The Daily Telegraph

Common infections may raise risk of stroke or heart attack

- Health Editor By Laura Donnelly

COMMON infections could double the risk of stroke and significan­tly increase the chance of a heart attack, new research suggests.

Researcher­s said the dangers could be greater than those posed by obesity and on a par with high blood pressure or diabetes, in increasing risks to the heart.

The British study involving patients treated in hospital for infections found they had a 40 per cent greater chance of a heart attack, while stroke risk was increased by 150 per cent. Those suffering such infections were three times as likely to die if they suffered future heart disease.

The research used records from 1.2 million patients to track 34,000 patients admitted to hospital over 14 years suffering from urinary or respirator­y tract infections.

They were then compared with a control group of patients the same age and gender without such diagnoses.

The study from Aston Medical School in Birmingham found such patients were three times more likely to die if they developed heart disease and almost twice as likely to die from a stroke compared with patients who had not suffered infections.

Researcher­s suggested that the infections may cause inflammati­on, which has recently been found to be linked to heart disease.

Dr Paul Carter, the lead author of the study, said: “The data illustrate a clear associatio­n between infections and

life-threatenin­g heart conditions and strokes, and the figures are too huge to ignore.”

Dr Carter, a researcher at Aston’s ACALM unit and academic clinical fellow at Cambridge University, added: “Serious infections are among the biggest causes of death in the UK directly, but research shows infections that are severe enough to lead to hospitalis­ation may present a delayed risk in the form of these atheroscle­rotic diseases.

“The sheer number of people who could be affected presents a challenge that needs further investigat­ion.”

The findings are due to be presented at the American College of Cardiology conference in Orlando.

Dr Rahul Potluri, ACALM founder and cardiologi­st, said: “Our figures suggest that those who are admitted to hospital with a respirator­y or urinary tract infection are 40 per cent more likely to suffer a subsequent heart attack, and 2.5 times more likely to have a stroke, than patients who have had no such infection, and are considerab­ly less likely to survive from these conditions.”

The team was studying whether patients who had been treated in hospital for respirator­y and urinary tract infections were at increased risk of events such as heart attacks and strokes caused by atheroscle­rosis – the build-up of plaque in artery walls.

The role of inflammati­on in this process has recently received a great deal of scientific attention, since research last year showed that anti-inflammato­ry therapies can reduce the risk of having a heart attack.

However, very little is known about the role of infection in the process.

Dr Potluri said: “It is notable that infection appears to confer as much, if not more, of a risk for future heart disease and stroke as very well establishe­d risk factors such as high blood pressure and diabetes.

“Although inflammati­on has been linked to atheroscle­rosis, this is the largest study to show that common infection is such a significan­t risk factor.”

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