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 |