1. Association between asthma and cardiovascular diseases: A longitudinal follow-up study using a national health screening cohort
- Author
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Hyo Geun Choi, MD, PhD, Mi Jung Kwon, MD, PhD, Ji Hee Kim, MD, PhD, So Young Kim, MD, PhD, Joo-Hee Kim, MD, PhD, Ji Young Park, MD, Yong Il Hwang, MD, PhD, and Seung Hun Jang, MD, PhD
- Subjects
Asthma ,Cardiovascular diseases ,Epidemiology ,Immunologic diseases. Allergy ,RC581-607 - Abstract
Background: Asthma has been suggested to be a risk factor for cardiovascular diseases (CVDs), although the evidence supporting this relationship is inconclusive. This study aimed to explore the long-term associations between asthma and asthma exacerbations with the occurrence of cardiovascular diseases (CVDs) such as ischemic heart disease (IHD), heart failure (HF), and cerebral stroke, utilizing data from a nationwide cohort. Materials and methods: This study utilized data from the Korean National Health Insurance Service-Health Screening Cohort database (2002–2015), including information on 111,316 asthma patients and an equal number of 1:1 matched control participants. A propensity score overlap-weighted Cox proportional hazards regression model was used to analyze the overlap-weighted hazard ratios (HRs) of asthma and exacerbated asthma for cardiovascular diseases (CVDs) within this cohort. Results: During the follow-up period, the incidence rate (IR) of IHD per 1000 person-years (PYs) was 7.82 in patients with asthma and 5.79 in controls. The IR of HF was 2.53 in asthmatic patients and 1.36 in controls. After adjustment for covariates, asthmatic patients exhibited 1.27-fold and 1.56-fold higher HRs for IHD (95% confidence interval (CI) = 1.23–1.37, P
- Published
- 2024
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