Sublingual varices as predictor of factors associated with cardiovascular diseases: A systematic review with meta-analysis.

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-12-03 DOI:10.1007/s10006-024-01311-5

Ana Karolina Leão Silva Costa, Ana Claudia Macedo de Andrade, Fernanda Aragão Felix, Isabele Rejane de Oliveira Maranhão Pureza, Diego Figueiredo Nóbrega, Glória Maria de França

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引用次数: 0

Abstract

Objective: Sublingual varicose veins are variations of normality that appear more prominent during aging. The systematic review aim to investigate sublingual varicose veins frequency in patients exposed to systemic and environmental exposed factors linked to cardiovascular diseases.

Methods: This systematic review was based on the PECO strategy, and the PubMed, Web of Science, Scopus, Embase and Grey Literature library were searched for publications examining the association between sublingual varicose veins and systemic and environmental exposed factors linked to cardiovascular diseases, such as hypertension, diabetes, smoking, and leg varices. A meta-analysis was conducted using random-effects models. This review included 11 studies with a total of 2,272 patients with sublingual varicosity and systemic exposed factors linked to cardiovascular diseases. The quality assessment was improved by Newcastle and Ottawa Scales (NOS).

Results: Consistent results were observed across all systemic and environmental exposed factors linked to cardiovascular diseases subgroups. We found association between sublingual varicose veins and hypertension [p = 0.0002; 95%IC2.90 [1.66-5.06]; I² 91%); diabetics (p = 0.009; 95%IC 3.19 [1.34 - 7.62]; I² 84%); tobacco abuse (p = 0.002; 95%IC 1.97 [1.29 - 3.01]; I² 82%) and leg varicosity (p = 0.03; 95%IC 2.63 [1.08 - 6.44]; I² 95%). Seven articles received score 7, indicating good quality and four articles received moderate quality.

Conclusion: Patients exposed to exposed factors that affect blood vessels showed a higher prevalence of sublingual varicose veins. These findings emphasize the importance of recognizing oral signs underlying systemic diseases.

Systematic review registration: PROSPERO CRD42023397166.

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舌下静脉曲张作为心血管疾病相关因素的预测因子：一项荟萃分析的系统综述

目的：舌下静脉曲张是一种正常的变异性，在衰老过程中表现得更为突出。本系统综述旨在调查与心血管疾病相关的系统和环境暴露因素暴露患者的舌下静脉曲张频率。方法：本系统综述基于PECO策略，检索PubMed、Web of Science、Scopus、Embase和Grey Literature library，检索与高血压、糖尿病、吸烟和腿部静脉曲张等心血管疾病相关的系统性和环境暴露因素与舌下静脉曲张之间关系的出版物。采用随机效应模型进行meta分析。本综述包括11项研究，共2272例与心血管疾病相关的舌下静脉曲张和全身暴露因素患者。采用纽卡斯尔评分和渥太华评分（NOS）提高质量评价。结果：在与心血管疾病亚组相关的所有系统和环境暴露因素中观察到一致的结果。我们发现舌下静脉曲张与高血压有关[p = 0.0002；95% ic2.90 [1.66 - -5.06];I2 91%);糖尿病患者(p = 0.009；95% 3.19 [1.34 - 7.62]；I2 84%);烟草滥用(p = 0.002；95%: 1.97 [1.29 - 3.01]；I2 82%)和腿部静脉曲张(p = 0.03；95% 2.63 [1.08 - 6.44]；I2 95%)。7篇文章得到了7分，表明质量良好，4篇文章得到了中等质量。结论：暴露于影响血管的暴露因素的患者舌下静脉曲张患病率较高。这些发现强调了识别全身性疾病的口腔体征的重要性。系统评价注册：PROSPERO CRD42023397166。

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来源期刊

Oral and Maxillofacial Surgery-Heidelberg DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.20

自引率

5.60%

发文量

118

期刊介绍： Oral & Maxillofacial Surgery founded as Mund-, Kiefer- und Gesichtschirurgie is a peer-reviewed online journal. It is designed for clinicians as well as researchers.The quarterly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery and interdisciplinary aspects of cranial, facial and oral diseases and their management. The journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery as well as supporting specialties. Practice-oriented articles help improve the methods used in oral and maxillofacial surgery.Every aspect of oral and maxillofacial surgery is fully covered through a range of invited review articles, clinical and research articles, technical notes, abstracts, and case reports. Specific topics are: aesthetic facial surgery, clinical pathology, computer-assisted surgery, congenital and craniofacial deformities, dentoalveolar surgery, head and neck oncology, implant dentistry, oral medicine, orthognathic surgery, reconstructive surgery, skull base surgery, TMJ and trauma.Time-limited reviewing and electronic processing allow to publish articles as fast as possible. Accepted articles are rapidly accessible online.Clinical studies submitted for publication have to include a declaration that they have been approved by an ethical committee according to the World Medical Association Declaration of Helsinki 1964 (last amendment during the 52nd World Medical Association General Assembly, Edinburgh, Scotland, October 2000). Experimental animal studies have to be carried out according to the principles of laboratory animal care (NIH publication No 86-23, revised 1985).