Periodontal and coronary heart disease in patients undergoing coronary angiography.
Identifieur interne : 000312 ( Main/Exploration ); précédent : 000311; suivant : 000313Periodontal and coronary heart disease in patients undergoing coronary angiography.
Auteurs : Robert Berent [Autriche] ; Johann Auer ; Peter Schmid ; Gerald Krennmair ; Stephen F. Crouse ; John S. Green ; Helmut Sinzinger ; Serge P. Von DuvillardSource :
- Metabolism: clinical and experimental [ 1532-8600 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Coronarographie (MeSH), Femelle (MeSH), Humains (MeSH), Maladie coronarienne (imagerie diagnostique), Maladie coronarienne (étiologie), Maladie des artères coronaires (étiologie), Maladies parodontales (complications), Mâle (MeSH), Protéine C-réactive (analyse), Soins dentaires (MeSH), Sujet âgé (MeSH), Sédimentation du sang (MeSH).
- MESH :
- analyse : Protéine C-réactive.
- imagerie diagnostique : Maladie coronarienne.
- étiologie : Maladie coronarienne, Maladie des artères coronaires.
- complications : Adulte d'âge moyen, Coronarographie, Femelle, Humains, Maladies parodontales, Mâle, Soins dentaires, Sujet âgé, Sédimentation du sang.
English descriptors
- KwdEn :
- Aged (MeSH), Blood Sedimentation (MeSH), C-Reactive Protein (analysis), Coronary Angiography (MeSH), Coronary Artery Disease (etiology), Coronary Disease (diagnostic imaging), Coronary Disease (etiology), Dental Care (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Periodontal Diseases (complications).
- MESH :
- chemical , analysis : C-Reactive Protein.
- complications : Periodontal Diseases.
- diagnostic imaging : Coronary Disease.
- etiology : Coronary Artery Disease, Coronary Disease.
- Aged, Blood Sedimentation, Coronary Angiography, Dental Care, Female, Humans, Male, Middle Aged.
Abstract
Periodontal inflammation has been implicated in atherosclerosis and coronary heart disease (CHD). Coronary angiography (CA) is used in the assessment of CHD; only a few studies have evaluated periodontal disease (PD) and angiographic measures of coronary atherosclerosis. The aim of this study was to investigate the association between CHD and PD. In this prospective epidemiologic study, 466 patients underwent CA and were assessed for PD. All patients underwent physical, laboratory, cardiac, and dental examination including dental x-rays. Periodontal disease and coronary angiograms were evaluated blindly by a dentist and 2 cardiologists, respectively. A coronary stenosis greater than 50% was ruled as CHD. Periodontal disease was defined and measured with the Community Periodontal Index of Treatment Needs (CPITN); and if at least 2 sextants (segments dividing mandible and maxilla into 6) were recorded as having CPITN of at least 3 (signifying that sextant had periodontal pocket depth ≥ 3.5 mm), the patient was coded as having PD. Three-hundred forty-nine patients (74.9%) had CHD assessed by CA The CHD patients had PD in 55.6% vs 41.9% in the non-CHD patients (P < .01). The CPITN scores were significantly higher in patients with vs without CHD, 2.43 vs 2.16, respectively (P = .023). After adjusting for age, sex, and risk factors for atherosclerosis with additional inclusion of C-reactive protein and erythrocyte sedimentation rate, PD remained significantly related to CHD (odds ratio = 1.9; 95% confidence interval, 1.2-3.1). Other predictors for CHD were male sex, age, high-density lipoprotein cholesterol, and diabetes. Our results demonstrate an increased odds ratio for angiographically determined CHD in patients with PD and that CHD and PD may cluster in particular groups of a population. Our data indicate that PD represents a potentially modifiable risk factor that is both preventable and treatable with predictable treatments that pose negligible risk.
