4.6 Article

Increased Risk of Acute Myocardial Infarction in Systemic Sclerosis: A Nationwide Population-based Study

期刊

AMERICAN JOURNAL OF MEDICINE
卷 126, 期 11, 页码 982-988

出版社

ELSEVIER SCIENCE INC
DOI: 10.1016/j.amjmed.2013.06.025

关键词

Cardiovascular risk; Coronary artery disease; Immunosuppressor; Myocardial infarction; Systemic sclerosis

资金

  1. Taipei Veterans General Hospital [V102C-047, R-1100401, R-11004-02]
  2. Taiwan National Science Council, Executive Yuan [NSC 99-2314-B-010-003-MY3]

向作者/读者索取更多资源

PURPOSE: Systemic sclerosis is a life-threatening autoimmune disease characterized by vasculopathy, which results in myocardial involvement in an extremely high percentage of patients. Nevertheless, there have been no large-scale epidemiological studies about the risk of acute myocardial infarction in patients with systemic sclerosis. The aims of this study were to evaluate the hazard ratio (HR) and risk factors of acute myocardial infarction in patients with systemic sclerosis, as well as to compare the risks of acute myocardial infarction among systemic sclerosis patients taking different immunosuppressors. METHODS: The study cohort included 1344 patients with systemic sclerosis and 13,440 (1: 10) age-, sex-, and comorbidity-matched controls during the period between 1997 and 2006, from the National Health Insurance Research Database. We compared the risk of acute myocardial infarction between patients with systemic sclerosis and controls and calculated the adjusted HRs for acute myocardial infarction in systemic sclerosis patients taking immunosuppressors and not taking immunosuppressors. RESULTS: The incidence rates of acute myocardial infarction were 535 and 313 cases per 100,000 person-years for systemic sclerosis cohort and reference cohort, respectively (P <.001, unadjusted). After adjusting for age, sex, and underlying medical diseases on Cox proportional hazards model, systemic sclerosis was found to be an independent risk factor for acute myocardial infarction (HR 2.45). Other risk factors included hypertension (HR 2.08) and diabetes (HR 2.14). The multivariate adjusted HR for acute myocardial infarction did not decrease among the systemic sclerosis patients taking systemic steroids, penicillamine, cyclophosphamide, azathioprine, methotrexate, or cyclosporine. CONCLUSION: Systemic sclerosis is independently associated with an increased risk of acute myocardial infarction. Immunosuppressors do not lower the risk of acute myocardial infarction in our study. (C) 2013 Elsevier Inc. All rights reserved.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Biochemistry & Molecular Biology

Artificial Intelligence for Risk Prediction of End-Stage Renal Disease in Sepsis Survivors with Chronic Kidney Disease

Kuo-Hua Lee, Yuan-Chia Chu, Ming-Tsun Tsai, Wei-Cheng Tseng, Yao-Ping Lin, Shuo-Ming Ou, Der-Cherng Tarng

Summary: This study used machine learning to predict the risk of end-stage renal disease (ESRD) in sepsis survivors. The researchers found that estimated glomerular filtration rates, hemoglobin, and proteinuria were important predictors of ESRD development.

BIOMEDICINES (2022)

Article Biochemistry & Molecular Biology

Urinary Galectin-3 as a Novel Biomarker for the Prediction of Renal Fibrosis and Kidney Disease Progression

Shuo-Ming Ou, Ming-Tsun Tsai, Huan-Yuan Chen, Fu-An Li, Kuo-Hua Lee, Wei-Cheng Tseng, Fu-Pang Chang, Yao-Ping Lin, Ruey-Bing Yang, Der-Cherng Tarng

Summary: Plasma galectin-3 is associated with organ fibrosis, and this study explored the potential of urinary galectin-3 as a biomarker for kidney disease progression. Patients with higher urinary galectin-3 levels had lower eGFRs and higher proteinuria levels. Higher levels of urinary galectin-3 were also associated with more severe renal fibrosis. The study suggests that urinary galectin-3 levels may be useful for identifying patients at high risk of kidney disease progression and renal fibrosis.

