Evidence map›Paper›PMID 40298092›Full record

ArticleAlimentary pharmacology & therapeutics2025

Increased Risk of Cardiovascular Events After Coronary Interventions in Inflammatory Bowel Disease: A Nationwide Matched Cohort Study.

Ramin Ebrahimi, Fahim Ebrahimi, Jan Hendrik Niess, Ali Mahdi, Shaojie Chen, Davide Di Vece, Weiwei Bian, Alexander Kutz, Anders Forss

Abstract read
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ramin EbrahimiDivision of Cardiology, Department of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.
Fahim EbrahimiDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-5862-966X
Jan Hendrik NiessDepartment of Gastroenterology and Hepatology, University Digestive Health Care Center Basel-Clarunis, Basel, Switzerland.ORCID https://orcid.org/0000-0001-6902-5650
Ali MahdiDivision of Cardiology, Department of Medicine Solna, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Shaojie ChenDivision of Cardiology, Department of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.ORCID https://orcid.org/0000-0002-7082-9573
Davide Di VeceDivision of Cardiology, Department of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.
Weiwei BianDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-1536-2947
Alexander KutzDivision of General Internal and Emergency Medicine, University Department of Medicine, Kantonsspital Aarau, Aarau, Switzerland.ORCID https://orcid.org/0000-0002-7549-5648
Anders ForssCentre for Digestive Health, Department of Gastroenterology, Dermatovenereology and Rheumatology, Karolinska University Hospital, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-1906-4982

Funding

Bengt Ihre Research FellowshipMargot und Erich Goldschmidt & Peter René Jacobson-Foundation
6 · The paper itself

Abstract

backgroundInflammatory bowel diseases (IBD) have been associated with an increased long-term risk of coronary artery disease due to chronic systemic inflammation.

aimTo evaluate the risk of major adverse cardiovascular events (MACE) after coronary interventions.

methodsIn this nationwide cohort study of adults undergoing percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) (2012-2022), patients with IBD were propensity score-matched 1:10 to comparators without IBD. The primary outcome was MACE, a composite of acute myocardial infarction, stroke, hospitalisation for heart failure, or mortality. Secondary outcomes included each MACE component, 30-day all-cause readmission, revascularisation and in-hospital outcomes including intensive care unit admission and length of hospital stay. We calculated hazard ratios (HRs) and incidence rates (IRs) using Cox proportional hazards modelling.

resultsWe included 987 patients with IBD and 9571 matched comparators. After a median follow-up of 3.5 years, MACE occurred in 488 patients with IBD (49.4%, IR: 96.5/10,000 person-years [PY]) and in 3857 matched comparators (40.3%, IR: 68.9/10,000 PY); HR 1.37 (95% CI, 1.24-1.52). This equates to one additional MACE for every 36 patients with IBD over 10 years. The risk of each MACE component was increased, except for stroke. There were no differences between IBD subtypes or coronary intervention (PCI vs. CABG). Risks were highest in older individuals and elective interventions.

conclusionsPatients with IBD were at 37% higher risk of MACE after coronary intervention, indicating a need for intensified cardiovascular risk reduction in these high-risk individuals.

Indexed as

Cardiovascular DiseasesCoronary Artery BypassCoronary Artery DiseaseInflammatory Bowel DiseasesPercutaneous Coronary InterventionAdultAgedCohort StudiesFemaleHumansIncidenceMaleMiddle AgedMyocardial InfarctionPropensity ScoreProportional Hazards Modelscoronary artery bypass graftingepidemiologyIBDMACEmortalitypercutaneous coronary intervention

Identifiers

PMID40298092
PMCPMC12107215

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.