Effect of rheumatoid arthritis or systemic lupus erythematosus on the risk of first-time acute myocardial infarction

被引:185
作者
Fischer, LM
Schlienger, RG
Matter, C
Jick, H
Meier, CR
机构
[1] Univ Basel Hosp, Div Clin Pharmacol & Toxicol, Basel Pharmacoepidemiol Unit, CH-4031 Basel, Switzerland
[2] Univ Zurich Hosp, Inst Physiol, CH-8091 Zurich, Switzerland
[3] Univ Zurich Hosp, Ctr Cardiovasc, Div Cardiol, CH-8091 Zurich, Switzerland
[4] Boston Univ, Med Ctr, Boston Collaborat Drug Surveillance Program, Lexington, MA USA
关键词
D O I
10.1016/j.amjcard.2003.09.037
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We explored the association between diagnosed rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE) and the risk of developing a first-time acute myocardial infarction (AMI) by conducting a population-based, case-control analysis using data from the United Kingdom-based General Practice Research Database (GPRD). Among 8,688. patients with AMI and 33,329 matched controls, the adjusted odds ratio (ORs) of AMI for subjects with RA was 1.47 (95% confidence interval [Cl]1.123 to 1.76), and in subjects with both RA and diagnosed hyperlipidemia, the OR was 7.12 (95% Cl 4.16 to 12.18). The risk associated with SLE was 2.67 (95% Cl 1.34 to 5.34). These results underline that RA and SLE increase the risk of AMI. (C) 2004 by Excerpta Medica, Inc.
引用
收藏
页码:198 / 200
页数:3
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