Relationship between Tooth Loss and Electrocardiographic Abnormalities in Octogenarians

Relationship between Tooth Loss and Electrocardiographic Abnormalities in Octogenarians
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八旬老人牙齿缺失与心电图异常的关系

DOI:
10.1177/00220345010800071001
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发表时间:
2001
影响因子:
7.6
通讯作者:
T. Takehara
T. Takehara
中科院分区:
医学1区
文献类型:
--
作者:
Y. Takata;T. Ansai;K. Matsumura;S. Awano;T. Hamasaki;K. Sonoki;A. Kusaba;S. Akifusa;T. Takehara

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最近的报告表明,牙周病是冠心病(CHD)的危险因素。然而,很少有人知道牙周病和冠心病之间的关系,在非常老年人。因此,我们评估了老年人牙齿脱落与异常心电图结果之间的关系。在日本福冈县的1282名老人中,有697人参加。进行口腔检查,包括牙齿计数和社区牙周病指数评估,以及12导联心电图。Logistic回归分析显示,在调整性别、吸烟、血清胆固醇和血糖、血压和体重指数后,牙齿< 20颗的个体ST段压低和T波异常的患病率增加。与有≥ 20颗牙齿的个体相比,在校正冠状动脉危险因素后,无牙个体的T波异常和心律失常患病率增加。我们的结论是,牙齿脱落可能是一个独立的预测异常心电图的结果在老年人。
Recent reports have suggested that periodontal disease is a risk factor for coronary heart disease (CHD). However, little is known about the relationship between periodontal disease and CHD in the very elderly. Therefore, we evaluated the association between tooth loss and abnormal ECG findings in octogenarians. Of the 1282 octogenarians in Fukuoka Prefecture, Japan, 697 participated. Oral examinations-including a tooth count and an assessment of the Community Periodontal Index-and a 12-lead ECG were performed. Logistic regression analysis revealed that individuals with < 20 teeth had increased prevalence of ST segment depression, and T-wave abnormalities, after we adjusted for gender, smoking, serum cholesterol and glucose, blood pressure, and body mass index. Compared with individuals with ≥ 20 teeth, edentulous individuals had an increased prevalence of T-wave abnormalities and arrhythmias after adjustment for coronary risk factors. We conclude that tooth loss may be an independent predictor of abnormal ECG findings in octogenarians.
DOI: 10.1001/jama.284.11.1406
发表时间: 2000-09-20
影响因子: 120.7
作者:
Hujoel, PP;Drangsholt, M;DeRouen, TA
通讯作者: DeRouen, TA