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Cardiomyopathy, pericarditis and myocarditis in a population-based cohort of inpatients with coeliac disease.
J Intern Med. 2007 Nov; 262(5):545-54.JI

Abstract

OBJECTIVES

We investigated the risk of myocarditis, cardiomyopathy, and pericarditis in patients with celiac disease (CD) from a general population cohort.

SUBJECTS AND METHODS

Through the Swedish national registers we identified 9363 children and 4969 adults with a diagnosis of CD (1964-2003). These individuals were matched with upto five reference individuals for age, sex, calendar year and county (n = 69 851). Cox regression estimated hazard ratios (HRs) for later heart disease.

MAIN OUTCOME MEASURES

Myocarditis, cardiomyopathy (any or dilated), and pericarditis defined according to relevant international classification of disease codes in the Swedish national inpatient register.

RESULTS

Celiac disease diagnosed in childhood was not associated with later myocarditis (HR = 0.2; 95% CI = 0.0-1.5), cardiomyopathy of any type (HR = 0.8; 95% CI = 0.2-3.7), or pericarditis (HR = 0.4; 95% CI = 0.1-1.9). Restricting our analyses to adulthood CD and heart disease diagnosed from 1987 and onwards in departments of cardiology/internal medicine, we found no association between CD and later myocarditis (HR = 2.1; 95% CI = 0.4-11.7), dilated cardiomyopathy (HR = 1.7; 95% CI = 0.4-6.5) or pericarditis (HR = 1.5; 95% CI = 0.5-4.0).

CONCLUSION

This study found no association between CD, later myocarditis, cardiomyopathy or pericarditis.

Authors+Show Affiliations

Department of Paediatrics, Orebro University Hospital, Orebro, Sweden.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17949363

Citation

Elfström, P, et al. "Cardiomyopathy, Pericarditis and Myocarditis in a Population-based Cohort of Inpatients With Coeliac Disease." Journal of Internal Medicine, vol. 262, no. 5, 2007, pp. 545-54.
Elfström P, Hamsten A, Montgomery SM, et al. Cardiomyopathy, pericarditis and myocarditis in a population-based cohort of inpatients with coeliac disease. J Intern Med. 2007;262(5):545-54.
Elfström, P., Hamsten, A., Montgomery, S. M., Ekbom, A., & Ludvigsson, J. F. (2007). Cardiomyopathy, pericarditis and myocarditis in a population-based cohort of inpatients with coeliac disease. Journal of Internal Medicine, 262(5), 545-54.
Elfström P, et al. Cardiomyopathy, Pericarditis and Myocarditis in a Population-based Cohort of Inpatients With Coeliac Disease. J Intern Med. 2007;262(5):545-54. PubMed PMID: 17949363.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cardiomyopathy, pericarditis and myocarditis in a population-based cohort of inpatients with coeliac disease. AU - Elfström,P, AU - Hamsten,A, AU - Montgomery,S M, AU - Ekbom,A, AU - Ludvigsson,J F, PY - 2007/10/24/pubmed PY - 2007/12/6/medline PY - 2007/10/24/entrez SP - 545 EP - 54 JF - Journal of internal medicine JO - J. Intern. Med. VL - 262 IS - 5 N2 - OBJECTIVES: We investigated the risk of myocarditis, cardiomyopathy, and pericarditis in patients with celiac disease (CD) from a general population cohort. SUBJECTS AND METHODS: Through the Swedish national registers we identified 9363 children and 4969 adults with a diagnosis of CD (1964-2003). These individuals were matched with upto five reference individuals for age, sex, calendar year and county (n = 69 851). Cox regression estimated hazard ratios (HRs) for later heart disease. MAIN OUTCOME MEASURES: Myocarditis, cardiomyopathy (any or dilated), and pericarditis defined according to relevant international classification of disease codes in the Swedish national inpatient register. RESULTS: Celiac disease diagnosed in childhood was not associated with later myocarditis (HR = 0.2; 95% CI = 0.0-1.5), cardiomyopathy of any type (HR = 0.8; 95% CI = 0.2-3.7), or pericarditis (HR = 0.4; 95% CI = 0.1-1.9). Restricting our analyses to adulthood CD and heart disease diagnosed from 1987 and onwards in departments of cardiology/internal medicine, we found no association between CD and later myocarditis (HR = 2.1; 95% CI = 0.4-11.7), dilated cardiomyopathy (HR = 1.7; 95% CI = 0.4-6.5) or pericarditis (HR = 1.5; 95% CI = 0.5-4.0). CONCLUSION: This study found no association between CD, later myocarditis, cardiomyopathy or pericarditis. SN - 0954-6820 UR - https://www.unboundmedicine.com/medline/citation/17949363/Cardiomyopathy_pericarditis_and_myocarditis_in_a_population_based_cohort_of_inpatients_with_coeliac_disease_ L2 - https://doi.org/10.1111/j.1365-2796.2007.01843.x DB - PRIME DP - Unbound Medicine ER -