Ambulatory electrocardiographic markers predict serious cardiac events in patients with chronic kidney disease: The Japanese Noninvasive Electrocardiographic Risk Stratification of Sudden Cardiac Death in Chronic Kidney Disease (JANIES‐CKD) study

Autor: Kenichi Hashimoto, Toshio Kinoshita, Yosuke Miwa, Mari Amino, Koichiro Yoshioka, Kenji Yodogawa, Mikiko Nakagawa, Kohki Nakamura, Eiichi Watanabe, Kentaro Nakamura, Tetsu Watanabe, Yuji Kasamaki, Takanori Ikeda
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Annals of Noninvasive Electrocardiology, Vol 27, Iss 2, Pp n/a-n/a (2022)
Druh dokumentu: article
ISSN: 1542-474X
1082-720X
DOI: 10.1111/anec.12923
Popis: Abstract Background Noninvasive electrocardiographic markers (NIEMs) are promising arrhythmic risk stratification tools for assessing the risk of sudden cardiac death. However, little is known about their utility in patients with chronic kidney disease (CKD) and organic heart disease. This study aimed to determine whether NIEMs can predict cardiac events in patients with CKD and structural heart disease (CKD‐SHD). Methods We prospectively analyzed 183 CKD‐SHD patients (median age, 69 years [interquartile range, 61−77 years]) who underwent 24‐h ambulatory electrocardiographic monitoring and assessed the worst values for ambulatory‐based late potentials (w‐LPs), heart rate turbulence, and nonsustained ventricular tachycardia (NSVT). The primary endpoint was the occurrence of documented lethal ventricular tachyarrhythmias (ventricular fibrillation or sustained ventricular tachycardia) or cardiac death. The secondary endpoint was admission for cardiovascular causes. Results Thirteen patients reached the primary endpoint during a follow‐up period of 24 ± 11 months. Cox univariate regression analysis showed that existence of w‐LPs (hazard ratio [HR] = 6.04, 95% confidence interval [CI]: 1.4−22.3, p = .007) and NSVT [HR = 8.72, 95% CI: 2.8−26.5: p
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