Renal impairment and heart failure with preserved ejection fraction early post-myocardial infarction
Identifieur interne : 006E91 ( Main/Exploration ); précédent : 006E90; suivant : 006E92Renal impairment and heart failure with preserved ejection fraction early post-myocardial infarction
Auteurs : Vinod Jorapur ; Gervasio A. Lamas ; Zygmunt P. Sadowski ; Harmony R. Reynolds ; Antonio C. Carvalho ; Christopher E. Buller ; James M. Rankin ; Jean Renkin ; Philippe Gabriel Steg ; Harvey D. White ; Carlos Vozzi ; Eduardo Balcells ; Michael Ragosta ; C Edwin Martin ; Vankeepuram S. Srinivas ; William W. Wharton Iii ; Staci Abramsky ; Ana C. Mon ; Shari S. Kronsberg ; Judith S. HochmanSource :
- World Journal of Cardiology [ 1949-8462 ] ; 2010.
Abstract
AIM: To study if impaired renal function is associated with increased risk of peri-infarct heart failure (HF) in patients with preserved ejection fraction (EF).
METHODS: Patients with occluded infarct-related arteries (IRAs) between 1 to 28 d after myocardial infarction (MI) were grouped into chronic kidney disease (CKD) stages based on estimated glomerular filtration rate (eGFR). Rates of early post-MI HF were compared among eGFR groups. Logistic regression was used to explore independent predictors of HF.
RESULTS: Reduced eGFR was present in 71.1% of 2160 patients, with significant renal impairment (eGFR < 60 mL/min every 1.73 m2) in 14.8%. The prevalence of HF was higher with worsening renal function: 15.5%, 17.8% and 29.4% in patients with CKD stages 1, 2 and 3 or 4, respectively (
CONCLUSION: A significant proportion of post-MI patients with occluded IRAs have impaired renal function. Impaired renal function was associated with an increased rate of early post-MI HF, the association being strongest in patients with preserved EF. These findings have implications for management of peri-infarct HF.
Url:
DOI: 10.4330/wjc.v2.i1.13
PubMed: 20885993
PubMed Central: 2946261
Affiliations:
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Carvalho</name></author><author><name sortKey="Buller, Christopher E" sort="Buller, Christopher E" uniqKey="Buller C" first="Christopher E" last="Buller">Christopher E. Buller</name></author><author><name sortKey="Rankin, James M" sort="Rankin, James M" uniqKey="Rankin J" first="James M" last="Rankin">James M. Rankin</name></author><author><name sortKey="Renkin, Jean" sort="Renkin, Jean" uniqKey="Renkin J" first="Jean" last="Renkin">Jean Renkin</name></author><author><name sortKey="Steg, Philippe Gabriel" sort="Steg, Philippe Gabriel" uniqKey="Steg P" first="Philippe Gabriel" last="Steg">Philippe Gabriel Steg</name></author><author><name sortKey="White, Harvey D" sort="White, Harvey D" uniqKey="White H" first="Harvey D" last="White">Harvey D. 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Lamas</name></author><author><name sortKey="Sadowski, Zygmunt P" sort="Sadowski, Zygmunt P" uniqKey="Sadowski Z" first="Zygmunt P" last="Sadowski">Zygmunt P. Sadowski</name></author><author><name sortKey="Reynolds, Harmony R" sort="Reynolds, Harmony R" uniqKey="Reynolds H" first="Harmony R" last="Reynolds">Harmony R. Reynolds</name></author><author><name sortKey="Carvalho, Antonio C" sort="Carvalho, Antonio C" uniqKey="Carvalho A" first="Antonio C" last="Carvalho">Antonio C. Carvalho</name></author><author><name sortKey="Buller, Christopher E" sort="Buller, Christopher E" uniqKey="Buller C" first="Christopher E" last="Buller">Christopher