor associated with the presence of multiple complex coronary lesions</title><author xml:id="author-0000"><persName><forename type="first">Christine</forename><surname>Romagna</surname></persName><affiliation><orgName>Odontologie</orgName><orgName>CHU</orgName><address><settlement type="city">Dijon</settlement><country key="FR">France</country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Laurie</forename><surname>Dufour</surname></persName><affiliation><orgName>Cardiologie</orgName><orgName>CHU</orgName><address><settlement type="city">Dijon</settlement></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Odile</forename><surname>Troisgros</surname></persName><affiliation><orgName>Réeducation‐Réadaptation</orgName><orgName>CHU</orgName><address><settlement type="city">Dijon Cedex</settlement></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Luc</forename><surname>Lorgis</surname></persName><affiliation><orgName>Cardiologie</orgName><orgName>CHU</orgName><address><settlement type="city">Dijon</settlement></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Carole</forename><surname>Richard</surname></persName><affiliation><orgName>Cardiologie</orgName><orgName>CHU</orgName><address><settlement type="city">Dijon</settlement></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Philippe</forename><surname>Buffet</surname></persName><affiliation><orgName>Cardiologie</orgName><orgName>CHU</orgName><address><settlement type="city">Dijon</settlement></address></affiliation></author><author xml:id="author-0006"><persName><forename type="first">Gilles</forename><surname>Soulat</surname></persName><affiliation><orgName>Cardiologie</orgName><orgName>CHU</orgName><address><settlement type="city">Dijon</settlement></address></affiliation></author><author xml:id="author-0007"><persName><forename type="first">Jean Marie</forename><surname>Casillas</surname></persName><affiliation><orgName>Réeducation‐Réadaptation</orgName><orgName>CHU</orgName><address><settlement type="city">Dijon Cedex</settlement></address></affiliation></author><author xml:id="author-0008"><persName><forename type="first">Gilles</forename><surname>Rioufol</surname></persName><affiliation><orgName>Cardiologie</orgName><orgName>CHU Hôpital Louis Pradel</orgName><address><settlement type="city">Bron Cedex</settlement></address></affiliation></author><author xml:id="author-0009"><persName><forename type="first">Claude</forename><surname>Touzery</surname></persName><affiliation><orgName>Cardiologie</orgName><orgName>CHU</orgName><address><settlement type="city">Dijon</settlement></address></affiliation></author><author xml:id="author-0010" role="corresp"><persName><forename type="first">Marianne</forename><surname>Zeller</surname></persName><affiliation><orgName>Laboratoire de Physiopathologie et Pharmacologie Cardiovasculaire Expérimentale</orgName><orgName>IFR santé‐STIC</orgName><address><settlement type="city">Dijon</settlement><country key="FR">France</country></address></affiliation><affiliation>Address: Marianne Zeller Laboratoire de Physiopathologie et Pharmacologie Cardiovasculaires Expérimentales, IFR santé‐STIC UFR Médecine, 7Bd Jeanne d'Arc 21000 Dijon, France E‐mail: marianne.zeller@u-bourgogne.fr</affiliation></author><author xml:id="author-0011"><persName><forename type="first">Yves</forename><surname>Laurent</surname></persName><affiliation><orgName>Réeducation‐Réadaptation</orgName><orgName>CHU</orgName><address><settlement type="city">Dijon Cedex</settlement></address></affiliation></author><author xml:id="author-0012"><persName><forename type="first">Yves</forename><surname>Cottin</surname></persName><affiliation><orgName>Cardiologie</orgName><orgName>CHU</orgName><address><settlement type="city">Dijon</settlement></address></affiliation></author><idno type="istex">8742CEC6177352A0D4246C3A8747D8033B205F0D</idno><idno type="ark">ark:/67375/WNG-36QH94N6-G</idno><idno type="DOI">10.1111/j.1600-051X.2011.01802.x</idno><idno type="unit">JCPE1802</idno><idno type="toTypesetVersion">file:JCPE.JCPE1802.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Clinical Periodontology</title><title level="j" type="alt">JOURNAL OF CLINICAL PERIODONTOLOGY</title><idno type="pISSN">0303-6979</idno><idno type="eISSN">1600-051X</idno><idno type="book-DOI">10.1111/(ISSN)1600-051X</idno><idno type="book-part-DOI">10.1111/jcpe.2011.39.issue-1</idno><idno type="product">JCPE</idno><imprint><biblScope unit="vol">39</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="38">38</biblScope><biblScope unit="page" to="44">44</biblScope><biblScope unit="page-count">7</biblScope><date type="published" when="2012-01"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main" xml:id="jcpe1802-abs-0001"><head>Abstract</head>