DOI: 10.1016/j.metabol.2009.12.016
PubMed: 20096894
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Crouse</name></author><author><name sortKey="Green, John S" sort="Green, John S" uniqKey="Green J" first="John S" last="Green">John S. Green</name></author><author><name sortKey="Sinzinger, Helmut" sort="Sinzinger, Helmut" uniqKey="Sinzinger H" first="Helmut" last="Sinzinger">Helmut Sinzinger</name></author><author><name sortKey="Von Duvillard, Serge P" sort="Von Duvillard, Serge P" uniqKey="Von Duvillard S" first="Serge P" last="Von Duvillard">Serge P. Von Duvillard</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:20096894</idno><idno type="pmid">20096894</idno><idno type="doi">10.1016/j.metabol.2009.12.016</idno><idno type="wicri:Area/Main/Corpus">000345</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000345</idno><idno type="wicri:Area/Main/Curation">000345</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000345</idno><idno type="wicri:Area/Main/Exploration">000345</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Periodontal and coronary heart disease in patients undergoing coronary angiography.</title><author><name sortKey="Berent, Robert" sort="Berent, Robert" uniqKey="Berent R" first="Robert" last="Berent">Robert Berent</name><affiliation wicri:level="1"><nlm:affiliation>Center for Cardiovascular Rehabilitation, Bad Schallerbach, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Center for Cardiovascular Rehabilitation, Bad Schallerbach</wicri:regionArea><wicri:noRegion>Bad Schallerbach</wicri:noRegion></affiliation></author><author><name sortKey="Auer, Johann" sort="Auer, Johann" uniqKey="Auer J" first="Johann" last="Auer">Johann Auer</name></author><author><name sortKey="Schmid, Peter" sort="Schmid, Peter" uniqKey="Schmid P" first="Peter" last="Schmid">Peter Schmid</name></author><author><name sortKey="Krennmair, Gerald" sort="Krennmair, Gerald" uniqKey="Krennmair G" first="Gerald" last="Krennmair">Gerald Krennmair</name></author><author><name sortKey="Crouse, Stephen F" sort="Crouse, Stephen F" uniqKey="Crouse S" first="Stephen F" last="Crouse">Stephen F. Crouse</name></author><author><name sortKey="Green, John S" sort="Green, John S" uniqKey="Green J" first="John S" last="Green">John S. Green</name></author><author><name sortKey="Sinzinger, Helmut" sort="Sinzinger, Helmut" uniqKey="Sinzinger H" first="Helmut" last="Sinzinger">Helmut Sinzinger</name></author><author><name sortKey="Von Duvillard, Serge P" sort="Von Duvillard, Serge P" uniqKey="Von Duvillard S" first="Serge P" last="Von Duvillard">Serge P. Von Duvillard</name></author></analytic><series><title level="j">Metabolism: clinical and experimental</title><idno type="eISSN">1532-8600</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Blood Sedimentation (MeSH)</term><term>C-Reactive Protein (analysis)</term><term>Coronary Angiography (MeSH)</term><term>Coronary Artery Disease (etiology)</term><term>Coronary Disease (diagnostic imaging)</term><term>Coronary Disease (etiology)</term><term>Dental Care (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Periodontal Diseases (complications)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Coronarographie (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Maladie coronarienne (imagerie diagnostique)</term><term>Maladie coronarienne (étiologie)</term><term>Maladie des artères coronaires (étiologie)</term><term>Maladies parodontales (complications)</term><term>Mâle (MeSH)</term><term>Protéine C-réactive (analyse)</term><term>Soins dentaires (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sédimentation du sang (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>C-Reactive Protein</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Protéine C-réactive</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Periodontal Diseases</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Coronary Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Coronary Artery Disease</term><term>Coronary Disease</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Maladie coronarienne</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Maladie coronarienne</term><term>Maladie des artères coronaires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Blood Sedimentation</term><term>Coronary Angiography</term><term>Dental Care</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Coronarographie</term><term>Femelle</term><term>Humains</term><term>Maladies parodontales</term><term>Mâle</term><term>Soins dentaires</term><term>Sujet âgé</term><term>Sédimentation du sang</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Periodontal inflammation has been implicated in atherosclerosis and coronary heart disease (CHD). Coronary angiography (CA) is used in the assessment of CHD; only a few studies have evaluated periodontal disease (PD) and angiographic measures of coronary atherosclerosis. The aim of this study was to investigate the association between CHD and PD. In this prospective epidemiologic study, 466 patients underwent CA and were assessed for PD. All patients underwent physical, laboratory, cardiac, and dental examination including dental x-rays. Periodontal disease and coronary angiograms were evaluated blindly by a dentist and 2 cardiologists, respectively. A coronary stenosis greater than 50% was ruled as CHD. Periodontal disease was defined and measured with the Community Periodontal Index of Treatment Needs (CPITN); and if at least 2 sextants (segments dividing mandible and maxilla into 6) were recorded as having CPITN of at least 3 (signifying that sextant had periodontal pocket depth ≥ 3.5 mm), the patient was coded as having PD. Three-hundred forty-nine patients (74.9%) had CHD assessed by CA The CHD patients had PD in 55.6% vs 41.9% in the non-CHD patients (P < .01). The CPITN scores were significantly higher in patients with vs without CHD, 2.43 vs 2.16, respectively (P = .023). After adjusting for age, sex, and risk factors for atherosclerosis with additional inclusion of C-reactive protein and erythrocyte sedimentation rate, PD remained significantly related to CHD (odds ratio = 1.9; 95% confidence interval, 1.2-3.1). Other predictors for CHD were male sex, age, high-density lipoprotein cholesterol, and diabetes. Our results demonstrate an increased odds ratio for angiographically determined CHD in patients with PD and that CHD and PD may cluster in particular groups of a population. Our data indicate that PD represents a potentially modifiable risk factor that is both preventable and treatable with predictable treatments that pose negligible risk.