Risk of coronary artery disease in patients with idiopathic inflammatory myopathies: A systematic review and meta-analysis of observational studies

Abstract Objectives To investigate the risk of coronary artery disease in patients with idiopathic inflammatory myopathies (IIM). Methods We conducted a systematic review and meta-analysis of observational studies that reported odds ratios, relative risks, hazard ratios, or standardized incidence ra...

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Veröffentlicht in:Seminars in arthritis and rheumatism 2014-08, Vol.44 (1), p.63-67
Hauptverfasser: Ungprasert, Patompong, MD, Suksaranjit, Promporn, MD, Spanuchart, Ittikorn, MD, Leeaphorn, Napat, MD, Permpalung, Nitipong, MD
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container_end_page 67
container_issue 1
container_start_page 63
container_title Seminars in arthritis and rheumatism
container_volume 44
creator Ungprasert, Patompong, MD
Suksaranjit, Promporn, MD
Spanuchart, Ittikorn, MD
Leeaphorn, Napat, MD
Permpalung, Nitipong, MD
description Abstract Objectives To investigate the risk of coronary artery disease in patients with idiopathic inflammatory myopathies (IIM). Methods We conducted a systematic review and meta-analysis of observational studies that reported odds ratios, relative risks, hazard ratios, or standardized incidence ratios comparing the risk of coronary artery disease in patients with IIM versus non-IIM participants. We searched published studies indexed in MEDLINE, EMBASE, and the Cochrane database from inception to December 2013 using the terms “coronary artery disease” OR “coronary heart disease” OR “myocardial infarction” OR “atherosclerosis” combined with the terms “dermatomyositis” OR “polymyositis” OR “Idiopathic inflammatory myopathy.” Pooled risk ratio and 95% confidence interval were calculated using a random-effect, generic inverse variance method. Result Overall, four studies were identified and included for data analysis. The pooled risk ratio of CAD in patients with IIM was 2.24 (95% CI: 1.02–4.92). The statistical heterogeneity of this meta-analysis was high with an I2 of 97%. Conclusion Our study demonstrated a statistically significant increased risk of CAD among patients with IIM.
doi_str_mv 10.1016/j.semarthrit.2014.03.004
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Methods We conducted a systematic review and meta-analysis of observational studies that reported odds ratios, relative risks, hazard ratios, or standardized incidence ratios comparing the risk of coronary artery disease in patients with IIM versus non-IIM participants. We searched published studies indexed in MEDLINE, EMBASE, and the Cochrane database from inception to December 2013 using the terms “coronary artery disease” OR “coronary heart disease” OR “myocardial infarction” OR “atherosclerosis” combined with the terms “dermatomyositis” OR “polymyositis” OR “Idiopathic inflammatory myopathy.” Pooled risk ratio and 95% confidence interval were calculated using a random-effect, generic inverse variance method. Result Overall, four studies were identified and included for data analysis. The pooled risk ratio of CAD in patients with IIM was 2.24 (95% CI: 1.02–4.92). The statistical heterogeneity of this meta-analysis was high with an I2 of 97%. Conclusion Our study demonstrated a statistically significant increased risk of CAD among patients with IIM.</description><identifier>ISSN: 0049-0172</identifier><identifier>EISSN: 1532-866X</identifier><identifier>DOI: 10.1016/j.semarthrit.2014.03.004</identifier><identifier>PMID: 24684974</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Atherosclerosis ; Coronary artery disease ; Coronary Artery Disease - epidemiology ; Coronary Artery Disease - etiology ; Dermatomyositis ; Humans ; Idiopathic inflammatory myopathies ; Incidence ; Meta-analysis ; Myositis - complications ; Myositis - epidemiology ; Polymyositis ; Rheumatology ; Risk</subject><ispartof>Seminars in arthritis and rheumatism, 2014-08, Vol.44 (1), p.63-67</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. 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Methods We conducted a systematic review and meta-analysis of observational studies that reported odds ratios, relative risks, hazard ratios, or standardized incidence ratios comparing the risk of coronary artery disease in patients with IIM versus non-IIM participants. We searched published studies indexed in MEDLINE, EMBASE, and the Cochrane database from inception to December 2013 using the terms “coronary artery disease” OR “coronary heart disease” OR “myocardial infarction” OR “atherosclerosis” combined with the terms “dermatomyositis” OR “polymyositis” OR “Idiopathic inflammatory myopathy.” Pooled risk ratio and 95% confidence interval were calculated using a random-effect, generic inverse variance method. Result Overall, four studies were identified and included for data analysis. The pooled risk ratio of CAD in patients with IIM was 2.24 (95% CI: 1.02–4.92). The statistical heterogeneity of this meta-analysis was high with an I2 of 97%. 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source MEDLINE; Elsevier ScienceDirect Journals
subjects Atherosclerosis
Coronary artery disease
Coronary Artery Disease - epidemiology
Coronary Artery Disease - etiology
Dermatomyositis
Humans
Idiopathic inflammatory myopathies
Incidence
Meta-analysis
Myositis - complications
Myositis - epidemiology
Polymyositis
Rheumatology
Risk
title Risk of coronary artery disease in patients with idiopathic inflammatory myopathies: A systematic review and meta-analysis of observational studies
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