Background and Aim
<p>Periodontal disease, including bone loss, is thought to be involved in coronary artery disease. Multiple complex coronary lesions relate to multifocal destabilization of coronary plaques. We investigated whether bone loss could be associated with the presence of multiple complex coronary lesions.</p>
Methods
<p>This cross‐sectional study included 150 patients with recent myocardial infarction (<1 month). Multiple complex coronary lesions were determined at coronary angiography. A panoramic dental <hi rend="fc">X‐ray</hi> including bone loss >50% was performed. Patients with no or simple complex lesions were compared to patients with multiple complex lesions.</p>
Results
<p>Over 20% of patients had multiple complex coronary lesions. Patients with multiple complex lesion were less likely to be women and more likely to have multivessel disease or elevated <hi rend="fc">C‐reactive protein (CRP)</hi> than patients with no or single complex lesion. Bone loss >50% tended to be more frequent in patients with multiple complex lesions (<hi rend="italic">p </hi>= 0.063). In multivariate analysis, multivessel disease, gender and <hi rend="fc">CRP</hi> were associated with multiple complex lesion. Bone loss >50% increased the risk of multiple complex lesion.</p>
Conclusion
<p>Bone loss was associated with complex multiple coronary lesions, beyond systemic inflammation. These findings may bear important clinical implications for the prevention and treatment of coronary artery disease.</p></abstract><textClass><keywords><term xml:id="jcpe1802-kwd-0001">bone loss</term><term xml:id="jcpe1802-kwd-0002">complex multiple coronary lesion</term><term xml:id="jcpe1802-kwd-0003">coronary artery disease</term><term xml:id="jcpe1802-kwd-0004">inflammation</term><term xml:id="jcpe1802-kwd-0005">multifocal coronary plaque destabilization</term><term xml:id="jcpe1802-kwd-0006">periodontal disease</term></keywords><keywords rend="articleCategory"><term>Periodontal Diseases</term></keywords><keywords rend="tocHeading1"><term>Periodontal Diseases</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/8742CEC6177352A0D4246C3A8747D8033B205F0D/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="jcpe1802" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-051X</doi><issn type="print">0303-6979</issn><issn type="electronic">1600-051X</issn><idGroup><id type="product" value="JCPE"></id></idGroup><titleGroup><title sort="JOURNAL OF CLINICAL PERIODONTOLOGY" type="main">Journal of Clinical Periodontology</title><title type="short">J Clin Periodontol</title></titleGroup></publicationMeta><publicationMeta level="part" position="10"><doi origin="wiley">10.1111/jcpe.2011.39.issue-1</doi><copyright ownership="publisher">Copyright © 2012 John Wiley & Sons A/S</copyright><numberingGroup><numbering type="journalVolume" number="39">39</numbering><numbering type="journalIssue">1</numbering></numberingGroup><coverDate startDate="2012-01">January 2012</coverDate></publicationMeta><publicationMeta level="unit" position="50" status="forIssue" type="article"><doi>10.1111/j.1600-051X.2011.01802.x</doi><idGroup><id type="unit" value="JCPE1802"></id></idGroup><countGroup><count number="7" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Periodontal Diseases</title><title type="tocHeading1">Periodontal Diseases</title></titleGroup><copyright ownership="publisher">© 2011 John Wiley & Sons A/S</copyright><eventGroup><event date="2011-09-02" type="manuscriptAccepted"></event><event agent="SPS" date="2011-09-24" type="xmlCreated"></event><event type="publishedOnlineEarlyUnpaginated" date="2011-10-18"></event><event type="publishedOnlineFinalForm" date="2011-12-13"></event><event type="firstOnline" date="2011-10-18"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-19"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst">38</numbering><numbering type="pageLast">44</numbering></numberingGroup><correspondenceTo><lineatedText><line>Address:</line><line><i>Marianne Zeller</i></line><line><i>Laboratoire de Physiopathologie et Pharmacologie Cardiovasculaires Expérimentales, IFR santé‐STIC</i></line><line><i>UFR Médecine, 7Bd Jeanne d'Arc 21000 Dijon, France</i></line><line>E‐mail: <email>marianne.zeller@u-bourgogne.fr</email></line></lineatedText></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JCPE.JCPE1802.