| Autor: |
Solini, A, Orsi, E, Vitale, M, Garofolo, M, Resi, V, Bonora, E, Fondelli, C, Trevisan, R, Vedovato, M, Nicolucci, A, Penno, G, Pugliese, G, Group, for the Renal Insufficiency And Cardiovascular Events (RIACE) Study |
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| Zdroj: |
QJM: An International Journal of Medicine; Jul2024, Vol. 117 Issue 7, p495-502, 8p |
| Abstrakt: |
Background Estimated pulse-wave velocity (ePWV), a surrogate measure of arterial stiffness, was shown to independently predict morbidity and mortality from cardiovascular disease and other causes in both the general population and high-risk individuals. However, in people with type 2 diabetes, it is unknown whether ePWV adds prognostic information beyond the parameters used for calculating it. Aims To assess the independent association of ePWV with all-cause mortality in individuals with type 2 diabetes. Design Prospective cohort study that enrolled 15 773 patients in 19 Italian centres in 2006–08. Methods ePWV was calculated from a regression equation using age and mean blood pressure (BP). All-cause mortality was retrieved for 15 656 patients in 2015. Results Percentage and rate of deaths, Kaplan–Meier estimates and unadjusted hazard ratios increased from Quartile I to Quartile IV of ePWV. After adjustment for age, sex, BP levels and anti-hypertensive treatment, the strength of association decreased but mortality risk remained significantly higher for Quartiles II (+34%), III (+82%) and IV (+181%) vs. Quartile I and was virtually unchanged when further adjusting for other cardiovascular risk factors and complications/comorbidities. Each m·s− 1 increase in ePWV was associated with an increased adjusted risk of death in the whole cohort (+53%) and in participants with (+52%) and without (+65%) cardiorenal complications. Moreover, ePWV significantly improved prediction of mortality risk over cardiovascular risk factors and complications/comorbidities, though the net increase was modest. Conclusions These findings suggest that ePWV may represent a simple and inexpensive tool for providing prognostic information beyond traditional cardiovascular risk factors. Trial registration ClinicalTrials.gov , NCT00715481, https://clinicaltrials.gov/ct2/show/NCT00715481. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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