1. Associations of estimated glomerular filtration rate and blood urea nitrogen with incident coronary heart disease: the Dongfeng-Tongji Cohort Study
- Author
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Kuai Yu, Jun Yuan Li, Haijing Jiang, Xinwen Min, Handong Yang, Huanqian Chen, and Tangchun Wu
- Subjects
Adult ,Male ,medicine.medical_specialty ,Renal function ,lcsh:Medicine ,Coronary Disease ,030204 cardiovascular system & hematology ,Risk Assessment ,Article ,Blood Urea Nitrogen ,03 medical and health sciences ,0302 clinical medicine ,Asian People ,Internal medicine ,medicine ,Humans ,Prospective Studies ,030212 general & internal medicine ,Prospective cohort study ,lcsh:Science ,Blood urea nitrogen ,Aged ,Multidisciplinary ,business.industry ,Incidence ,Hazard ratio ,lcsh:R ,Middle Aged ,medicine.disease ,Confidence interval ,Surgery ,Heart failure ,Cohort ,Cardiology ,Female ,lcsh:Q ,business ,Glomerular Filtration Rate ,Cohort study - Abstract
Estimated glomerular filtration rate (eGFR) has been reported to be associated with risk of incident coronary heart disease (CHD), and blood urea nitrogen (BUN) has been shown to be a strong predictor of mortality in patients with heart failure (HF). However, such epidemiological evidence from Chinese population was still limited. We used Cox proportional-hazards regression models to investigate the associations of eGFR and BUN with risk of incident CHD in the prospective Dongfeng-Tongji (DFTJ) cohort. After fully adjusted for potential confounders, a 10-unit decline in eGFR was associated with higher risk for CHD (hazard ratio [HR] 1.05, 95% confidence interval [CI] 1.01–1.09); compared with individuals with normal eGFR levels (eGFR ≥ 90 ml/min per 1.73 m2), individuals with a mild-to-severe eGFR decline (15 to 60 ml/min per 1.73 m2) were at significantly greater risk for CHD (HR 1.25, 95% CI 1.05–1.48; P = 0.011). Compared with individuals in the lowest tertile of BUN, those in the highest tertile were at significantly greater risk for CHD (HR 1.17, 95% CI 1.03–1.33; P = 0.014). In conclusion, a mild-to-severe decline in eGFR or a raised level of BUN might be associated with increased risk of incident CHD in middle-aged and elderly Chinese populations.
- Published
- 2017
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