Intestinal diseases increase by up to nine times the risk of myocardial infarction
Study reveals Crohn’s and ulcerative colitis can sponsor the emergence of cardiovascular disease
Pain, burning, diarrhea … Inflammatory bowel diseases (IBD) are a torment for millions of patients around the globe. And a newly released research shows that its repercussions are not limited to the digestive system: the problem is also related to the heart attack .
The finding comes from the University Hospital of Cleveland Medical Center in the United States. The experts analyzed the medical records of 17.5 million patients and found that 211,000 of them (equivalent to 1.2% of the total) had been diagnosed with Crohn’s or ulcerative colitis .
When data were compared to healthy subjects, infarction rates were 23% higherin those with any of these intestinal disorders. Worse: among the younger subjects, the probability of a pyripac in the heart was nine times higher . And it looks like they have ruled out the influence of other crucial components in this process, such as high cholesterol , diabetes and hypertension .
Such strong information has motivated the authors of the research to consider that inflammatory bowel diseases are, in and of themselves, a risk factor for cardiovascular disease . The survey will be presented on Sunday, March 11, during the Annual Scientific Sessions of the American College of Cardiology , one of the most important congresses in the area.
According to Dr. José Luiz Aziz, director of the Society of Cardiology of the State of São Paulo and professor of the Faculty of Medicine of ABC , this relationship between the two problems can be explained by inflammation . “Just as it attacks the walls of the intestine , it also damages the lining of the arteries,” he says. “This initiates a process of atherosclerosis and a subsequent interruption of blood flow,” he adds. If this blockage occurs in the heart, it is the infarction that gives the faces.
The inflammatory bowel disease is a term for two problems affecting the gastrointestinal tract: Crohn’s disease and colitis. “The first can occur anywhere between the mouth and the anus , while the second is restricted to the large intestine and rectum,” says protistologist Maristela Gomes of the Edmundo Vasconcelos Hospital Complex in São Paulo. Genetic, environmental and behavioral factors are involved in the origin of the tables.
It is worth mentioning that the pair is usually diagnosed through a colonoscopy in the range of 15 to 30 years , which would explain the greatest number of cardiovascular damage among the younger population. It is estimated that, in American lands alone, 3 million individuals have one of two diseases. In addition, 70,000 new cases are identified each year. Unfortunately, there are no Brazilian statistics on the subject.
Cool, but what should I do now?
The American research reinforces an essential point: the need of the patient with rectocolite or Crohn to follow closely its health. That is: he should not only follow the drug treatment and make regular appointments with the doctor, but also make from time to time checkups with the cardiologist to avoid the chest upset. “Early assessment helps prevent many of these cardiac events,” says Aziz.