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. 2020 Aug 12;20(4):481–491. doi: 10.1007/s10238-020-00639-y

Table 1.

The summary of CVD in IBD studies

References Patients Method Investigating factor Results Risk factors
Adult studies
Feng [27] N/A Ischemic heart disease in IBD Meta- analysis Moderately increased risk of ischemic heart disease in IBD
Kirchgesner [28]

N = 210 162

CD = 97 708 UC = 112,452

Acute arterial events Cohort study Overall increased risk of acute arterial event in IBD

Female,

Young age < 50, short duration of follow-up < 5

Fumery [29] N/A Thromboembolic event Meta- analysis Increased risk of TE in CD and UC Age under 50, IBD-related hospitalization
Zanoli [32] N/A Aortic pulse wave velocity (aPWV) as an independent cardiovascular risk factor and a marker of subclinical organ damage Meta-analysis aPWV was increased in both CD and UC compared to the controls
Bernstein [33]

N = 41,005

CD = 21,340

UC = 19,665

population-based cohort study

Incidence of venous thromboembolism (VTE) in IBD patients

-pulmonary embolism

IBD patients have a threefold increased risk of developing DVT or PE.

Disease duration

White blood cell count

Bernstein [34]

N = 80,489

Age (mean):

CD = 33

UC = 39

population-based cohort study Risk for coronary artery disease IBD is associated with an increased incidence of cardiovascular events
Yarur [35] N = 356 Cohort study Incidence of coronary artery disease (CAD) in IBD patients An increased incidence of CAD events was noted in IBD patients despite having a lower burden of traditional risk factors.
Singh [36] N/A Meta-analysis The risk of arterial thromboembolic events: cerebrovascular accidents (CVA) ischemic heart disease (IHD). IBD is associated with a modest increase in the risk of cardiovascular morbidity (from CVA and IHD) Sex—female
Grainge [40] N = 13,756 Prospective cohort study Risk of VTE during different activity of IBD

The risk of VT was higher in IBD than in control

The increase in risk was more prominent during the flare

Females

Young age for CVA

Le Gall [39]

N = 3539

Age (mean): 42 y.o

Cohort Study Occurrence of acute arterial events (acute coronary syndrome or ischemic stroke)—AAE Active disease may increase the risk of AAE

Active disease

Typical risk factors

Pediatric studies
Aloi [43]

N = 52

CD = 27

UC = 25

Age (mean): 15.2 y.o

Endothelial dysfunction

Flow-mediated dilation (FMD)

Cohort study

Higher mean carotid intima-media complex in IBD than in controls

Lower FMD in IBD

Lurz [42]

N = 25

Age (mean): 14.1 y.o

Cohort study (pilot study) Not increased arterial stiffness in pediatric IBD
Trzeciak-Jedrzejczyk [45] N = 40 Adhesions molecules concentration and lipid parameters as risk factors of atherosclerosis Cohort study

No statistically significant difference in average values of adhesion molecules between IBD and control group

Higher TG level in controls than in CD in remission—higher HDL level in controls than in active IBD

Winderman [46] N = 16 Microvascular dysfunction Cohort study Lower hyperemia index None
Pac-Kożuchowska [47]

N = 30

CD = 16

UC = 14

Age (mean): 13.2 y.o

To assess selected biomarkers of atherosclerosis in children with IBD Cohort study No significant differences were found in biomarkers of atherosclerosis in children with IBD compared to controls None
Nylund [49]

CD = 61,076

UC = 7318

Age (range): 5–20 y.o

Risk of VTE in children and adolescence with IBD Retrospective cohort study Increased risk of VTE in IBD compared to controls
Lazzerini [54] N/A Incidence of thromboembolism (TE) in children with IBD Systemic review An increased risk of TE in children with IBD compared to controls
Zitomersky [55] N/A Retrospective review Risk of thromboembolism (TE) in children and young adults with IBD Increased risk of TE in young IBD patients

Active disease

UC

Barclay [57]

N = 154

CD = 98

UC = 56

Retrospective cohort study Incidence and outcome of CTE in pediatric IBD patients 2.6% of cases over 5 years

Colonic involvement

Inherited thrombophilia