ISR Autumn Meeting 2018

Joint 4th Place Award

Dr Áine Gorman

TBA (18A176)

Is the incidence of gout similar to other risk factors in patients presenting with stroke or myocardial infarction?

Author(s)

A. Gorman, G. Fitzgerald, B. O'Shea

Department(s)/Institutions

Rheumatology Department, St James's Hospital, Dublin 8

Introduction

Gout is known risk factor for cardiovascular disease . Studies have suggested that gout is equivalent to diabetes as a risk in patient presenting with stroke.Studies have shown a higher risk of myocardial infarction in patients with gout compared to the general population.

Aims/Background

The aim of this study was to explore wether gout is as strong as a risk factor as diabetes, hypertension, hyperlipidemia or peripheral vascular disease for myocardial infarction or stroke in the Irish populaton.

Method

The Hospital In-Patient Enquiry Scheme ( HIPE) was used to identify patients admitted with stroke or myocardial infarction from 62 acute public hospitals in Ireland from 2007 to 2017. Age, gender and number of patients with gout, diabetes, hypertension, peripheral vasclular disease and hyperlipidemia were recorded.

Results

From 2007 until 2017, 64,867 were admitted with a diagnosis of stroke. Patients age and gender of patients admitted with stroke are outlined in Table 1. 70, 628 patients were admitted with myocardial infarction.

In the stroke group , patients with diabetes had a significantly higher incidence of stroke compared to those with gout. Incidence of stoke in patients with gout was similar to patient with risks factors of hyperlipidemia or peripheral vascular disease. Chart 1 outline the number of patients with stroke presenting with each risk factor.

The incidence of gout in the myocardial infarction group (0.5%) was lower when compered to the stroke group (0.77%) . The presence of diabetes as a risk factor ( 6.7%)was significantly higher compared to the incidence of gout (0.5%)n patients admitted with myocardial infarction.

Conclusions

Gout is not an equivalent risk factor to diabetes in patients present with myocardial infarction or stroke. The incidence of gout as risk factor is similar to hyperlipidemia in patients presenting with stroke.


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