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Periodontal disease: a new factor associated with the presence of multiple complex coronary lesions</title><title type="shortAuthors">Romagna <i>et al</i>.</title></titleGroup><creators><creator affiliationRef="#jcpe1802-aff-0001" creatorRole="author" xml:id="jcpe1802-cr-0001"><personName><givenNames>Christine</givenNames> <familyName>Romagna</familyName></personName></creator><creator affiliationRef="#jcpe1802-aff-0002" creatorRole="author" xml:id="jcpe1802-cr-0002"><personName><givenNames>Laurie</givenNames> <familyName>Dufour</familyName></personName></creator><creator affiliationRef="#jcpe1802-aff-0003" creatorRole="author" xml:id="jcpe1802-cr-0003"><personName><givenNames>Odile</givenNames> <familyName>Troisgros</familyName></personName></creator><creator affiliationRef="#jcpe1802-aff-0002" creatorRole="author" xml:id="jcpe1802-cr-0004"><personName><givenNames>Luc</givenNames> <familyName>Lorgis</familyName></personName></creator><creator affiliationRef="#jcpe1802-aff-0002" creatorRole="author" xml:id="jcpe1802-cr-0005"><personName><givenNames>Carole</givenNames> <familyName>Richard</familyName></personName></creator><creator affiliationRef="#jcpe1802-aff-0002" creatorRole="author" xml:id="jcpe1802-cr-0006"><personName><givenNames>Philippe</givenNames> <familyName>Buffet</familyName></personName></creator><creator affiliationRef="#jcpe1802-aff-0002" creatorRole="author" xml:id="jcpe1802-cr-0007"><personName><givenNames>Gilles</givenNames> <familyName>Soulat</familyName></personName></creator><creator affiliationRef="#jcpe1802-aff-0003" creatorRole="author" xml:id="jcpe1802-cr-0008"><personName><givenNames>Jean Marie</givenNames> <familyName>Casillas</familyName></personName></creator><creator affiliationRef="#jcpe1802-aff-0004" creatorRole="author" xml:id="jcpe1802-cr-0009"><personName><givenNames>Gilles</givenNames> <familyName>Rioufol</familyName></personName></creator><creator affiliationRef="#jcpe1802-aff-0002" creatorRole="author" xml:id="jcpe1802-cr-0010"><personName><givenNames>Claude</givenNames> <familyName>Touzery</familyName></personName></creator><creator affiliationRef="#jcpe1802-aff-0005" corresponding="yes" creatorRole="author" xml:id="jcpe1802-cr-0011"><personName><givenNames>Marianne</givenNames> <familyName>Zeller</familyName></personName></creator><creator affiliationRef="#jcpe1802-aff-0003" creatorRole="author" xml:id="jcpe1802-cr-0012"><personName><givenNames>Yves</givenNames> <familyName>Laurent</familyName></personName></creator><creator affiliationRef="#jcpe1802-aff-0002" creatorRole="author" xml:id="jcpe1802-cr-0013"><personName><givenNames>Yves</givenNames> <familyName>Cottin</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="FR" type="organization" xml:id="jcpe1802-aff-0001"><orgName>CHU</orgName> <orgDiv>Odontologie</orgDiv> <address><city>Dijon</city> <country>France</country></address></affiliation><affiliation type="organization" xml:id="jcpe1802-aff-0002"><orgName>CHU</orgName> <orgDiv>Cardiologie</orgDiv> <address><city>Dijon</city></address></affiliation><affiliation type="organization" xml:id="jcpe1802-aff-0003"><orgName>CHU</orgName> <orgDiv>Réeducation‐Réadaptation</orgDiv> <address><city>Dijon Cedex</city></address></affiliation><affiliation type="organization" xml:id="jcpe1802-aff-0004"><orgName>CHU Hôpital Louis Pradel</orgName> <orgDiv>Cardiologie</orgDiv> <address><city>Bron Cedex</city></address></affiliation><affiliation countryCode="FR" type="organization" xml:id="jcpe1802-aff-0005"><orgName>IFR santé‐STIC</orgName> <orgDiv>Laboratoire de Physiopathologie et Pharmacologie Cardiovasculaire Expérimentale</orgDiv> <address><city>Dijon</city> <country>France</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="jcpe1802-kwd-0001">bone loss</keyword><keyword xml:id="jcpe1802-kwd-0002">complex multiple coronary lesion</keyword><keyword xml:id="jcpe1802-kwd-0003">coronary artery disease</keyword><keyword xml:id="jcpe1802-kwd-0004">inflammation</keyword><keyword xml:id="jcpe1802-kwd-0005">multifocal coronary plaque destabilization</keyword><keyword xml:id="jcpe1802-kwd-0006">periodontal disease</keyword></keywordGroup><fundingInfo><fundingAgency>Fédération Française de Cardiologie</fundingAgency></fundingInfo><fundingInfo><fundingAgency>Société Française de Cardiologie</fundingAgency></fundingInfo><fundingInfo><fundingAgency>University Hospital of Dijon</fundingAgency></fundingInfo><fundingInfo><fundingAgency>Association de