Document Detail


Radiographic assessment of dental health in middle-aged men following sudden cardiac death.
MedLine Citation:
PMID:  16373688     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Poor oral health has been suggested to be a risk factor for myocardial infarction. To study if dental pathology might predispose to pre-hospital sudden cardiac death, and using a sum index of panoramic tomography findings, we compared the oral health of middle-aged (33-69 yrs) male victims (Helsinki Sudden Death Study) of sudden cardiac death (n = 117) with that of controls, who died of non-cardiac diseases (n = 63) or suffered unnatural sudden death (n = 120). The mean number of teeth was 15.2, and 17.4% of the men were edentulous. Frequent age-associated findings in dentate victims were fillings (79.9%), horizontal bone loss (72.1%), periapical lesions (45.6%), residual roots (38.2%), and vertical pockets (30.9%). In multivariate analysis with coronary heart disease risk factors and number of teeth as covariates, poor oral health was associated (p = 0.053) with the risk of sudden cardiac death along with age, smoking, and body mass index. This association was especially strong (p = 0.009) among victims < 50 yrs.
Authors:
V Karhunen; H Forss; S Goebeler; H Huhtala; E Ilveskoski; O Kajander; J Mikkelsson; A Penttilä; M Perola; H Ranta; J H Meurman; P J Karhunen
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of dental research     Volume:  85     ISSN:  0022-0345     ISO Abbreviation:  J. Dent. Res.     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2005-12-23     Completed Date:  2006-03-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0354343     Medline TA:  J Dent Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  89-93     Citation Subset:  D; IM    
Affiliation:
Medical School, University of Tampere and Research Unit of Clinical Chemistry, Tampere University Hospital, Finland. vesa.karhunen@fimnet.fi
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Alveolar Bone Loss / radiography
Body Mass Index
Cadaver
Coronary Disease / complications
Death, Sudden, Cardiac* / etiology
Dental Restoration, Permanent
Furcation Defects / radiography
Humans
Male
Middle Aged
Mouth, Edentulous / radiography
Oral Health
Periapical Diseases / radiography
Periodontal Pocket / radiography
Radiography, Panoramic*
Risk Factors
Smoking
Tomography, X-Ray
Tooth Loss / radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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