Association of Helicobacter pylori Infection with Coronary Artery Disease: Is Helicobacter pylori a Risk Factor?

Background. Helicobacter pylori (HP) infection is the most common infection in the world and coronary artery disease (CAD) is probably associated with it. The aim of this prospective study was to evaluate the association between HP infection and CAD in suspected patients referred for coronary angiog...

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Main Authors: Jamshid Vafaeimanesh, Seyyed Fakhroldin Hejazi, Vahid Damanpak, Mostafa Vahedian, Mohammadamin Sattari, Mohammadreza Seyyedmajidi
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/516354
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author Jamshid Vafaeimanesh
Seyyed Fakhroldin Hejazi
Vahid Damanpak
Mostafa Vahedian
Mohammadamin Sattari
Mohammadreza Seyyedmajidi
author_facet Jamshid Vafaeimanesh
Seyyed Fakhroldin Hejazi
Vahid Damanpak
Mostafa Vahedian
Mohammadamin Sattari
Mohammadreza Seyyedmajidi
author_sort Jamshid Vafaeimanesh
collection DOAJ
description Background. Helicobacter pylori (HP) infection is the most common infection in the world and coronary artery disease (CAD) is probably associated with it. The aim of this prospective study was to evaluate the association between HP infection and CAD in suspected patients referred for coronary angiography. The coronary angiography was performed using Judkins method and patients were assigned to participate in CAD positive (>50% luminal diameter stenosis) and negative groups. The serum HP IgG antibody was checked. Results. Positive and negative CAD groups consisted of 62 and 58 patients, respectively. HP was more prevalent among CAD+ patients, and with increasing the number of coronary arteries with stenosis, the HP seropositivity increased so that 76.3% of patients with multiple vessel diseases (MVD) and 70% of patients with single vessel diseases (SVD) were HP seropositive versus 50% in control group (P=0.006). Positive CAD was significantly associated with HDL level (P=0.01) and ESR level (P=0.006). Also, CAD+ patients had higher CRP levels than controls and it was statistically different between SVD group and controls (P<0.05). Conclusion. HP infection is more prevalent in CAD positive patients and, in case of proving causal relationship, it can be considered as a reversible risk factor for CAD.
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spelling doaj-art-68b7c7d38a5f4e7eb2490f3dac6a2f8a2025-02-03T01:22:14ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/516354516354Association of Helicobacter pylori Infection with Coronary Artery Disease: Is Helicobacter pylori a Risk Factor?Jamshid Vafaeimanesh0Seyyed Fakhroldin Hejazi1Vahid Damanpak2Mostafa Vahedian3Mohammadamin Sattari4Mohammadreza Seyyedmajidi5Clinical Research Development Center, Qom University of Medical Sciences, Qom, IranClinical Research Development Center, Qom University of Medical Sciences, Qom, IranClinical Research Development Center, Qom University of Medical Sciences, Qom, IranClinical Research Development Center, Qom University of Medical Sciences, Qom, IranClinical Research Development Center, Qom University of Medical Sciences, Qom, IranGolestan Research Center of Gastroenterology and Hepatology (GRCGH), Golestan University of Medical Sciences (GOUMS), 10th Azar, 5 Azar Boulevard, Gorgan, Golestan Province, IranBackground. Helicobacter pylori (HP) infection is the most common infection in the world and coronary artery disease (CAD) is probably associated with it. The aim of this prospective study was to evaluate the association between HP infection and CAD in suspected patients referred for coronary angiography. The coronary angiography was performed using Judkins method and patients were assigned to participate in CAD positive (>50% luminal diameter stenosis) and negative groups. The serum HP IgG antibody was checked. Results. Positive and negative CAD groups consisted of 62 and 58 patients, respectively. HP was more prevalent among CAD+ patients, and with increasing the number of coronary arteries with stenosis, the HP seropositivity increased so that 76.3% of patients with multiple vessel diseases (MVD) and 70% of patients with single vessel diseases (SVD) were HP seropositive versus 50% in control group (P=0.006). Positive CAD was significantly associated with HDL level (P=0.01) and ESR level (P=0.006). Also, CAD+ patients had higher CRP levels than controls and it was statistically different between SVD group and controls (P<0.05). Conclusion. HP infection is more prevalent in CAD positive patients and, in case of proving causal relationship, it can be considered as a reversible risk factor for CAD.http://dx.doi.org/10.1155/2014/516354
spellingShingle Jamshid Vafaeimanesh
Seyyed Fakhroldin Hejazi
Vahid Damanpak
Mostafa Vahedian
Mohammadamin Sattari
Mohammadreza Seyyedmajidi
Association of Helicobacter pylori Infection with Coronary Artery Disease: Is Helicobacter pylori a Risk Factor?
The Scientific World Journal
title Association of Helicobacter pylori Infection with Coronary Artery Disease: Is Helicobacter pylori a Risk Factor?
title_full Association of Helicobacter pylori Infection with Coronary Artery Disease: Is Helicobacter pylori a Risk Factor?
title_fullStr Association of Helicobacter pylori Infection with Coronary Artery Disease: Is Helicobacter pylori a Risk Factor?
title_full_unstemmed Association of Helicobacter pylori Infection with Coronary Artery Disease: Is Helicobacter pylori a Risk Factor?
title_short Association of Helicobacter pylori Infection with Coronary Artery Disease: Is Helicobacter pylori a Risk Factor?
title_sort association of helicobacter pylori infection with coronary artery disease is helicobacter pylori a risk factor
url http://dx.doi.org/10.1155/2014/516354
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