Glycosylated hemoglobin levels are associated with cardiovascular events in nondiabetic peritoneal dialysis patients

Autor: Fatih Kircelli, Gulay Asci, Meltem Sezis Demirci, Timur Köse, Hamad Dheir, Huseyin Toz, Muhittin Ertilav, Ercan Ok, Mehmet Ozkahya
Rok vydání: 2011
Předmět:
Zdroj: Journal of Nephrology. 25:107-112
ISSN: 1121-8428
DOI: 10.5301/jn.2011.8350
Popis: Background: High glycosylated hemoglobin (HbA 1c ) levels are recognized as a risk factor for cardiovas- cular disease in the diabetic dialysis population. However, it is not known whether this also applies to nondiabetic dialysis patients. We prospectively inves- tigated the association between HbA 1c levels and new cardiovascular events in nondiabetic patients treated with peritoneal dialysis. Methods: Eighty nondiabetic patients who had been on peritoneal dialysis treatment were prospectively followed for 5 years. HbA 1c levels were measured at baseline and every 3 months. Fatal and nonfatal cardiovascular events were assessed during the fol- low-up. Results: Mean age was 48.5 ± 15.2 years; 51% were male. Baseline HbA 1c level was 5.46% ± 0.41% (range 4.6%-6.3%). Mean HbA 1c was 5.44% ± 0.31% (range 4.8%-6.3%) during the study, and positively correlated with age and high-sensitivity C-reactive protein. Twen- ty fatal and nonfatal cardiovascular events were ob- served during a mean 41.8 ± 7.1 months of follow-up. Event-free survival was better in patients with HbA 1c levels
Databáze: OpenAIRE