BIOMEDICINES (2022)

Article Cardiac & Cardiovascular Systems

Echocardiographic features of left ventricular dysfunction and outcomes in chronic kidney disease

Shuo-Ming Ou, Chieh-Ju Chao, Ming-Tsun Tsai, Kuo-Hua Lee, Wei-Cheng Tseng, Pin-Jie Bin, Yao-Ping Lin, Chien-Yi Hsu, Der-Cherng Tarng

Summary: Heart failure is prevalent in patients with chronic kidney disease (CKD), and its impact on renal function and long-term outcomes in different subtypes of heart failure remains uncertain. This study found that heart failure is associated with worse clinical outcomes, and patients with HFrEF have the highest risk.
Article Dermatology

Prevalence of acne in Taiwan: A 13-year population-based retrospective study

Yu-Wen Chen, Yi-Ling Chang, Chun-Ying Wu, Yi-Ju Chen

JOURNAL OF DERMATOLOGY (2023)

Article Medicine, General & Internal

2022 Taiwanese Dermatological Association (TDA), Taiwanese Association for Psoriasis and Skin Immunology (TAPSI), and Taiwan Society of cardiology (TSOC) joint consensus recommendations for the management of psoriatic disease with attention to cardiovascular comorbidities

Ching-Chi Chi, Yen-Wen Wu, Ting-Hsing Chao, Chih-Chiang Chen, Yi-Ju Chen, Hao-Min Cheng, Hsien-Yi Chiu, Yu-Wei Chiu, Wen-Hung Chung, Tsu-Yi Hsieh, Po-Hsun Huang, Yu-Huei Huang, Shang-Hung Lin, Tsung-Hsien Lin, Kwo-Chang Ueng, Chun-Chieh Wang, Yu-Chen Wang, Nan-Lin Wu, Charles Jia-Yin Hou, Tsen-Fang Tsai

Summary: Psoriatic disease, a chronic inflammatory disorder with skin and joint manifestations, is associated with an increased risk of cardiovascular diseases due to the shared pathogenic mechanisms between psoriatic and CV diseases. Therefore, attention to cardiovascular comorbidities is crucial in the management of psoriasis, particularly in screening, primary prevention, and treatment selection. The collaboration between dermatology, cardiology, and rheumatology experts has led to consensus expert recommendations for the management of patients with psoriatic disease with a focus on CV comorbidities.

JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION (2023)

Article Gastroenterology & Hepatology

Immediate postoperative parenteral anticoagulant therapy in patients with mesenteric ischemia after intestinal resection: a retrospective cohort study at a single institute

Hsiao-Tien Liu, Chia-Yu Lai, Jian-Jhou Liao, Yi-Ju Chen, Shao-Bin Cheng, Cheng-Chung Wu

Summary: This retrospective study aimed to investigate the benefit of postoperative parenteral anticoagulation in patients with acute mesenteric ischemia and bowel gangrene who underwent intestinal resection. The results showed that immediate postoperative parenteral anticoagulant therapy was associated with lower 30-day mortality and higher 2-year survival rate.

BMC GASTROENTEROLOGY (2023)

Article Mathematical & Computational Biology

Prediction of the risk of developing end-stage renal diseases in newly diagnosed type 2 diabetes mellitus using artificial intelligence algorithms

Shuo-Ming Ou, Ming-Tsun Tsai, Kuo-Hua Lee, Wei-Cheng Tseng, Chih-Yu Yang, Tz-Heng Chen, Pin-Jie Bin, Tzeng-Ji Chen, Yao-Ping Lin, Wayne Huey-Herng Sheu, Yuan-Chia Chu, Der-Cherng Tarng

Summary: This study aimed to develop predictive models for the risk of developing ESRD in newly diagnosed T2DM patients using machine learning. XGBoost was found to be the best model with high discriminative ability. These models can be used as risk assessment tools for clinical decision-making and early intervention strategies.

BIODATA MINING (2023)

Article Pediatrics

Physical Fitness and Inflammatory Bowel Disease Risk Among Children and Adolescents in Taiwan

Chun-Ying Wu, Li -Lin Liang, Hsiu J. Ho, Chen-Te Hsu, Hsiu-Tao Hsu, Chon-Kit Ao, Chen-Yi Wu, Yi-Hsian Lin, Yi-Fang Chuang, Yao-Chun Hsu, Yi-Ju Chen, Siew C. Ng

Summary: This study investigated the association between physical fitness and the risk of inflammatory bowel disease (IBD) among children and adolescents in Taiwan. The results showed that better cardiorespiratory endurance was inversely associated with IBD risk, while other measures of physical fitness were not independently associated with IBD risk.

