期刊名称：International Journal of Collaborative Research on Internal Medicine & Public Health
电子版ISSN：1840-4529
出版年度：2012
卷号：4
期号：6
出版社：DRUNPP Sarajevo
摘要：Objective: Poor oral health is common in the United States. The incidence of periodontal disease in young adults in USA is around 7-10%.The current review finds that periodontal disease is associated with a 24% increase in the risk for CHD. Background: Evidence for a link between periodontal disease and several systemic diseases is growing rapidly. Current evidence suggests that periodontitis is associated with an increased likelihood of coronary heart disease, diabetes and metabolic syndrome. In recent times there has been increasing awareness that immune responses are central to atherogenesis and a mechanism by which infection may initiate and facilitate the progression of atherosclerosis. The passage of periodontal pathogens, and their products, through ulcerated epithelium into the circulation, leading to bacteraemia and/or provocation of systemic immune and inflammatory responses is of concern. In a meta-analysis, periodontal disease increased the risk for incident CHD by a risk ratio of 1.24. Almost 1/3 of diabetes has severe periodontal disease. Methods: A retrospective analysis was performed from January 2007 to December 2009 in all acute coronary syndromes admitted in Providence Hospital’s Heart Institute, who are less than 50 years old. Patient charts were reviewed. Patient’s demographics and traditional risk factors were charted. Patients were called and specific questions regarding periodontal disease were asked.
