Aoyama Norio, Suzuki Jun-Ichi, Kumagai Hidetoshi, Ikeda Yuichi, Akazawa Hiroshi, Komuro Issei, Minabe Masato, Izumi Yuichi, Isobe Mitsuaki
Division of Periodontology, Department of Oral Interdisciplinary Medicine, Graduate School of Dentistry, Kanagawa Dental University, 82 Inaokacho, Yokosuka, Kanagawa, 238-8580, Japan.
Department of Advanced Clinical Science and Therapeutics, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Heart Vessels. 2018 Feb;33(2):198-204. doi: 10.1007/s00380-017-1042-z. Epub 2017 Aug 12.
Hypertension (HT) is a systemic disorder that results in the decline of quality of life and death. While patients with periodontitis are at a high risk of HT, little causal information has been provided to date. To clarify the relationship, periodontopathic bacterial infection in cardiovascular patients with or without HT was evaluated. The subjects were patients with (n = 412) or without (n = 199) HT who attended Tokyo Medical and Dental University hospital. Blood examinations and periodontal measurements were performed. Three periodontopathic bacteria existence and antibody titers were evaluated. We found that specific periodontopathic bacteria, Aggregatibacter actinomycetemcomitans and Prevotella intermedia, were highly detected in male subjects with HT compared to non-HT subjects, while they were comparable in the female patients. Mean probing pocket depth of elderly male patients with HT was higher compared to non-HT patients. The rates of obesity, dyslipidemia, and diabetes showed partial statistical difference between the two groups. Specific periodontopathic bacterial infection may affect HT in male cardiovascular patients.
高血压(HT)是一种导致生活质量下降和死亡的全身性疾病。虽然牙周炎患者患HT的风险很高,但迄今为止几乎没有提供因果关系信息。为了阐明这种关系,我们评估了有或没有HT的心血管疾病患者的牙周病原菌感染情况。研究对象是东京医科齿科大学医院的有HT(n = 412)或无HT(n = 199)的患者。进行了血液检查和牙周测量。评估了三种牙周病原菌的存在情况和抗体滴度。我们发现,与非HT男性受试者相比,HT男性受试者中特定的牙周病原菌,即伴放线聚集杆菌和中间普氏菌的检出率更高,而在女性患者中两者相当。HT老年男性患者的平均探诊深度比非HT患者更高。两组之间肥胖、血脂异常和糖尿病的发生率存在部分统计学差异。特定的牙周病原菌感染可能会影响男性心血管疾病患者的HT。