The Association between Oral Health and Atherosclerotic Coronary Artery Disease in Patients submitted to Coronary Angiography: a Controlled Cross-Sectional Study

Abstract Background Significant changes in the coronary vessels are not confirmed in a large proportion of patients undergoing cardiac catheterization. Aims The present study aimed to determine correlates and independent predictors of nonobstructive coronary artery disease (CAD) in older adults referred for elective coronary angiography. Methods A cross-sectional study was conducted involving 2,214 patients referred to two medical centers (in Poland and Russia) between 2014 and 2016 for elective coronary angiography due to exacerbated angina, despite undergoing optimal therapy for CAD. The median age was 72 years (IQR: 68–76), and 49.5% patients were women. Results Significant stenosis (defined as stenosis of 50% or more of the diameter of the left main coronary artery stem or stenosis of 70% or more of the diameter of the remaining major epicardial vessels) was diagnosed only in 1135 (51.3%) patients. Female sex (odds ratio [OR], 3.01; 95% confidence interval [CI], 2.44–3.72; p < 0.001) and atrial fibrillation (OR, 1.87; 95% CI 1.45–2.40; p < 0.001) were the main independent predictors of nonobstructive CAD. Significantly lower ORs were observed for diabetes (OR, 0.75; 95% CI 0.59–0.95; p = 0.02), chronic kidney disease (OR, 0.76; 95% CI 0.61–0.96; p = 0.02), and anemia (OR, 0.69; 95% CI 0.50–0.95; p = 0.02) after controlling for age, chronic heart failure, BMI, and study center. Discussion and conclusions The results confirmed that nonobstructive CAD occurs in a high percentage of older patients referred for elective coronary angiography. This suggests the need to improve patient stratification for invasive diagnosis of CAD, especially for older women and patients with atrial fibrillation. Trial registration number and date of registration: NCT04537507, September 3, 2020.

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Assessment of high-sensitivity C-reactive protein and lipid levels in healthy adults and patients with coronary artery disease, with and without periodontitis - a cross-sectional study

Journal of Periodontal Research ◽

10.1111/jre.12172 ◽

2014 ◽

Vol 49 (6) ◽

pp. 836-844 ◽

Cited By ~ 7

Author(s):

K. R. V. Kumar ◽

V. Ranganath ◽

R. Naik ◽

S. Banu ◽

A. S. Nichani

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

High Sensitivity ◽

Cross Sectional Study ◽

Sectional Study ◽

Lipid Levels ◽

C Reactive Protein ◽

Cross Sectional ◽

Reactive Protein ◽

Artery Disease

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Association between plasma lipids, and apolipoproteins and coronary artery disease: a cross-sectional study in a low-risk Korean population

International Journal of Cardiology ◽

10.1016/j.ijcard.2004.03.057 ◽

2005 ◽

Vol 101 (3) ◽

pp. 435-440 ◽

Cited By ~ 18

Author(s):

Hyung-Kwan Kim ◽

Sung-A Chang ◽

Eue-Keun Choi ◽

Yong-Jin Kim ◽

Hyo-Soo Kim ◽

...

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Plasma Lipids ◽

Cross Sectional Study ◽

Low Risk ◽

Korean Population ◽

Sectional Study ◽

Cross Sectional ◽

Artery Disease

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How Fast Foods Impact Coronary Artery Disease Incidence: A Cross-Sectional Study

European Journal of Medical and Health Sciences ◽

10.24018/ejmed.2021.3.5.1033 ◽

2021 ◽

Vol 3 (5) ◽

pp. 52-55

Author(s):

Khudayenoor ◽

Ayesha Shaheen ◽

Aimen Fatima ◽

Zohaib Saleem ◽

Hafeez Arshad ◽

...

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Fast Food ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Fast Foods ◽

High Prevalence ◽

Artery Disease ◽

The Impact

Coronary artery disease (CAD) is a very ordinary health problem around the globe. CAD is affected by numerous factors like diabetes, obesity, smoking, gender, and diet. However, the association of CAD with diet is understudied in our region that’s why our study was aimed to evaluate the effect of diet on CAD incidence. This cross-sectional study was completed among local population of Rawalpindi, Pakistan in almost 6 months from November 2020 to April 2021. People were taken in our study via set criteria. Data was collected by self-structured proforma. Data analysis was performed by applying IBM SPSS version 25. Descriptive statistics were applied for quantitative variables. Statistical tests like Chi-square test and Spearman correlation analysis were applied to know the association, direction, and strength of study variables. Our current study displays overall high prevalence CAD (17.48%) among study population. Mean value of age for study participants was 45.42 with SD of ±8.01years. Prevalence of CAD was more common among females, faster food eaters and fresh fruit and raw vegetables non-eaters. Gender, fast food, and fresh fruits and vegetables were associated with CHD significantly with p-values 0.030, 0.0007, and 0.0006 respectively. Strength and direction for fast food and CAD association was very strong and positive while for association between fresh fruits and raw vegetables and CAD was very strong and negative with correlation coefficient +0.812 and -0.831 respectively. In a nutshell, current study indicates high prevalence of CAD especially among females, fast food eaters and fresh fruits and raw vegetables non-eaters. Higher consumption of fast foods leads to higher incidence of CAD and vice versa while higher consumption of fresh fruits and raw vegetables bring down the incidence of CAD incidence and vice versa. So, we need to create awareness among people about the impact of food on CAD and gender specific interventions for each gender to lower down the CAD incidence.

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