E. Buller</name></author><author><name sortKey="Rankin, James M" sort="Rankin, James M" uniqKey="Rankin J" first="James M" last="Rankin">James M. Rankin</name></author><author><name sortKey="Renkin, Jean" sort="Renkin, Jean" uniqKey="Renkin J" first="Jean" last="Renkin">Jean Renkin</name></author><author><name sortKey="Steg, Philippe Gabriel" sort="Steg, Philippe Gabriel" uniqKey="Steg P" first="Philippe Gabriel" last="Steg">Philippe Gabriel Steg</name></author><author><name sortKey="White, Harvey D" sort="White, Harvey D" uniqKey="White H" first="Harvey D" last="White">Harvey D. White</name></author><author><name sortKey="Vozzi, Carlos" sort="Vozzi, Carlos" uniqKey="Vozzi C" first="Carlos" last="Vozzi">Carlos Vozzi</name></author><author><name sortKey="Balcells, Eduardo" sort="Balcells, Eduardo" uniqKey="Balcells E" first="Eduardo" last="Balcells">Eduardo Balcells</name></author><author><name sortKey="Ragosta, Michael" sort="Ragosta, Michael" uniqKey="Ragosta M" first="Michael" last="Ragosta">Michael Ragosta</name></author><author><name sortKey="Martin, C Edwin" sort="Martin, C Edwin" uniqKey="Martin C" first="C Edwin" last="Martin">C Edwin Martin</name></author><author><name sortKey="Srinivas, Vankeepuram S" sort="Srinivas, Vankeepuram S" uniqKey="Srinivas V" first="Vankeepuram S" last="Srinivas">Vankeepuram S. Srinivas</name></author><author><name sortKey="Wharton Iii, William W" sort="Wharton Iii, William W" uniqKey="Wharton Iii W" first="William W" last="Wharton Iii">William W. Wharton Iii</name></author><author><name sortKey="Abramsky, Staci" sort="Abramsky, Staci" uniqKey="Abramsky S" first="Staci" last="Abramsky">Staci Abramsky</name></author><author><name sortKey="Mon, Ana C" sort="Mon, Ana C" uniqKey="Mon A" first="Ana C" last="Mon">Ana C. Mon</name></author><author><name sortKey="Kronsberg, Shari S" sort="Kronsberg, Shari S" uniqKey="Kronsberg S" first="Shari S" last="Kronsberg">Shari S. Kronsberg</name></author><author><name sortKey="Hochman, Judith S" sort="Hochman, Judith S" uniqKey="Hochman J" first="Judith S" last="Hochman">Judith S. Hochman</name></author></analytic><series><title level="j">World Journal of Cardiology</title><idno type="ISSN">1949-8462</idno><idno type="eISSN">1949-8462</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>AIM: To study if impaired renal function is associated with increased risk of peri-infarct heart failure (HF) in patients with preserved ejection fraction (EF).</p><p>METHODS: Patients with occluded infarct-related arteries (IRAs) between 1 to 28 d after myocardial infarction (MI) were grouped into chronic kidney disease (CKD) stages based on estimated glomerular filtration rate (eGFR). Rates of early post-MI HF were compared among eGFR groups. Logistic regression was used to explore independent predictors of HF.</p><p>RESULTS: Reduced eGFR was present in 71.1% of 2160 patients, with significant renal impairment (eGFR < 60 mL/min every 1.73 m<sup>2</sup>) in 14.8%. The prevalence of HF was higher with worsening renal function: 15.5%, 17.8% and 29.4% in patients with CKD stages 1, 2 and 3 or 4, respectively (<italic>P</italic> < 0.0001), despite a small absolute difference in mean EF across eGFR groups: 48.2 ± 10.0, 47.9 ± 11.3 and 46.2 ± 12.1, respectively (<italic>P</italic> = 0.02). The prevalence of HF was again higher with worsening renal function among patients with preserved EF: 10.1%, 13.6% and 23.6% (<italic>P</italic> < 0.0001), but this relationship was not significant among patients with depressed EF: 27.1%, 26.2% and 37.9% (<italic>P</italic> = 0.071). Moreover, eGFR was an independent correlate of HF in patients with preserved EF (<italic>P</italic> = 0.003) but not in patients with depressed EF (<italic>P</italic> = 0.181).