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20096894</PMID><DateCompleted><Year>2011</Year><Month>01</Month><Day>06</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-8600</ISSN><JournalIssue CitedMedium="Internet"><Volume>60</Volume><Issue>1</Issue><PubDate><Year>2011</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Metabolism: clinical and experimental</Title><ISOAbbreviation>Metabolism</ISOAbbreviation></Journal><ArticleTitle>Periodontal and coronary heart disease in patients undergoing coronary angiography.</ArticleTitle><Pagination><MedlinePgn>127-33</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.metabol.2009.12.016</ELocationID><Abstract><AbstractText>Periodontal inflammation has been implicated in atherosclerosis and coronary heart disease (CHD). Coronary angiography (CA) is used in the assessment of CHD; only a few studies have evaluated periodontal disease (PD) and angiographic measures of coronary atherosclerosis. The aim of this study was to investigate the association between CHD and PD. In this prospective epidemiologic study, 466 patients underwent CA and were assessed for PD. All patients underwent physical, laboratory, cardiac, and dental examination including dental x-rays. Periodontal disease and coronary angiograms were evaluated blindly by a dentist and 2 cardiologists, respectively. A coronary stenosis greater than 50% was ruled as CHD. Periodontal disease was defined and measured with the Community Periodontal Index of Treatment Needs (CPITN); and if at least 2 sextants (segments dividing mandible and maxilla into 6) were recorded as having CPITN of at least 3 (signifying that sextant had periodontal pocket depth ≥ 3.5 mm), the patient was coded as having PD. Three-hundred forty-nine patients (74.9%) had CHD assessed by CA The CHD patients had PD in 55.6% vs 41.9% in the non-CHD patients (P < .01). The CPITN scores were significantly higher in patients with vs without CHD, 2.43 vs 2.16, respectively (P = .023). After adjusting for age, sex, and risk factors for atherosclerosis with additional inclusion of C-reactive protein and erythrocyte sedimentation rate, PD remained significantly related to CHD (odds ratio = 1.9; 95% confidence interval, 1.2-3.1). Other predictors for CHD were male sex, age, high-density lipoprotein cholesterol, and diabetes. Our results demonstrate an increased odds ratio for angiographically determined CHD in patients with PD and that CHD and PD may cluster in particular groups of a population. Our data indicate that PD represents a potentially modifiable risk factor that is both preventable and treatable with predictable treatments that pose negligible risk.</AbstractText><CopyrightInformation>Copyright © 2011 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Berent</LastName><ForeName>Robert</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Center for Cardiovascular Rehabilitation, Bad Schallerbach, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Auer</LastName><ForeName>Johann</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Schmid</LastName><ForeName>Peter</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Krennmair</LastName><ForeName>Gerald</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Crouse</LastName><ForeName>Stephen F</ForeName><Initials>SF</Initials></Author><Author ValidYN="Y"><LastName>Green</LastName><ForeName>John S</ForeName><Initials>JS</Initials></Author><Author ValidYN="Y"><LastName>Sinzinger</LastName><ForeName>Helmut</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>von Duvillard</LastName><ForeName>Serge P</ForeName><Initials>SP</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2010</Year><Month>01</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Metabolism</MedlineTA><NlmUniqueID>0375267</NlmUniqueID><ISSNLinking>0026-0495</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>9007-41-4</RegistryNumber><NameOfSubstance UI="D002097">C-Reactive Protein</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001799" MajorTopicYN="N">Blood Sedimentation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002097" MajorTopicYN="N">C-Reactive Protein</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="N">analysis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017023" MajorTopicYN="Y">Coronary Angiography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003324" MajorTopicYN="N">Coronary Artery Disease</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003327" MajorTopicYN="N">Coronary Disease</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003729" MajorTopicYN="N">Dental Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010510" MajorTopicYN="N">Periodontal Diseases</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2009</Year><Month>10</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2009</Year><Month>12</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2009</Year><Month>12</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>1</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>1</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>1</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20096894</ArticleId><ArticleId IdType="pii">S0026-0495(09)00528-9</ArticleId><ArticleId IdType="doi">10.1016/j.metabol.2009.12.016</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Autriche</li></country></list><tree><noCountry><name sortKey="Auer, Johann" sort="Auer, Johann" uniqKey="Auer J" first="Johann" last="Auer">Johann Auer</name><name sortKey="Crouse, Stephen F" sort="Crouse, Stephen F" uniqKey="Crouse S" first="Stephen F" last="Crouse">Stephen F. Crouse</name><name sortKey="Green, John S" sort="Green, John S" uniqKey="Green J" first="John S" last="Green">John S. Green</name><name sortKey="Krennmair, Gerald" sort="Krennmair, Gerald" uniqKey="Krennmair G" first="Gerald" last="Krennmair">Gerald Krennmair</name><name sortKey="Schmid, Peter" sort="Schmid, Peter" uniqKey="Schmid P" first="Peter" last="Schmid">Peter Schmid</name><name sortKey="Sinzinger, Helmut" sort="Sinzinger, Helmut" uniqKey="Sinzinger H" first="Helmut" last="Sinzinger">Helmut Sinzinger</name><name sortKey="Von Duvillard, Serge P" sort="Von Duvillard, Serge P" uniqKey="Von Duvillard S" first="Serge P" last="Von Duvillard">Serge P. Von Duvillard</name></noCountry><country name="Autriche"><noRegion><name sortKey="Berent, Robert" sort="Berent, Robert" uniqKey="Berent R" first="Robert" last="Berent">Robert Berent</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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