Predictors of Coronary Artery Disease in Patients with Behçet's Disease

Background: Behçet's disease (BD) is a multisystem vasculitis of unknown etiology. We aimed to determine the prevalence and predictors of coronary artery disease (CAD) in patients with BD. Methods: All adult patients diagnosed with BD from the National Inpatient Sample database using the Intern...

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Veröffentlicht in:Cardiology 2014-01, Vol.129 (4), p.203-206
Hauptverfasser: Pandey, Ambarish, Garg, Jalaj, Krishnamoorthy, Parasuram, Palaniswamy, Chandrasekar, Doshi, Jay, Lanier, Gregg, Ahmad, Hasan
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container_end_page 206
container_issue 4
container_start_page 203
container_title Cardiology
container_volume 129
creator Pandey, Ambarish
Garg, Jalaj
Krishnamoorthy, Parasuram
Palaniswamy, Chandrasekar
Doshi, Jay
Lanier, Gregg
Ahmad, Hasan
description Background: Behçet's disease (BD) is a multisystem vasculitis of unknown etiology. We aimed to determine the prevalence and predictors of coronary artery disease (CAD) in patients with BD. Methods: All adult patients diagnosed with BD from the National Inpatient Sample database using the International Classification of Diseases 9th revision (ICD-9 code 136.1) during 2009-2010 were included in the analysis. We analyzed the demographics, traditional risk factors, prevalence, and predictors of CAD in patients with BD using ICD-9 codes. Results: The prevalence of BD among adults was 0.006% (n = 2,540) of all in-hospital admissions in the USA. The mean age was 43.9 years, with women (45 years) being older than men (40 years) (p < 0.001). Traditional risk factors prevalent in our study were hypertension (35%), hyperlipidemia (17.4%), diabetes mellitus (13.8%), smoking (13.1%), and obesity (7.2%). The prevalence of CAD was 12.1%. Hypertension (OR = 2.20, p = 0.03) and hyperlipidemia (OR = 2.34, p = 0.02) were found to be independent predictors of CAD in a multimodel regression analysis. Conclusion: In patients with BD, traditional risk factors associated with CAD were similar to what is expected in the overall population. However, the young age of patients with CAD in this population suggests an accelerated course of atherosclerosis in BD.
doi_str_mv 10.1159/000365139
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We aimed to determine the prevalence and predictors of coronary artery disease (CAD) in patients with BD. Methods: All adult patients diagnosed with BD from the National Inpatient Sample database using the International Classification of Diseases 9th revision (ICD-9 code 136.1) during 2009-2010 were included in the analysis. We analyzed the demographics, traditional risk factors, prevalence, and predictors of CAD in patients with BD using ICD-9 codes. Results: The prevalence of BD among adults was 0.006% (n = 2,540) of all in-hospital admissions in the USA. The mean age was 43.9 years, with women (45 years) being older than men (40 years) (p &lt; 0.001). Traditional risk factors prevalent in our study were hypertension (35%), hyperlipidemia (17.4%), diabetes mellitus (13.8%), smoking (13.1%), and obesity (7.2%). The prevalence of CAD was 12.1%. Hypertension (OR = 2.20, p = 0.03) and hyperlipidemia (OR = 2.34, p = 0.02) were found to be independent predictors of CAD in a multimodel regression analysis. Conclusion: In patients with BD, traditional risk factors associated with CAD were similar to what is expected in the overall population. However, the young age of patients with CAD in this population suggests an accelerated course of atherosclerosis in BD.</description><identifier>ISSN: 0008-6312</identifier><identifier>EISSN: 1421-9751</identifier><identifier>DOI: 10.1159/000365139</identifier><identifier>PMID: 25342118</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Adult ; Behcet Syndrome - complications ; Behcet Syndrome - epidemiology ; Cardiovascular disease ; Coronary Artery Disease - epidemiology ; Coronary Artery Disease - etiology ; Coronary vessels ; Female ; Humans ; Male ; Prevalence ; Prognosis ; Retrospective Studies ; Risk Factors ; Short Communication ; United States - epidemiology ; Veins &amp; arteries</subject><ispartof>Cardiology, 2014-01, Vol.129 (4), p.203-206</ispartof><rights>2014 S. Karger AG, Basel</rights><rights>Copyright (c) 2014 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-2456188f923f350f01a5ea9af2052ce15139b79d0d8d9e56a1da4068dfc228c63</citedby><cites>FETCH-LOGICAL-c362t-2456188f923f350f01a5ea9af2052ce15139b79d0d8d9e56a1da4068dfc228c63</cites><orcidid>0000-0002-4560-7346</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2429,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25342118$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pandey, Ambarish</creatorcontrib><creatorcontrib>Garg, Jalaj</creatorcontrib><creatorcontrib>Krishnamoorthy, Parasuram</creatorcontrib><creatorcontrib>Palaniswamy, Chandrasekar</creatorcontrib><creatorcontrib>Doshi, Jay</creatorcontrib><creatorcontrib>Lanier, Gregg</creatorcontrib><creatorcontrib>Ahmad, Hasan</creatorcontrib><title>Predictors of Coronary Artery Disease in Patients with Behçet's Disease</title><title>Cardiology</title><addtitle>Cardiology</addtitle><description>Background: Behçet's disease (BD) is a multisystem vasculitis of unknown etiology. We aimed to determine the prevalence and predictors of coronary artery disease (CAD) in patients with BD. Methods: All adult patients diagnosed with BD from the National Inpatient Sample database using the International Classification of Diseases 9th revision (ICD-9 code 136.1) during 2009-2010 were included in the analysis. We analyzed the demographics, traditional risk factors, prevalence, and predictors of CAD in patients with BD using ICD-9 codes. Results: The prevalence of BD among adults was 0.006% (n = 2,540) of all in-hospital admissions in the USA. The mean age was 43.9 years, with women (45 years) being older than men (40 years) (p &lt; 0.001). Traditional risk factors prevalent in our study were hypertension (35%), hyperlipidemia (17.4%), diabetes mellitus (13.8%), smoking (13.1%), and obesity (7.2%). The prevalence of CAD was 12.1%. Hypertension (OR = 2.20, p = 0.03) and hyperlipidemia (OR = 2.34, p = 0.02) were found to be independent predictors of CAD in a multimodel regression analysis. Conclusion: In patients with BD, traditional risk factors associated with CAD were similar to what is expected in the overall population. 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source MEDLINE; Karger Journals
subjects Adult
Behcet Syndrome - complications
Behcet Syndrome - epidemiology
Cardiovascular disease
Coronary Artery Disease - epidemiology
Coronary Artery Disease - etiology
Coronary vessels
Female
Humans
Male
Prevalence
Prognosis
Retrospective Studies
Risk Factors
Short Communication
United States - epidemiology
Veins & arteries
title Predictors of Coronary Artery Disease in Patients with Behçet's Disease
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