Mechanistic insight: Linking cardiovascular complications of inflammatory bowel disease

Trends Cardiovasc Med. 2024 Apr;34(3):203-211. doi: 10.1016/j.tcm.2023.01.002. Epub 2023 Jan 24.

Abstract

Cardiovascular diseases (CVD) are the leading cause of mortality worldwide despite an aggressive reduction of traditional cardiovascular risk factors. Underlying inflammatory conditions such as inflammatory bowel disease (IBD) increase the risk of developing CVD. A broad understanding of the underlying pathophysiological processes between IBD and CVD is required to treat and prevent cardiovascular events in patients with IBD. This review highlights the commonality between IBD and CVD, including dysregulated immune response, genetics, environmental risk factors, altered gut microbiome, stress, endothelial dysfunction and abnormalities, to shed light on an essential area of modern medicine.

Keywords: Atherosclerosis; Endothelial dysfunction; Immune response; Inflammatory cytokines; Microbiome.

Publication types

  • Review

MeSH terms

  • Cardiovascular Diseases* / diagnosis
  • Cardiovascular Diseases* / epidemiology
  • Cardiovascular Diseases* / etiology
  • Gastrointestinal Microbiome*
  • Heart Disease Risk Factors
  • Humans
  • Inflammatory Bowel Diseases* / complications
  • Inflammatory Bowel Diseases* / diagnosis
  • Inflammatory Bowel Diseases* / therapy
  • Vascular Diseases*