Gout & crystal arthritis

Major cardiovascular events in patients with cardiovascular monosodium urate deposits in atherosclerotic plaques

Rheumatology (Oxford)Published Retrospective cohort study

Main finding · Major adverse cardiac eventsResult — go to the resultOdds ratio 2.4

Authors' conclusion

This is the first study demonstrating the higher hazard of major adverse cardiac events in patients with dual energy computed tomography-verified cardiovascular monosodium urate deposits.

Study context

Population
Patients with clinical suspicion of gout who underwent dual energy CT of the affected limb and thorax, 1 June 2012 to 5 December 2019 (gout, hyperuricemia and controls)131 gout, 40 hyperuricemia, 18 controls
Participants
189 patients
Exposure
Cardiovascular MSU deposits vs no cardiovascular MSU deposits on dual energy CT
  • Cardiovascular monosodium urate depositsn = 85
  • Without cardiovascular monosodium urate depositsn = 104reference
Outcome
Major adverse cardiac events
Follow-up
Median 33 months (range 0-108 months)

Main finding

As reported in the abstract

Odds ratio

2.4

P = 0.018

Events by group

Observational data: associations, not effects.

Further findings

Serum acute phase reactants, uric acid levels and CT calcium scores

Increased in patients with cardiovascular MSU deposits vs without

Original publication

Major cardiovascular events in patients with cardiovascular monosodium urate deposits in atherosclerotic plaques. Rheumatology (Oxford). Published 23 April 2024. doi:10.1093/rheumatology/keae240

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