Journal of clinical hypertension (Greenwich, Conn.) · 2018
The relationship of renal function to segmental vascular stiffness, ankle-brachial index, and peripheral artery disease.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Lin Yueh-Hung, Sung Kuo-Tzu, Tsai Cheng-Ting, Wu Pei-Chen, Lai Yau-Huei, Lo Chi-In, Yu Fa-Chang, Wu Hsu-Ping, Lan Wei-Ran, Kuo Jen-Yuan, Hou Charles Jia-Yin, Yen Chi-Hsuan, Peng Ming-Cheng, Hung Ta-Chuan, Hung Chung-Lieh, Lai Edward, Yeh Hung-I
Аннотация
The authors consecutively assessed various arterial pulse-wave velocity (PWV) indices and ankle-brachial index (ABI) by an automatic device (VP2000, OMRON Health Care Co. Ltd., Kyota, Japan) in outpatients with ≥ 1 cardiovascular risk. PAD was defined as ABI ≤ 0.9. Among 2309 outpatients (mean age 62.4 years), worse renal function was associated with higher brachial-ankle PWV, heart-carotid PWV, heart-femoral PWV (hf-PWV), and lower ABI (all P < .001). Multivariate regression models showed independent associations between lower eGFR, lower ABI (Coef: 0.42 & 0.41 for right and left), higher hf-PWV (Coef: -11.4 [95% CI: -15.4, -7.3]) and greater PAD risk (adjusted OR: 0.83 [95% CI: 0.76, 0.91], all P < .05). eGFR set at 77 mL/min/1.73m2 was observed to be useful clinical cutoff (c-statistics: 0.67) for identifying PAD (P for ΔAUROC: .009; likelihood X2 : 93.82 to 137.43, P < .001) when superimposed on clinical risks. This study suggested early renal insufficiency is tightly linked to region-specific vascular stiffness and PAD.