The Risk of Cardiovascular Complications in Patients with Inflammatory Bowel Disease

Authors

  • Ashvin Varadharajan, MD
  • Parakkal Deepak, MD, MS, FACG

Abstract

Inflammatory bowel disease (IBD), encompassing Crohn’s disease and ulcerative colitis (UC), is a chronic, relapsing-remitting inflammatory condition of the gastrointestinal tract. Beyond intestinal involvement, IBD commonly affects diverse organ systems in the body, making it a ‘systemic disease with intestinal predominance’.

While extraintestinal manifestations are primarily due to immune-mediated involvement of organ systems, IBD also exerts systemic effects on the cardiovascular system. Emerging data suggests an association between IBD and myocardial infarction (MI), ischemic heart disease, cerebrovascular accidents, and other major adverse cardiovascular events (MACE). As a result, the pathophysiological basis of cardiovascular complications in IBD has been a subject of growing investigation.

Author Biographies

Ashvin Varadharajan, MD

Dr. Ashvin Varadharajan is a fellow in the Division of Gastroenterology in the Department of Medicine at Washington University in St. Louis, St. Louis, Missouri. He holds a medical degree from Armed Forces Medical College in India, and his research interests include therapeutic outcomes and risk stratification in patients with inflammatory bowel disease, as well as the application of advanced imaging techniques for disease phenotyping in IBD.

Parakkal Deepak, MD, MS, FACG

Dr. Parakkal Deepak is currently a physician-scientist in the Inflammatory Bowel Disease (IBD) Center in the Division of Gastroenterology at the Washington University School of Medicine (WUSM) in St. Louis, Missouri where he is a Professor of Medicine, Co-Director of the IBD center and Director of Clinical and Translation research for the Division of Gastroenterology. His research focus is cardiometabolic syndrome in IBD where his group has made novel observations in prevalence of MASLD, risk of cirrhosis, performance of current ASCVD prediction tools and is investigating the impact of GLP1RAs in patients with IBD through a prospective study funded by Helmsley Trust.

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Published

2026-05-01

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1.
The Risk of Cardiovascular Complications in Patients with Inflammatory Bowel Disease. Can IBD Today [Internet]. 2026 May 1 [cited 2026 May 2];4(1):38–45. Available from: https://canadianibdtoday.com/article/view/4-1-Varadharajan_et_al

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How to Cite

1.
The Risk of Cardiovascular Complications in Patients with Inflammatory Bowel Disease. Can IBD Today [Internet]. 2026 May 1 [cited 2026 May 2];4(1):38–45. Available from: https://canadianibdtoday.com/article/view/4-1-Varadharajan_et_al