Pain medicine

Chronic pain in multiple sites is associated with cardiovascular dysfunction: an observational UK Biobank cohort study

Br J AnaesthPublished Observational cohort study

Main finding · Arterial stiffness indexResult — go to the resultβ 0.06 95% CI 0.04–0.08

Authors' conclusion

A greater number of chronic pain sites is associated with increased arterial stiffness and poorer cardiac function, suggesting that widespread chronic pain is an important contributor to cardiovascular dysfunction.

Study context

Population
UK Biobank participants examined at baseline, first follow-up and two imaging visitsarterial stiffness analysis
Participants
159,360 participants
Exposure
Number of chronic pain sites
Outcome
Arterial stiffness index
Methodological detailsUK Biobank, mixed-effect linear regression
  • UK Biobank
  • Mixed-effect linear regression

Main finding

As reported in the abstract

β

0.06

95% CI 0.04–0.08

Observational data: associations, not effects.

Further findings

Outcomeβ (95% CI)
LVEFn=23,899−0.17 (−0.27 to −0.07)

Carotid intima-media thickness and cardiac index

Number of chronic pain sites not associated with carotid intima-media thickness (n=30,628) or cardiac index (n=23,899)

Original publication

Chronic pain in multiple sites is associated with cardiovascular dysfunction: an observational UK Biobank cohort study. Br J Anaesth. Published 14 July 2024. doi:10.1016/j.bja.2024.06.021

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