A Step towards understanding coronary artery disease: a complication in idiopathic pulmonary fibrosis

Autor: Louis Gerolemou, Viswanath Vasudevan, Rishav Sinha, Dhairya Nanavaty, Arij Azhar, Pradeep Devarakonda, Sohrab Singh, Rupa Garikipati, Ankushi Sanghvi, Suganya Manoharan, Gaurav Parhar, Kiran Zaman, Cesar Ayala-Rodriguez, Sarath Reddy
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMJ Open Respiratory Research, Vol 11, Iss 1 (2024)
Druh dokumentu: article
ISSN: 2052-4439
DOI: 10.1136/bmjresp-2023-001834
Popis: Background Idiopathic pulmonary fibrosis (IPF) is a relatively rare disease with increasing incidence trends. Cardiovascular disease is a significant complication in IPF patients due to the role of common proatherogenic immune mediators. The prevalence of coronary artery disease (CAD) in IPF and the association between these distinct pathologies with overlapping pathophysiology remain less studied.Research question We hypothesised that IPF is an independent risk factor for CAD.Methods We conducted a retrospective case–control study using the national inpatient sample (2017–2019). We included adult hospitalisations with IPF after excluding other interstitial lung diseases and other endpoints of CAD, acute coronary syndrome and old myocardial infarction. We examined their baseline characteristics, such as demographic data, hospital characteristics and socioeconomic status. The prevalence of cardiac risk factors and CAD was also compared between hospitalisations with and without IPF. Univariate and multivariate regression analysis was further performed to study the odds of CAD with IPF. The cases of IPF in the study population were propensity-matched, after which generalised linear modelling analysis was performed to validate the findings.Results A total of 116 010 admissions were hospitalised in 2017–2019 with IPF, of which 55.6% were men with a mean age of 73 years. Adult hospitalisations with IPF were found to have a higher prevalence of diabetes mellitus (29.3% vs 24.0%; p
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