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Carotid intima-media thickness in patients with inflammatory bowel disease: a systematic review.

TitleCarotid intima-media thickness in patients with inflammatory bowel disease: a systematic review.
Publication TypeJournal Article
Year of Publication2014
AuthorsTheocharidou, E., Gossios T. D., Giouleme O., Athyros V. G., & Karagiannis A.
JournalAngiology
Volume65
Issue4
Pagination284-93
Date Published2014 Apr
ISSN1940-1574
KeywordsAdolescent, Adult, Carotid Arteries, Carotid Artery Diseases, Carotid Intima-Media Thickness, Female, Humans, Inflammatory Bowel Diseases, Male, Middle Aged, Predictive Value of Tests, Prevalence, Prognosis, Risk Factors, Severity of Illness Index, Young Adult
Abstract

We systematically reviewed the available data on carotid intima-media thickness (cIMT) in patients with inflammatory bowel diseases (IBDs) without history of cardiovascular disease (CVD) and its associated factors. A total of 6 studies met the inclusion criteria including 217 patients with Crohn's disease (CD) and 85 with ulcerative colitis (UC). Two studies included only patients with CD. The prevalence of traditional CVD risk factors and the inflammatory burden (IBD duration and activity) varied greatly among patients and studies. Factors that correlated with cIMT were age, male gender, body mass index, arterial hypertension, as well as cholesterol and homocysteine levels. The current data on cIMT in patients with IBD are inconclusive. This is probably due to small number of patients, population heterogeneity with regard to inflammatory burden and smoking habits, and lack of strict matching with controls. In order to elucidate any potential association between IBD and CVD risk, larger prospective studies are required.

DOI10.1177/0003319713477471
Alternate JournalAngiology
PubMed ID23423851

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