Assessment of Periodontal Parameters and Serum Markers in Patients with Acute Myocardial Infarction

Background: Cardiovascular disease is the leading cause of death in developed countries and is a disease that has many contributing factors. Periodontal disease is one of the factors contributing to the progression of the disease. The aim of this study was to investigate the effect of periodontal disease on the incidence of acute myocardial infarction. Methods: In this case-control study, 60 subjects including acute myocardial disease and 60 patients without heart disease were evaluated by a cardiologist. C-reactive protein (CRP), periodontal parameters including Pocket Depth (PD) and Clinical Attachment Level (CAL) as well as Bleeding Index (BI) were assessed and recorded. Data were analyzed using the chi-square test. Results: There was no significant difference (P=0.2008) between BI index and PD between patients with and without acute myocardial infarction, but in the CAL index there was a significant difference between patients with and without myocardial infarction. (P=0.0161); in patients with myocardial infarction, the rate of increase of CRP was 40.34%. Conclusion: According to the findings of this study, which indicate a higher incidence of CAL and as a result periodontal disease and increased laboratory marker (CRP) in patients with acute myocardial infarction, methods for preventing and increasing the level of oral health and hygiene that could prevent cardiovascular disease must be introduced at a large scale.