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Research ArticleArticle

Arterial Events in Persons with Dermatomyositis and Polymyositis

ANNALIESE TISSEVERASINGHE, SASHA BERNATSKY and CHRISTIAN A. PINEAU
The Journal of Rheumatology September 2009, 36 (9) 1943-1946; DOI: https://doi.org/10.3899/jrheum.090061
ANNALIESE TISSEVERASINGHE
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SASHA BERNATSKY
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  • For correspondence: sasha.bernatsky@mail.mcgill.ca
CHRISTIAN A. PINEAU
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    Figure 1.

    Rates of arterial events in persons with inflammatory myopathy, by age and sex. A. Acute myocardial infarction (based on at least one hospital discharge diagnosis with ICD-9 code 410). B. Atherosclerotic cerebrovascular disease (based on at least one hospital discharge diagnosis, or 2 billing code diagnoses, for atherosclerotic cerebrovascular disease (ICD-9 codes 433–435).

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    Table 1.

    Crude and adjusted risk ratios (RR) for new-onset arterial thromboembolic events in persons with inflammatory myopathies.

    Cases, n = 80Controls, n = 331CrudeAdjusted*
    Percent ExposedRRRR95% CI
    Medication exposure
      Glucocorticosteroids68.869.81.01.50.7, 3.4
      NSAID35.026.51.50.90.3, 2.4
      COX-2 inhibitors7.58.20.91.00.2, 4.6
      Immunomodulators30.039.40.70.50.2, 1.0
        Methotrexate15.010.51.50.90.3, 2.3
        Azathioprine11.322.40.40.30.1, 0.8
        Antimalarial agents5.06.50.80.30.0, 1.5
        Cyclophosphamide1.35.50.20.10.0, 1.2
    Comorbidity
      Hypertension66.346.42.52.61.2, 5.5
      Lipid disorders18.816.71.32.61.0, 6.5
      Diabetes mellitus23.817.51.81.20.5, 3.0
      Non-atherosclerotic heart disease (CHF and valve disease)47.512.56.07.03.2, 15.2
      Obesity6.31.93.00.70.1, 4.7
      Cancer42.535.11.51.70.8, 3.4
      Interstitial lung disease5.010.50.40.50.1, 2.3
    • ↵* Multivariate analyses controlled for all covariates in the table, as well as whether the diagnosis of inflammatory myopathy was initially made in hospital or billing data, and history of coagulopathy and/or exposure to aspirin, warfarin, or low molecular weight heparin. CI: confidence interval; NSAID: nonsteroidal antiinflammatory drugs; COX-2 inhibitors: cyclooxygenase-2 inhibitors; CHF: congestive heart failure.

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The Journal of Rheumatology
Vol. 36, Issue 9
1 Sep 2009
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Arterial Events in Persons with Dermatomyositis and Polymyositis
ANNALIESE TISSEVERASINGHE, SASHA BERNATSKY, CHRISTIAN A. PINEAU
The Journal of Rheumatology Sep 2009, 36 (9) 1943-1946; DOI: 10.3899/jrheum.090061

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Arterial Events in Persons with Dermatomyositis and Polymyositis
ANNALIESE TISSEVERASINGHE, SASHA BERNATSKY, CHRISTIAN A. PINEAU
The Journal of Rheumatology Sep 2009, 36 (9) 1943-1946; DOI: 10.3899/jrheum.090061
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