Cardiologie de Bourgogne</fundingAgency></fundingInfo><fundingInfo><fundingAgency>Union Régionale des Caisses d'Assurance Maladie de Bourgogne</fundingAgency></fundingInfo><fundingInfo><fundingAgency>Agence Régionale d'Hospitalisation</fundingAgency></fundingInfo><fundingInfo><fundingAgency>Agence Régionale de Santé</fundingAgency></fundingInfo><abstractGroup><abstract type="main" xml:id="jcpe1802-abs-0001"><title type="main">Abstract</title><section xml:id="jcpe1802-sec-0001"><title type="main">Background and Aim</title><p>Periodontal disease, including bone loss, is thought to be involved in coronary artery disease. Multiple complex coronary lesions relate to multifocal destabilization of coronary plaques. We investigated whether bone loss could be associated with the presence of multiple complex coronary lesions.</p></section><section xml:id="jcpe1802-sec-0002"><title type="main">Methods</title><p>This cross‐sectional study included 150 patients with recent myocardial infarction (<1 month). Multiple complex coronary lesions were determined at coronary angiography. A panoramic dental <fc>X‐ray</fc> including bone loss >50% was performed. Patients with no or simple complex lesions were compared to patients with multiple complex lesions.</p></section><section xml:id="jcpe1802-sec-0003"><title type="main">Results</title><p>Over 20% of patients had multiple complex coronary lesions. Patients with multiple complex lesion were less likely to be women and more likely to have multivessel disease or elevated <fc>C‐reactive protein (CRP)</fc> than patients with no or single complex lesion. Bone loss >50% tended to be more frequent in patients with multiple complex lesions (<i>p </i>= 0.063). In multivariate analysis, multivessel disease, gender and <fc>CRP</fc> were associated with multiple complex lesion. Bone loss >50% increased the risk of multiple complex lesion.</p></section><section xml:id="jcpe1802-sec-0004"><title type="main">Conclusion</title><p>Bone loss was associated with complex multiple coronary lesions, beyond systemic inflammation. These findings may bear important clinical implications for the prevention and treatment of coronary artery disease.</p></section></abstract></abstractGroup></contentMeta><noteGroup xml:id="jcpe1802-ntgp-0001"><note numbered="no" xml:id="jcpe1802-note-0001"><p><b>Conflict of interest and source of funding statement</b></p></note><note numbered="no" xml:id="jcpe1802-note-0002"><p>This work was supported by the Fédération Française de Cardiologie (FFC) and the Société Française de Cardiologie (SFC), the University Hospital of Dijon, the Association de Cardiologie de Bourgogne and by grants from the Union Régionale des Caisses d'Assurance Maladie de Bourgogne (URCAM), the Agence Régionale d'Hospitalisation (ARH) de Bourgogne, and Agence Régionale de Santé (ARS).</p></note><note numbered="no" xml:id="jcpe1802-note-0003"><p>The authors declare that they have no conflict of interests to disclose.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Periodontal disease: a new factor associated with the presence of multiple complex coronary lesions</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Periodontal disease: a new factor associated with the presence of multiple complex coronary lesions</title></titleInfo><name type="personal"><namePart type="given">Christine</namePart><namePart type="family">Romagna</namePart><affiliation>Odontologie, CHU, Dijon, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Laurie</namePart><namePart type="family">Dufour</namePart><affiliation>Cardiologie, CHU, Dijon</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Odile</namePart><namePart type="family">Troisgros</namePart><affiliation>Réeducation‐Réadaptation, CHU, Dijon Cedex</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Luc</namePart><namePart type="family">Lorgis</namePart><affiliation>Cardiologie, CHU, Dijon</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Carole</namePart><namePart type="family">Richard</namePart><affiliation>Cardiologie, CHU, Dijon</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Philippe</namePart><namePart type="family">Buffet</namePart><affiliation>Cardiologie, CHU, Dijon</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Gilles</namePart><namePart type="family">Soulat</namePart><affiliation>Cardiologie, CHU, Dijon</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jean Marie</namePart><namePart type="family">Casillas</namePart><affiliation>Réeducation‐Réadaptation, CHU, Dijon