JAMA PEDIATRICS (2023)

Article Biochemistry & Molecular Biology

Blockade of the SRC/STAT3/BCL-2 Signaling Axis Sustains the Cytotoxicity in Human Colorectal Cancer Cell Lines Induced by Dehydroxyhispolon Methyl Ether

Ya-Chu Hsieh, Yuan-Chang Dai, Kur-Ta Cheng, Wei-Ting Yang, Modukuri V. Ramani, Gottumukkala V. Subbaraju, Yi-Ju Chen, Chia-Che Chang

Summary: Colorectal cancer (CRC) is the third most prevalent human cancer globally, and current chemotherapy has limited effectiveness. This study found that Dehydroxyhispolon methyl ether (DHME) has a strong cytotoxic effect on CRC cells while being less toxic to normal colon epithelial cells. DHME induces CRC cell apoptosis by blocking the SRC/STAT3/BCL-2 axis, suggesting its potential as a CRC chemotherapy agent.

BIOMEDICINES (2023)

Article Medicine, General & Internal

Daily aspirin associated with a reduced risk of hepatocellular carcinoma in patients with non-alcoholic fatty liver disease: a population-based cohort study

Teng-Yu Lee, Yao-Chun Hsu, Hsiu J. Ho, Jaw-Town Lin, Yi-Ju Chen, Chun-Ying Wu

Summary: Aspirin therapy is significantly associated with a reduced risk of hepatocellular carcinoma (HCC) in non-alcoholic fatty liver disease (NAFLD) patients.

ECLINICALMEDICINE (2023)

Article Pediatrics

Physical Fitness and Inflammatory Bowel Disease Risk Among Children and Adolescents in Taiwan

Chun-Ying Wu, Li-Lin Liang, Hsiu J. Ho, Chen-Te Hsu, Hsiu-Tao Hsu, Chon-Kit Ao, Chen-Yi Wu, Yi-Hsian Lin, Yi-Fang Chuang, Yao-Chun Hsu, Yi-Ju Chen, Siew C. Ng

Summary: This study investigated the association between physical fitness and the risk of inflammatory bowel disease (IBD) among children and adolescents in Taiwan. The results showed that better cardiorespiratory endurance (CE) was inversely associated with IBD risk, while musculoskeletal endurance (ME), musculoskeletal power (MP), and flexibility fitness (FF) were not independently associated with IBD risk. This study provides valuable insights for further exploring the mechanisms underlying this relationship.

JAMA PEDIATRICS (2023)

Article Medical Laboratory Technology

Plasma Galectin-9 Is a Useful Biomarker for Predicting Renal Function in Patients Undergoing Native Kidney Biopsy

Ming-Tsun Tsai, Ruey-Bing Yang, Shuo-Ming Ou, Wei-Cheng Tseng, Kuo-Hua Lee, Chih-Yu Yang, Fu -Pang Chang, Der-Cherng Tarng

Summary: Plasma galectin-9 levels are associated with varying stages of chronic kidney disease (CKD), and high levels are correlated with older age, decreased renal function, increased proteinuria, and greater interstitial fibrosis. In renal tissue, galectin-9 expression is positively correlated with plasma galectin-9 levels and is mainly expressed in macrophages.

ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE (2023)

Review Dermatology

Skin microbiome in acne vulgaris, skin aging, and rosacea: An evidence-based review

Yu-Ching Weng, Yi-Ju Chen

Summary: This systematic review explores the role of skin microbiota in acne vulgaris, skin aging, and rosacea, and identifies potential therapeutic targets. However, further research is needed to understand the mechanisms of microbial interaction in these diseases.

DERMATOLOGICA SINICA (2022)

Article Immunology

Early-Life Antibiotic Exposure Associated With Varicella Occurrence and Breakthrough Infections: Evidence From Nationwide Pre-Vaccination and Post-Vaccination Cohorts

Teng-Li Lin, Yi-Hsuan Fan, Yi-Ling Chang, Hsiu J. Ho, Li-Lin Liang, Yi-Ju Chen, Chun-Ying Wu

Summary: Early-life antibiotic exposure is associated with the occurrence of varicella and breakthrough infections, regardless of vaccine administration. The use of certain antibiotics during infancy is positively correlated with the incidence of varicella.

FRONTIERS IN IMMUNOLOGY (2022)

Letter Allergy

Fracture risks in patients with atopic dermatitis A nationwide matched cohort study-reply

Teng-Li Lin, Chun-Ying Wu, Yi-Ju Chen

ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY (2022)

暂无数据