Relationship of rheumatoid arthritis and coronary artery disease in the Korean population: a nationwide cross-sectional study

被引:13
|
作者
Lee, Tae Hyub [1 ]
Song, Gwan Gyu [2 ,3 ]
Choi, Sung Jae [2 ,4 ]
Seok, Hongdeok [5 ]
Jung, Jae Hyun [1 ,4 ]
机构
[1] Chung Ang Univ, Coll Med, 84 Heukseouk Ro, Seoul 06974, South Korea
[2] Korea Univ, Coll Med, 73 Inchon Ro, Seoul 02841, South Korea
[3] Korea Univ, Dept Rheumatol, Guro Hosp, 148 Gurodong Ro, Seoul 08308, South Korea
[4] Korea Univ, Dept Internal Med, Div Rheumatol, Ansan Hosp, Jeokgeum Ro 123, Ansan 15355, Gyeonggi Do, South Korea
[5] Busan Adventist Hosp, Sahmyook Med Ctr, Dept Occupat & Environm Med, 170 Daeti Ro, Busan 49230, South Korea
关键词
Rheumatoid arthritis; Prevalence; Angina pectoris; Myocardial infarction; CARDIOVASCULAR EVENTS; MYOCARDIAL-INFARCTION; DIABETES-MELLITUS; UNITED-KINGDOM; HEART-DISEASE; RISK; PREVALENCE; INFLAMMATION; MORTALITY; MECHANISMS;
D O I
10.1186/s42358-019-0084-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background Rheumatoid arthritis (RA) is known to be associated with coronary artery diseases (CAD). Previous studies of the association between RA and CAD were reported mainly in non-Asian groups. We aimed to examine the prevalence of RA and the relationship between RA and CAD in South Korea. Methods We conducted a nationwide cross-sectional study by using the Korea National Health and Nutrition Examination Survey, which collected data for four years between 2008 and 2012. A total of 25,828 eligible participants were included. To balance the distribution of baseline characteristics, we used propensity score-matching. A multivariable logistic regression model was employed and we calculated the odds ratios (ORs) and 95% confidence intervals (CI) for the odds of the participants with RA on CAD prevalence. Results The prevalence of RA in Korea from 2008 to 2012 was 0.6% and RA was predominant among elderly women. The prevalence of CAD in patients with RA was significantly higher than in general population. After propensity score-matching to balance the confounding factors, RA was significantly associated with CAD (OR 2.97, 95% CI 1.15-7.68, P = 0.02). Conclusions The prevalence of RA in South Korea was comparable to the worldwide data, and the presence of CAD in RA patients was more than two-fold.
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页数:6
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