Cedex</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Gilles</namePart><namePart type="family">Rioufol</namePart><affiliation>Cardiologie, CHU Hôpital Louis Pradel, Bron Cedex</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Claude</namePart><namePart type="family">Touzery</namePart><affiliation>Cardiologie, CHU, Dijon</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marianne</namePart><namePart type="family">Zeller</namePart><affiliation>Laboratoire de Physiopathologie et Pharmacologie Cardiovasculaire Expérimentale, IFR santé‐STIC, Dijon, France</affiliation><affiliation>Address:E‐mail:</affiliation><affiliation>E-mail: marianne.zeller@u-bourgogne.fr</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Yves</namePart><namePart type="family">Laurent</namePart><affiliation>Réeducation‐Réadaptation, CHU, Dijon Cedex</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Yves</namePart><namePart type="family">Cottin</namePart><affiliation>Cardiologie, CHU, Dijon</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2012-01</dateIssued><dateCreated encoding="w3cdtf">2011-09-24</dateCreated><dateValid encoding="w3cdtf">2011-09-02</dateValid><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>Periodontal disease, including bone loss, is thought to be involved in coronary artery disease. Multiple complex coronary lesions relate to multifocal destabilization of coronary plaques. We investigated whether bone loss could be associated with the presence of multiple complex coronary lesions.</abstract><abstract>This cross‐sectional study included 150 patients with recent myocardial infarction (<1 month). Multiple complex coronary lesions were determined at coronary angiography. A panoramic dental X‐ray including bone loss >50% was performed. Patients with no or simple complex lesions were compared to patients with multiple complex lesions.</abstract><abstract>Over 20% of patients had multiple complex coronary lesions. Patients with multiple complex lesion were less likely to be women and more likely to have multivessel disease or elevated C‐reactive protein (CRP) than patients with no or single complex lesion. Bone loss >50% tended to be more frequent in patients with multiple complex lesions (p = 0.063). In multivariate analysis, multivessel disease, gender and CRP were associated with multiple complex lesion. Bone loss >50% increased the risk of multiple complex lesion.</abstract><abstract>Bone loss was associated with complex multiple coronary lesions, beyond systemic inflammation. These findings may bear important clinical implications for the prevention and treatment of coronary artery disease.</abstract><note type="funding">Fédération Française de Cardiologie</note><note type="funding">Société Française de Cardiologie</note><note type="funding">University Hospital of Dijon</note><note type="funding">Association de Cardiologie de Bourgogne</note><note type="funding">Union Régionale des Caisses d'Assurance Maladie de Bourgogne</note><note type="funding">Agence Régionale d'Hospitalisation</note><note type="funding">Agence Régionale de Santé</note><subject><genre>keywords</genre><topic>bone loss</topic><topic>complex multiple coronary lesion</topic><topic>coronary artery disease</topic><topic>inflammation</topic><topic>multifocal coronary plaque destabilization</topic><topic>periodontal disease</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Clinical Periodontology</title></titleInfo><titleInfo type="abbreviated"><title>J Clin Periodontol</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Periodontal Diseases</topic></subject><identifier type="ISSN">0303-6979</identifier><identifier type="eISSN">1600-051X</identifier><identifier type="DOI">10.1111/(ISSN)1600-051X</identifier><identifier type="PublisherID">JCPE</identifier><part><date>2012</date><detail type="volume"><caption>vol.</caption><number>39</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>38</start><end>44</end><total>7</total></extent></part></relatedItem><identifier type="istex">8742CEC6177352A0D4246C3A8747D8033B205F0D</identifier><identifier type="ark">ark:/67375/WNG-36QH94N6-G</identifier><identifier type="DOI">10.1111/j.1600-051X.2011.01802.x</identifier><identifier type="ArticleID">JCPE1802</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2012 John Wiley & Sons A/S© 2011 John Wiley & Sons A/S</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/8742CEC6177352A0D4246C3A8747D8033B205F0D/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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