{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:44:41Z","timestamp":1787013881956,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,3,4]],"date-time":"2013-03-04T00:00:00Z","timestamp":1362355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aliment Pharmacol Ther"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Studies have shown an increased risk of ischaemic heart disease (\n                      <jats:styled-content style=\"fixed-case\">IHD<\/jats:styled-content>\n                      ) in patients with coeliac disease (\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      ), despite the patients' lack of traditional\n                      <jats:styled-content style=\"fixed-case\">IHD<\/jats:styled-content>\n                      risk factors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      To characterise\n                      <jats:styled-content style=\"fixed-case\">IHD<\/jats:styled-content>\n                      according to\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      status.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data on duodenal or jejunal biopsies were collected in 2006\u20132008 from all 28 pathology departments in Sweden and were used to define\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      (equal to villous atrophy; Marsh stage 3). We used the Swedish cardiac care register\n                      <jats:styled-content style=\"fixed-case\">SWEDEHEART<\/jats:styled-content>\n                      to identify\n                      <jats:styled-content style=\"fixed-case\">IHD<\/jats:styled-content>\n                      and to obtain data on clinical status and risk factors at time of first myocardial infarction for this case\u2010only comparison. Logistic regression was used to estimate odds ratios (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      s) and 95% confidence intervals (\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      s).\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      patients were compared with general population reference individuals.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified 1075\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      patients and 4142 reference individuals with subsequent\n                      <jats:styled-content style=\"fixed-case\">IHD<\/jats:styled-content>\n                      .\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      patients with myocardial infarction had lower body mass index (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and cholesterol values (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and were less likely to be active smokers (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a00.74; 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a00.56\u20130.98) than reference individuals with myocardial infarction.\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      patients had less extensive coronary artery disease at angiography (any stenosis:\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a00.80; 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a00.66\u20130.97; three\u2010vessel disease:\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a00.73; 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a00.57\u20130.94); but there was no difference in the proportions of\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      patients with positive biochemical markers of myocardial infarction (\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      : 92.2% vs. reference individuals: 91.5%,\n                      <jats:italic>P\u00a0<\/jats:italic>\n                      =\u00a00.766).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Despite evidence of an increased risk of\n                      <jats:styled-content style=\"fixed-case\">IHD<\/jats:styled-content>\n                      and higher cardiovascular mortality, patients with coeliac disease with\n                      <jats:styled-content style=\"fixed-case\">IHD<\/jats:styled-content>\n                      have a more favourable cardiac risk profile compared with\n                      <jats:styled-content style=\"fixed-case\">IHD<\/jats:styled-content>\n                      in reference individuals.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apt.12271","type":"journal-article","created":{"date-parts":[[2013,3,4]],"date-time":"2013-03-04T20:51:41Z","timestamp":1362430301000},"page":"905-914","source":"Crossref","is-referenced-by-count":50,"title":["The characterisation and risk factors of ischaemic heart disease in patients with coeliac disease"],"prefix":"10.1111","volume":"37","author":[{"given":"L.","family":"Emilsson","sequence":"first","affiliation":[{"name":"V\u00e5rdcentralen V\u00e4rmlands Nys\u00e4ter V\u00e4rmland County Sweden"},{"name":"Department of Medicine \u00d6rebro University \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Carlsson","sequence":"additional","affiliation":[{"name":"PCI unit Department of Cardiology Central Hospital Karlstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Holmqvist","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Unit Department of Medicine Solna Karolinska University Hospital and Karolinska Institutet Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"James","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences Cardiology and Uppsala Clinical Research Center Uppsala University Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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