Gout Flare and Cardiovascular Events

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Abstract
To the Editor A recent study1 reported that experiencing a recent gout flare was associated with subsequent cardiovascular events among individuals with gout. While these results are interesting, I am concerned that the authors did not control for use of low-dose aspirin, which is commonly prescribed for people who are at higher risk of myocardial infarction or stroke. In this study, more individuals with gout and cardiovascular events had a history of cardiovascular disease and high to very high cardiovascular risk than matched controls with gout who did not have cardiovascular events.