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Cites:

1

Information Journal Paper

Title

Effect of Chronic Kidney Disease on Cardiovascular Events, An Epidemiological Aspect from SPRINT Trial

Pages

  328-336

Abstract

 Introduction. Currently, conflicting evidence exists among community-based studies as to whether chronic kidney disease (CKD) is a cardiovascular (CVD) Risk equivalent. We aimed to evaluate the effect of CKD on CVD based on a large trial results. Methods. To perform a secondary analysis, we obtained the data of SPRINT trial from NHLBI data repository center. 2646 subjects with baseline CKD and 6715 without CKD were enrolled. A composite of myocardial infarction, other acute coronary syndromes, stroke, heart failure, or death from cardiovascular causes was considered as primary outcome. Results. Throughout the 3. 21 years of follow-up, presence of CKD, compared to those without CKD, negatively affected the primary outcome (incidence rate, 2. 84% per year vs. 1. 55% per year in patients with and without CKD, respectively; Hazard ratio, 1. 83; 95% CI, 1. 49 to 2. 11; P <. 001). This finding was consistent across all the secondary outcomes. However, the risk was not as great as those with clinical cardiovascular disease (incidence rate, 4. 13% per year). Presence of CKD was the strongest predictor of developing AKI with intensive blood pressure reduction, increasing its chance by 215%. Conclusion. SPRINT is the first trial revealing that CKD is an independent risk factor for CVD. However, CKD could not be considered as a CVD Risk equivalent. In the presence of CKD, with intensive blood pressure reduction the chance of AKI is dramatically increased. IJKD

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    APA: Copy

    ATTAR, ARMIN, & SAYADI, MEHRAB. (2019). Effect of Chronic Kidney Disease on Cardiovascular Events, An Epidemiological Aspect from SPRINT Trial. IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD), 13(5), 328-336. SID. https://sid.ir/paper/759056/en

    Vancouver: Copy

    ATTAR ARMIN, SAYADI MEHRAB. Effect of Chronic Kidney Disease on Cardiovascular Events, An Epidemiological Aspect from SPRINT Trial. IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD)[Internet]. 2019;13(5):328-336. Available from: https://sid.ir/paper/759056/en

    IEEE: Copy

    ARMIN ATTAR, and MEHRAB SAYADI, “Effect of Chronic Kidney Disease on Cardiovascular Events, An Epidemiological Aspect from SPRINT Trial,” IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD), vol. 13, no. 5, pp. 328–336, 2019, [Online]. Available: https://sid.ir/paper/759056/en

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