Asthma and risk of cardiovascular disease or all-cause mortality: a meta-analysis

BACKGROUND: Previous studies have demonstrated that asthma might be associated with an increase in cardiovascular disease (CVD) and death. However, this relationship differs by gender. OBJECTIVES: To systematically evaluate the association of asthma on the incidence of CVD and death in cohort studie...

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Bibliographic Details
Main Authors: Mingzhu Xu, Jialiang Xu, Xiangjun Yang
Format: Article
Language:English
Published: King Faisal Specialist Hospital and Research Centre 2017-03-01
Series:Annals of Saudi Medicine
Online Access:https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2017.99
Description
Summary:BACKGROUND: Previous studies have demonstrated that asthma might be associated with an increase in cardiovascular disease (CVD) and death. However, this relationship differs by gender. OBJECTIVES: To systematically evaluate the association of asthma on the incidence of CVD and death in cohort studies. DESIGN: Fixed and random effects models were used to calculate risk estimates in a meta-analysis. Potential publication bias was calculated using a funnel plot, Begg’s rank correlation test, and Egger’s linear regression test. SEARCH STRATEGY: We searched the PubMed and Embase databases for studies that examined the relationship between asthma and CVD or all-cause mortality. SELECTION CRITERIA: Prospective and retrospective cohort studies. RESULTS: Ten studies containing 406426 participants were included. The summary relative risk (95% confidence interval, CI) for patients with asthma was 1.33 (95% CI: 1.15–1.53), for CVD in women, it was 1.55 (95% CI: 1.20–2.00), for CVD in men it was 1.20 (95% CI: 0.92–1.56), and for all-cause mortality in both genders it was 1.36 (95% CI: 1.01–1.83). These findings remained consistent after sensitivity analysis. CONCLUSION: The results indicate that asthma was associated with an increased risk of CVD and all-cause mortality.
ISSN:0256-4947
0975-4466