Treated periodontitis and recurrent events after first-time myocardial infarction: A Danish nationwide cohort study
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Treated periodontitis and recurrent events after first-time myocardial infarction : A Danish nationwide cohort study. / 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.
In: Journal of Clinical Periodontology, Vol. 50, No. 10, 2023, p. 1305-1314.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Treated periodontitis and recurrent events after first-time myocardial infarction
T2 - A Danish nationwide cohort study
AU - Wagner, Andrea Kjellström
AU - D'Souza, Maria
AU - Bang, Casper N.
AU - Holmstrup, Palle
AU - Blanche, Paul
AU - Fiehn, Nils Erik
AU - Gislason, Gunnar
AU - Pedersen, Christian Torp
AU - Damgaard, Christian
AU - Nielsen, Claus Henrik
AU - Hansen, Peter Riis
N1 - Publisher Copyright: © 2023 The Authors. Journal of Clinical Periodontology published by John Wiley & Sons Ltd.
PY - 2023
Y1 - 2023
N2 - 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.
AB - 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.
KW - myocardial infarction
KW - periodontal treatment
KW - periodontitis
KW - prognosis
KW - recurrent cardiovascular events
U2 - 10.1111/jcpe.13853
DO - 10.1111/jcpe.13853
M3 - Journal article
C2 - 37464548
AN - SCOPUS:85165381148
VL - 50
SP - 1305
EP - 1314
JO - Journal of Clinical Periodontology
JF - Journal of Clinical Periodontology
SN - 0303-6979
IS - 10
ER -
ID: 361318643