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Is there a link between chronic sinusitis and heart disease? Dr. Stefan Kiechl, a professor of neurology at Innsbruck University Clinic in Austria, belives so.
Kiechl and his colleagues studied people who suffered from chronic sinusitis (sinus inflammation and infections), they found that an inordinate amount of them also ended up with clogged arteries and microvascular heart disease. This was despite each patient's otherwise positive living habits (good dietary habits, good weight maintenance, moderate stress levels, and few family backgrounds of heart disease).
Their conclusion was that when the body's immune system senses the inflammation, it sends out immune cells. However, the bodies of people who suffer from heart ailments often over react and send out more immune cells than are needed to fight the inflammation. This causes the sinuses to become blocked. When the inflammation turns into an infection, the body sends more white blood cells.
Now there are so many white cells roaming around that they don't know what to do with themselves, so some of them go after the fat cells in the body's arteries or microvessels. When the white cells try to pull these fat cells out through the cell wall, they find they're too big and so they get caught. Over time, these trapped immune and fat cells build up in the artery walls and become calcified, blocking the blood flow or even breaking off into dangerous clots.
Dr. Kiechl said,
"Among subjects with chronic infections, the risk seems to be higher in those with a prominent inflammatory response. We are not sure yet whether it is because of the risk associated with the toxic effect of the inflammation itself or the body's immune reaction to it".
Their results did show, though, that of the 826 volunteers, 268 suffered chronic infections. At the end of the five year study, the plaque levels of the patients' carotid arteries were compared to their levels at the start of the study. The study found that 332 (or 41%) had developed plaques where none previously existed or had an increase of about 28% in their plaque levels. This included all 268 of the patients who suffered from chronic infections, as well as 64 who did not. However, the patients with the highest increases or largest new blockages were the ones who had suffered from chronic bronchitis or sinusitis, although the type of sinusitis made no difference.
Dr. Kiechl said,
"It is far too early to recommend that people take antibiotics long term to suppress inflammation".He pointed out that although several studies, including his, have linked infections with heart disease, none has shown that people who took antibiotics long term had a lower risk of heart disease. Meanwhile, if you find yourself suffering from an inflammation or infection, using an anti inflammatory is highly recommended, especially if you already have a heart condition.
David Ogden
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