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July 11, 2026European Heart JournalOpen Access

Periodontitis, epicardial adipose tissue and coronary events: the Swedish Cardiopulmonary Bioimage Study

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Why the study?

In the relationship between periodontitis and CHD, the mechanistic role of subclinical atherosclerosis remains incompletely understood.

Does severe periodontitis increase the risk of incident CHD events and subclinical atherosclerosis in a general population cohort?

Population

29 056 SCAPIS participants

Comparison

Severe periodontitis vs no severe periodontitis

Design

Registry-linked cohort study

Key result

Severe periodontitis was associated with a higher risk of incident coronary heart disease events (HR 1.42; 95% CI 1.03-1.97) and severe coronary artery calcium scores (OR 1.69; 95% CI 1.39-2.06).

Authors

STStanley TelekaPPPeter PerssonNVNiko Vähäsarja

Discussion

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Member takes

Overview

Severe periodontitis was associated with subclinical coronary atherosclerosis and EAT attenuation; leaves open mediation of incident CHD.

Study Design

Type

Cohort (n=29,056)

Multicenter

Yes

Structured PICO

Does severe periodontitis increase the risk of incident CHD events and subclinical atherosclerosis in a general population cohort?

P
Population
29,056 participants from the Swedish CArdioPulmonary bioImage Study evaluated for the association between severe periodontitis, subclinical atherosclerosis, and incident coronary heart disease.
E
Exposure
Severe periodontitis
C
Comparator
Participants without severe periodontitis
O
Outcome
Incident coronary heart disease (CHD) events, coronary artery calcium scores (CACS), segment involvement scores (SIS), and epicardial adipose tissue (EAT) attenuationhard clinical

Main Result

Hazard Ratio: 1.42 (95% CI 1.03–1.97)

Severe periodontitis is associated with subclinical coronary atherosclerosis, epicardial adipose tissue inflammation, and an increased risk of incident coronary heart disease events.

Cite This Study

Teleka et al. (2026) conducted a cohort in Periodontitis and coronary heart disease (n=29,056). Severe periodontitis vs. No severe periodontitis was evaluated on Incident CHD events (HR 1.42, 95% CI 1.03-1.97). Severe periodontitis was associated with a higher risk of incident coronary heart disease events (HR 1.42; 95% CI 1.03-1.97) and severe coronary artery calcium scores (OR 1.69; 95% CI 1.39-2.06).

synapsesocial.com/papers/6a771d507ecc675f86ae3c80https://doi.org/10.1093/eurheartj/ehag569
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