Cystatin C and risk of heart failure in the Physicians' Health Study (PHS)
- PMID: 18082494
 - PMCID: "V体育官网" PMC2179893
 - DOI: 10.1016/j.ahj.2007.08.023
 
"VSports" Cystatin C and risk of heart failure in the Physicians' Health Study (PHS)
Abstract
Background: Chronic kidney disease is a risk factor for heart failure (HF). Although cystatin C can detect early kidney dysfunction, limited data are available on the association between cystatin C and HF. VSports手机版.
Methods: In a prospective nested case-control study design, we examined whether cystatin C is associated with an increased risk of HF in the PHS and whether such an association is stronger in hypertensive subjects. We selected 220 cases of incident HF and 220 controls, matched on age, year of birth, and time of blood collection. Plasma cystatin C was measured using an immunonephelometry method. We used conditional logistic regression to estimate relative risks (RRs). V体育安卓版.
Results: Compared with the lowest tertile, the multivariable adjusted RR (95% CI) for HF was 1. 15 (0. 69-1. 89) and 1. 78 (1. 01-3. 13) for the second and third tertiles of cystatin C, respectively. Additional adjustment for systolic blood pressure and history of hypertension attenuated this association (RR = 1. 0, 1. 23 [0. 73-2. 09], and 1 V体育ios版. 61 [0. 90-2. 88] from the lowest to the highest tertile, respectively). Furthermore, we observed a 4-fold increased risk of HF in the second and third tertiles of cystatin C among hypertensive individuals and no meaningful effects of cystatin C on HF among nonhypertensive subjects. .
Conclusions: Our data demonstrated that higher levels of cystatin C are associated with an increased risk of HF and that such association may be limited to hypertensive individuals. Additional studies are warranted to further examine the relationship between hypertension and cystatin C on the risk of HF VSports最新版本. .
References
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- Gottdiener JS, Arnold AM, Aurigemma GP, et al. Predictors of congestive heart failure in the elderly: the Cardiovascular Health Study. J Am Coll Cardiol. 2000;35:1628–1637. - PubMed
 
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- Chae CU, Albert CM, Glynn RJ, et al. Mild renal insufficiency and risk of congestive heart failure in men and women > or =70 years of age. Am J Cardiol. 2003;92:682–686. - V体育平台登录 - PubMed
 
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- Bibbins-Domingo K, Lin F, Vittinghoff E, et al. Predictors of heart failure among women with coronary disease. Circulation. 2004;110:1424–1430. - PubMed
 
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- Sarnak MJ, Katz R, Stehman-Breen CO, et al. Cystatin C concentration as a risk factor for heart failure in older adults. Ann Intern Med. 2005;142:497–505. - VSports - PubMed
 
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- Shlipak MG, Katz R, Sarnak MJ, et al. Cystatin C and prognosis for cardiovascular and kidney outcomes in elderly persons without chronic kidney disease. Ann Intern Med. 2006;145:237–246. - PubMed
 
 
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