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- Title
Treated periodontitis and recurrent events after first‐time myocardial infarction: A Danish nationwide cohort study.
- Authors
Wagner, Andrea Kjellström; D'Souza, Maria; Bang, Casper N.; Holmstrup, Palle; Blanche, Paul; Fiehn, Nils‐Erik; Gislason, Gunnar; Pedersen, Christian Torp; Damgaard, Christian; Nielsen, Claus Henrik; Hansen, Peter Riis
- Abstract
Aim: To investigate the association between previous periodontal treatment and recurrent events after first‐time myocardial infarction (MI). Materials and Methods: From the Danish nationwide registries, patients with first‐time MI between 2000 and 2015 were divided into three groups according to oral health care within 1 year prior to first‐time MI. A multiple logistic regression model provided adjusted odds ratios (ORs) with 95% confidence intervals (CIs) to assess the 3‐year risk of major adverse cardiovascular events (MACE). Results: A total of 103,949 patients were included. Patients with treated periodontitis (PD) prior to first‐time MI had an adjusted 3‐year risk of MACE similar to patients presumed periodontally healthy (OR 0.97 [95% CI 0.92–1.03]). Patients with no prior dental visits were significantly older, had more comorbidities and showed significantly increased adjusted 3‐year risks of MACE (OR 1.47 [95% CI 1.42–1.52]), cardiovascular death (OR 1.71 [95% CI 1.64–1.78]) and heart failure (OR 1.13 [95% CI 1.07–1.20]) compared with patients presumed periodontally healthy. Conclusions: Patients with treated PD 1 year prior to first‐time MI had a similar risk of recurrent cardiovascular events as patients presumed periodontally healthy. No dental visit prior to first‐time MI was an independent risk factor for recurrent events.
- Subjects
DENMARK; PERIODONTITIS treatment; CARDIOVASCULAR diseases risk factors; ORAL hygiene; CONFIDENCE intervals; MAJOR adverse cardiovascular events; MULTIPLE regression analysis; AGE distribution; PERIODONTITIS; MYOCARDIAL infarction; DISEASE relapse; RISK assessment; COMPARATIVE studies; RESEARCH funding; DESCRIPTIVE statistics; CARDIAC arrest; ODDS ratio; LONGITUDINAL method; COMORBIDITY; HEART failure; DISEASE risk factors; DISEASE complications
- Publication
Journal of Clinical Periodontology, 2023, Vol 50, Issue 10, p1305
- ISSN
0303-6979
- Publication type
Article
- DOI
10.1111/jcpe.13853