Pneumonia Raise Risk of Heart Problems in Older Adults

Your chance of having a heart attack or stroke increases significantly if you have been hospitalized for pneumonia, according to a paper published today in the influential JAMA (Journal of the American Medical Association).

“The main conclusion from our study is that someone hospitalized for pneumonia should be considered at greater risk of developing cardiovascular disease,” said lead author Dr. Vicente Corrales-Medina, an infectious diseases physician and researcher at The Ottawa Hospital, and assistant professor with the University of Ottawa’s Faculty of Medicine.

“This means two things. First, it provides yet another reason to do everything we can to prevent pneumonia from occurring in the community, through vaccination and basic hand hygiene, for example,” he continued. “This is especially important for the elderly and those with other risk factors for cardiovascular disease, such as diabetes, smoking and high cholesterol.”

“Second, once pneumonia has occurred, physicians should develop a care plan understanding that these patients are more likely to develop cardiovascular disease in the weeks, months and years following their recovery from this infection,” added Dr. Corrales-Medina. “Such measures could include screening and primary prevention strategies for cardiovascular disease.”

While other studies have made the connection between pneumonia hospitalization and cardiovascular disease, this is the first to only look at pneumonia patients with no previous history of cardiovascular disease while also taking into account the effect of other established cardiovascular risk factors. By doing so, their results strongly indicate that hospitalization for pneumonia should be considered its own risk factor for future cardiovascular disease.

The JAMA paper was a collaboration with Dr. Sachin Yende, who is an associate professor at the University of Pittsburgh and director of the Clinical Epidemiology program at its CRISMA Center. It used records of 3,813 people from two community health studies, both based in the United States. One enrolled participants aged 65 and older and the other enrolled participants aged 45 to 64. The JAMA study analysed health data of 1,271 pneumonia patients against 2,542 control patients (matched by age) over a period of 10 years.

Results showed that these pneumonia patients had a raised level of risk for cardiovascular disease over the entire 10 years, with the highest risk experienced in the first year. For example, in the group aged 65 and older, a pneumonia patient was four times more likely to develop cardiovascular disease in the first 30 days following the infection. In the tenth year, they were a little less than twice as likely to develop cardiovascular disease.

Another way of looking at it: The 10-year risk of developing cardiovascular disease for a 72-year-old woman with two cardiovascular risk factors (hypertension and smoking) increases from 31% to 90% if she is hospitalized for pneumonia.

Results from the group aged 45 to 64 showed that the risk was higher in the first two years, but not significantly raised after that. In this younger group, a pneumonia patient was 2.4 times more likely to develop cardiovascular disease in the first 90 days after the infection.

Dr. Corrales-Medina’s current research is focused on trying to determine what biological mechanisms are responsible for this raised risk of cardiovascular disease after pneumonia, in order to develop therapies to prevent the subsequent onset of cardiovascular disease.

Source: Ottawa Hospital Research Institute

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Quesadillas with Egg, Spinach and Black Beans

Ingredients

4 eggs
2 cup spinach, roughly chopped
1/2 cup cooked black beans
2 medium whole grain tortilla
1¼ cups shredded cheddar cheese
hot sauce
salt

Guacamole

1 avocado, diced
1 tbsp fresh lime juice
2 tbsp finely chopped white onion
3 tbsp chopped fresh cilantro
1 clove garlic, minced
1/2 tsp ground coriander
1/8 tsp salt

Method

  1. To make the guacamole, combine the ingredients in a small bowl. Mash with a fork until the mixture is well combined and mostly smooth. Set aside.
  2. Beat eggs in with a couple dashes of hot sauce and 1/8 tsp salt.
  3. Heat 1 tsp olive oil in a medium-sized skillet over medium heat. Add the chopped spinach and cook, stirring often, until wilted, about 1 to 2 minutes. Add the black beans to the skillet. Pour in the egg. Cook, stirring often, until the eggs are just set. Remove and set aside.
  4. In a large skillet, warm the tortilla over medium heat. Sprinkle 1/4 cup of cheese on one half of the tortilla. Top the cheese with half of the egg mixture, and then add another 1/4 cup cheese. Fold the other half of the tortilla to form a quesadilla.
  5. Cook the quesadilla for a minute, then flip the quesadilla over. Immediately sprinkle some cheese over the quesadilla and let it melt as the other side cooks for a couple of minutes. Flip and cook the quesadilla until both sides are nicely brown.
  6. Repeat the two steps above for the second tortilla.
  7. Slice each quesadilla into 2 pieces and serve with guacamole.

Makes 2 servings.

Source: Mexican Cooking

What’s for Breakfast?

Home-cooked Breakfast

The Menu

  • Fried Banana Cakes
  • Vegetables and Fruit Salad
  • Herbal Red Tea

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