| Title: | Association of hospital-treated infectious diseases and infection burden with cardiovascular diseases and life expectancy |
| Journal: | Journal of Internal Medicine |
| Published: | 25 Mar 2024 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/38528394/ |
| DOI: | https://doi.org/10.1111/joim.13780 |
Publication 10061
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Abstract
BACKGROUND: The association of a broad spectrum of infectious diseases with cardiovascular outcomes remains unclear.</p>
OBJECTIVES: We aim to provide the cardiovascular risk profiles associated with a wide range of infectious diseases and explore the extent to which infections reduce life expectancy.</p>
METHODS: We ascertained exposure to 900+ infectious diseases before cardiovascular disease (CVD) onset in 453,102 participants from the UK Biobank study. Time-varying Cox proportional hazard models were used. Life table was used to estimate the life expectancy of individuals aged ≥50 with different levels of infection burden (defined as the number of infection episodes over time and the number of co-occurring infections).</p>
RESULTS: Infectious diseases were associated with a greater risk of CVD events (adjusted HR [aHR] 1.79 [95% confidence interval {CI} 1.74-1.83]). For type-specific analysis, bacterial infection with sepsis had the strongest risk of CVD events [aHR 4.76 (4.35-5.20)]. For site-specific analysis, heart and circulation infections posed the greatest risk of CVD events [aHR 4.95 (95% CI 3.77-6.50)], whereas noncardiac infections also showed excess risk [1.77 (1.72-1.81)]. Synergistic interactions were observed between infections and genetic risk score. A dose-response relationship was found between infection burden and CVD risks (p-trend <0.001). Infection burden >1 led to a CVD-related life loss at age 50 by 9.3 years [95% CI 8.6-10.3]) for men and 6.6 years [5.5-7.8] for women.</p>
CONCLUSIONS: The magnitude of the infection-CVD association showed specificity in sex, pathogen type, infection burden, and infection site. High genetic risk and infection synergistically increased the CVD risk.</p>
10 Authors
- Jiazhen Zheng
- Can Ni
- S. W. Ricky Lee
- Fu-Rong Li
- Jinghan Huang
- Rui Zhou
- Yining Huang
- Gregory Y. H. Lip
- Xianbo Wu
- Shaojun Tang
1 Application
| Application ID | Title |
|---|---|
| 97089 | Associations of physical multimorbidity patterns and heart structure with cognition and neuroimaging outcomes |
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