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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2002-1-16
pubmed:abstractText
We investigated the association between Helicobacter pylori (H. pylori) infection and coronary artery disease (CAD) in 2 study populations: (1) a cross-sectional study to determine risk of having CAD, and (2) a longitudinal study to determine risk of acute myocardial infarction (AMI) or death over a mean follow-up period of 3 years in patients with angiographically documented CAD. Blood samples were tested for serum immunoglobulin G antibodies to H. pylori and C-reactive protein (CRP) levels. Study 1: Of 391 patients (62% men, mean age 57 years), 41% had antibodies to H. pylori. CAD prevalence was 70% in H. pylori seropositive patients and 59% in seronegative patients (p = 0.03). Elevated CRP levels (>0.5 mg/dl) were significantly higher in patients with than without CAD (p = 0.02). By univariate analysis, CAD prevalence significantly increased stepwise depending on H. pylori seropositivity and elevated CRP levels (p = 0.008). Significance was lost after adjustment for traditional risk factors. Further analyses revealed that age was the critical confounder. Study 2: Of 929 patients (77% men, mean age 65 years), 56% had antibodies to H. pylori. By univariate analysis, the incidence of AMI or death was 22% in H. pylori seropositive patients and 18% in seronegative patients (p = 0.1). The adjusted hazard ratio of AMI or death for H. pylori seropositivity was 1.12 (95% confidence interval 0.81 to 1.54). Our data suggest that prior infection with H. pylori is not a major factor determining either risk of CAD, AMI, or death in patients with CAD.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0002-9149
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
89
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
155-8
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:11792334-Age Factors, pubmed-meshheading:11792334-Aged, pubmed-meshheading:11792334-C-Reactive Protein, pubmed-meshheading:11792334-Chi-Square Distribution, pubmed-meshheading:11792334-Coronary Angiography, pubmed-meshheading:11792334-Coronary Disease, pubmed-meshheading:11792334-Cross-Sectional Studies, pubmed-meshheading:11792334-Female, pubmed-meshheading:11792334-Helicobacter Infections, pubmed-meshheading:11792334-Helicobacter pylori, pubmed-meshheading:11792334-Humans, pubmed-meshheading:11792334-Immunoglobulin G, pubmed-meshheading:11792334-Logistic Models, pubmed-meshheading:11792334-Longitudinal Studies, pubmed-meshheading:11792334-Male, pubmed-meshheading:11792334-Middle Aged, pubmed-meshheading:11792334-Myocardial Infarction, pubmed-meshheading:11792334-Prevalence, pubmed-meshheading:11792334-Risk Factors
pubmed:year
2002
pubmed:articleTitle
Lack of association of Helicobacter pylori infection with coronary artery disease and frequency of acute myocardial infarction or death.
pubmed:affiliation
Cardiovascular Research Institute of the MedStar Research Institute, Washington Hospital Center, Washington, DC 20010, USA.
pubmed:publicationType
Journal Article