</p><p>CONCLUSION: A significant proportion of post-MI patients with occluded IRAs have impaired renal function. Impaired renal function was associated with an increased rate of early post-MI HF, the association being strongest in patients with preserved EF. These findings have implications for management of peri-infarct HF.</p></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Abramsky, Staci" sort="Abramsky, Staci" uniqKey="Abramsky S" first="Staci" last="Abramsky">Staci Abramsky</name><name sortKey="Balcells, Eduardo" sort="Balcells, Eduardo" uniqKey="Balcells E" first="Eduardo" last="Balcells">Eduardo Balcells</name><name sortKey="Buller, Christopher E" sort="Buller, Christopher E" uniqKey="Buller C" first="Christopher E" last="Buller">Christopher E. Buller</name><name sortKey="Carvalho, Antonio C" sort="Carvalho, Antonio C" uniqKey="Carvalho A" first="Antonio C" last="Carvalho">Antonio C. Carvalho</name><name sortKey="Hochman, Judith S" sort="Hochman, Judith S" uniqKey="Hochman J" first="Judith S" last="Hochman">Judith S. Hochman</name><name sortKey="Jorapur, Vinod" sort="Jorapur, Vinod" uniqKey="Jorapur V" first="Vinod" last="Jorapur">Vinod Jorapur</name><name sortKey="Kronsberg, Shari S" sort="Kronsberg, Shari S" uniqKey="Kronsberg S" first="Shari S" last="Kronsberg">Shari S. Kronsberg</name><name sortKey="Lamas, Gervasio A" sort="Lamas, Gervasio A" uniqKey="Lamas G" first="Gervasio A" last="Lamas">Gervasio A. Lamas</name><name sortKey="Martin, C Edwin" sort="Martin, C Edwin" uniqKey="Martin C" first="C Edwin" last="Martin">C Edwin Martin</name><name sortKey="Mon, Ana C" sort="Mon, Ana C" uniqKey="Mon A" first="Ana C" last="Mon">Ana C. Mon</name><name sortKey="Ragosta, Michael" sort="Ragosta, Michael" uniqKey="Ragosta M" first="Michael" last="Ragosta">Michael Ragosta</name><name sortKey="Rankin, James M" sort="Rankin, James M" uniqKey="Rankin J" first="James M" last="Rankin">James M. Rankin</name><name sortKey="Renkin, Jean" sort="Renkin, Jean" uniqKey="Renkin J" first="Jean" last="Renkin">Jean Renkin</name><name sortKey="Reynolds, Harmony R" sort="Reynolds, Harmony R" uniqKey="Reynolds H" first="Harmony R" last="Reynolds">Harmony R. Reynolds</name><name sortKey="Sadowski, Zygmunt P" sort="Sadowski, Zygmunt P" uniqKey="Sadowski Z" first="Zygmunt P" last="Sadowski">Zygmunt P. Sadowski</name><name sortKey="Srinivas, Vankeepuram S" sort="Srinivas, Vankeepuram S" uniqKey="Srinivas V" first="Vankeepuram S" last="Srinivas">Vankeepuram S. Srinivas</name><name sortKey="Steg, Philippe Gabriel" sort="Steg, Philippe Gabriel" uniqKey="Steg P" first="Philippe Gabriel" last="Steg">Philippe Gabriel Steg</name><name sortKey="Vozzi, Carlos" sort="Vozzi, Carlos" uniqKey="Vozzi C" first="Carlos" last="Vozzi">Carlos Vozzi</name><name sortKey="Wharton Iii, William W" sort="Wharton Iii, William W" uniqKey="Wharton Iii W" first="William W" last="Wharton Iii">William W. Wharton Iii</name><name sortKey="White, Harvey D" sort="White, Harvey D" uniqKey="White H" first="Harvey D" last="White">Harvey D. White</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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