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Association between Chlamydia pneumoniae infection and atherosclerosis of cervical or intracranial cerebral vessels in Thai patients Cover

Association between Chlamydia pneumoniae infection and atherosclerosis of cervical or intracranial cerebral vessels in Thai patients

Open Access
|Mar 2017

Figures & Tables

Subgroup analyses of elevated Chlamydia pneumoniae IgA Titers (≥1:16)

Subgroupn (cases)Odds ratio (95%CI)P
Total population7514.10 (1.78,111.42)0.001
All patients with extracranial carotid stenosis4914.44 (1.74,119.52)0.002
All patients with extracranial carotid stenosis without intracranial stenosis233.36 (0.20,56.00)0.37
All patients with intracranial stenosis5219.85 (2.47,159.30)<0.001
All patients with intracranial stenosis without extracranial carotid stenosis2613.46 (1.43,126.69)0.004
Combined intracranial and extracranial2627.26 (3.16,235.24)<0.001

Association of stroke risk factors with extracranial carotid or intracranial artery stenosis

Unadjusted OR (95% CI)Adjusted OR (95% CI)
Sex1.15 (0.55–2.41)2.13 (0.85,5.39)
Dyslipidemia3.53 (1.39–8.96)2.43 (0.86,6.90)
Hypertension4.40 (2.08–9.32)3.40 (1.42,8.14)
Age ≥60 y1.42 (0.68–2.95)0.76 (0.31,1.87)
Diabetes mellitus9.86 (3.57–27.27)7.52 (2.50,22.64)
Ischemie heart disease2.04 (0.76–5.43)1.59 (0.47,5.40)
Smoking1.50 (0.54–4.16)1.77 (0.50,6.32)
Chlamydia pneumonia IgA14.10 (1.78–111.42)20.72 (2.10,204.77)

Prevalence of elevated Chlamydia pneumonia antibody titers

Factorsn case/controlIgG ≥ 1:64, n (%)IgA ≥ 1:16 case, n (%)
CasecontrolCasecontrol
Overall75/7543 (57)40 (53)12 (16)1 (1)
Male55/5531 (56)31 (56)9 (16)1 (2)
Dyslipidemia68/5539 (57)29 (53)11 (16)1 (2)
Hypertension62/3937 (60)24 (62)9 (15)1 (3)
Age eℍ60 y58/5333 (57)35 (66)10 (17)1 (2)
Diabetes mellitus31/516 (52)4 (80)5 (16)0 (0)
Ischemie heart disease13/78 (62)5 (71)2 (15)0 (0)
Smoking10/74 (40)3 (43)2 (20)0 (0)
Alcohol7/135 (71)7 (54)2 (29)0 (0)

Characteristics of cases and controls matched for age and sex

Case n (%) or mean (SD)Control n (%) or mean (SD)P
No7575
Male55 (73)55 (73)1.0
Weight, kg63.8 (9.85)64.5 (11.68)0.68
Height, cm162.6 (8.69)164.3 (7.30)0.19
SBP, mmHg143.6 (23.28)130.4 (19.02)<0.001

P<0.05

DBP, mmHg81.4 (12.25)76.2 (12.40)0.01

P<0.05

Total cholesterol177.6 (40.99)197.1 (39.54)0.003

P<0.05

HDL, mg/dL47.9 (13.83)54.6 (15.11)0.005

P<0.05

LDL, mg/dL107.0 (34.97)115.5 (32.64)0.12
FBS110.5 (29.29)99.5 (13.26)0.003

P<0.05

Dyslipidemia68 (91%)55 (73%)0.006

P<0.05

Hypertension62 (83%)39 (52%)<0.001

P<0.05

Age ≥60 y58 (77%)53 (71%)0.35
Diabetes mellitus31 (41%)5 (7%)<0.001

P<0.05

Ischemie heart disease13 (17%)7 (9%)0.15
Smoking10 (13%)7 (9%)0.44
Alcohol consumption7 (9%)13 (17%)0.15
DOI: https://doi.org/10.5372/1905-7415.1000.522 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
Language: English
Page range: s57 - s62
Published on: Mar 31, 2017
Published by: Chulalongkorn University
In partnership with: Paradigm Publishing Services
Publication frequency: 6 issues per year

© 2017 Napasri N. Chaisinanunkul, Tanittha Chatsuwan, Nijasri C. Suwanwela, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.