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Tuberculosis increases the subsequent risk of acute coronary syndrome: a nationwide population-based cohort study.
Int J Tuberc Lung Dis. 2014 Jan; 18(1):79-83.IJ

Abstract

OBJECTIVE

To evaluate the effects of pulmonary tuberculosis (PTB) on the risk of subsequent acute coronary syndrome (ACS) development.

METHODS

The incidence and risk factors of ACS were investigated in 10 168 newly diagnosed tuberculosis (TB) patients from Taiwan's National Health Insurance Research Database between 1997 and 2010, and 40 672 controls without TB from the general population. The follow-up period ran from the diagnosis of new TB to the date of the ACS event, censoring or 31 December 2010.

RESULTS

During the follow-up period, the overall incidence of ACS was higher in TB patients than in non-TB patients (2.10 vs. 1.51 per 1000 person-years). The incidence of ACS increased by 40% in TB patients after adjusting for age, sex and co-morbidities. Male sex, age, hypertension and diabetes were independent factors for the risk of ACS development. The probability of ACS increased in the years following the TB diagnosis.

CONCLUSION

This nationwide population-based cohort study provides compelling evidence that TB patients are at higher risk of developing ACS, and that the risk increases with age. Clinicians should be aware of this and strive to reduce ACS risk factors in TB patients.

Authors+Show Affiliations

Department of Internal Medicine, Taichung Hospital, Department of Health, Executive Yuan, Taichung, Taiwan; Department of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung, Taiwan.Management Office for Health Data, China Medical University Hospital, Taichung, Taiwan.Department of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung, Taiwan.Department of Internal Medicine, Taichung Hospital, Department of Health, Executive Yuan, Taichung, Taiwan.Management Office for Health Data, China Medical University Hospital, Taichung, Taiwan; Department of Public Health, China Medical University, Taichung, Taiwan.Graduate Institute of Clinical Medicine Science and School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan; Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung, Taiwan.Department of Internal Medicine and Family Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan; Chia Nan University of Pharmacy and Science, Tainan, Taiwan; and Meiho University, Pingtung, Taiwan.

Pub Type(s)

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

Language

eng

PubMed ID

24365557

Citation

Chung, W-S, et al. "Tuberculosis Increases the Subsequent Risk of Acute Coronary Syndrome: a Nationwide Population-based Cohort Study." The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease, vol. 18, no. 1, 2014, pp. 79-83.
Chung WS, Lin CL, Hung CT, et al. Tuberculosis increases the subsequent risk of acute coronary syndrome: a nationwide population-based cohort study. Int J Tuberc Lung Dis. 2014;18(1):79-83.
Chung, W. S., Lin, C. L., Hung, C. T., Chu, Y. H., Sung, F. C., Kao, C. H., & Yeh, J. J. (2014). Tuberculosis increases the subsequent risk of acute coronary syndrome: a nationwide population-based cohort study. The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease, 18(1), 79-83. https://doi.org/10.5588/ijtld.13.0288
Chung WS, et al. Tuberculosis Increases the Subsequent Risk of Acute Coronary Syndrome: a Nationwide Population-based Cohort Study. Int J Tuberc Lung Dis. 2014;18(1):79-83. PubMed PMID: 24365557.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tuberculosis increases the subsequent risk of acute coronary syndrome: a nationwide population-based cohort study. AU - Chung,W-S, AU - Lin,C-L, AU - Hung,C-T, AU - Chu,Y-H, AU - Sung,F-C, AU - Kao,C-H, AU - Yeh,J-J, PY - 2013/12/25/entrez PY - 2013/12/25/pubmed PY - 2014/8/29/medline SP - 79 EP - 83 JF - The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease JO - Int. J. Tuberc. Lung Dis. VL - 18 IS - 1 N2 - OBJECTIVE: To evaluate the effects of pulmonary tuberculosis (PTB) on the risk of subsequent acute coronary syndrome (ACS) development. METHODS: The incidence and risk factors of ACS were investigated in 10 168 newly diagnosed tuberculosis (TB) patients from Taiwan's National Health Insurance Research Database between 1997 and 2010, and 40 672 controls without TB from the general population. The follow-up period ran from the diagnosis of new TB to the date of the ACS event, censoring or 31 December 2010. RESULTS: During the follow-up period, the overall incidence of ACS was higher in TB patients than in non-TB patients (2.10 vs. 1.51 per 1000 person-years). The incidence of ACS increased by 40% in TB patients after adjusting for age, sex and co-morbidities. Male sex, age, hypertension and diabetes were independent factors for the risk of ACS development. The probability of ACS increased in the years following the TB diagnosis. CONCLUSION: This nationwide population-based cohort study provides compelling evidence that TB patients are at higher risk of developing ACS, and that the risk increases with age. Clinicians should be aware of this and strive to reduce ACS risk factors in TB patients. SN - 1815-7920 UR - https://www.unboundmedicine.com/medline/citation/24365557/Tuberculosis_increases_the_subsequent_risk_of_acute_coronary_syndrome:_a_nationwide_population_based_cohort_study_ L2 - https://www.ingentaconnect.com/openurl?genre=article&issn=1027-3719&volume=18&issue=1&spage=79&aulast=Chung DB - PRIME DP - Unbound Medicine ER -