Natriuretic Peptides as Predictors of Cardiovascular Events and All-Cause Mortality

Autor: Martin A. Alpert
Rok vydání: 2020
Předmět:
Zdroj: J Am Coll Cardiol
ISSN: 1558-3597
Popis: BACKGROUND: Although intensive blood pressure reduction has cardiovascular benefits, the absolute benefit is greater in those at higher cardiovascular disease (CVD) risk. OBJECTIVE: We examined whether NT-proBNP helps identify individuals at higher risk for CVD events across systolic blood pressure (SBP), diastolic blood pressure (DBP) or pulse pressure (PP) categories. METHODS: Participants from ARIC study visit 4 (1996–98) were grouped according to SBP, DBP or PP categories and further stratified by NT-proBNP categories. Cox regression models were used to estimate hazard ratios for incident CVD (CHD, ischemic stroke or HF hospitalization) and mortality across combined NT-proBNP/BP categories adjusting for CVD risk factors. RESULTS: There were 9,309 participants (mean age 62.6 [SD 5.6] years, 58.3 % females) with 2,416 CVD events over a median follow-up of 16.7 years. Within each SBP, DBP or PP category, higher category of NT-proBNP (100
Databáze: OpenAIRE