دورية أكاديمية

Age and sex differences in the risk of cardiovascular diseases by chronic kidney disease in a general Japanese population.

التفاصيل البيبلوغرافية
العنوان: Age and sex differences in the risk of cardiovascular diseases by chronic kidney disease in a general Japanese population.
المؤلفون: Shiraishi, Yuko Ago, Ishikawa, Yukiko, Ishikawa, Joji, Matsumura, Masami, Ishikawa, Shizukiyo
المصدر: Heart & Vessels; Sep2023, Vol. 38 Issue 9, p1164-1171, 8p
مصطلحات موضوعية: CHRONIC kidney failure, JAPANESE people, AGE differences, MYOCARDIAL infarction, CARDIOVASCULAR diseases, CARDIOVASCULAR diseases risk factors
مستخلص: The risk of cardiovascular diseases (CVD) by chronic kidney disease (CKD) stratified by age and sex has not been examined in detail in rural Japanese populations. Therefore, we herein investigated the long-term risk of CVD by CKD and performed an age- and sex-stratified risk analysis. We examined 5163 subjects who underwent health screening between 1992 and 1995 with calculated eGFR and follow-up information on CVD events. The mean follow-up period was 10 years. We analyzed the incidences of CVD events, including stroke and myocardial infarction (MI). We compared the risk of CVD between subjects with and without CKD using a Cox proportional hazards model adjusted for well-known CVD confounding factors. The total number of CVD events was 175. The hazard ratios (HRs) for all events, stroke, MI, and sudden death by CKD relative to non-CKD were 1.18 (95% C.I.:0.83–1.68), 0.96 (0.63–1.46), 3.02 (1.2–7.62), and 1.29 (0.43–3.87), respectively. HRs for MI were 7.24 in subjects < 65 years and 1.65 in those ≥ 65 years. HRs for MI by sex were 3.55 in men and 2.09 in women. A younger age and men sex were identified as independent risk factors for the risk of MI in the presence of CKD. These results suggest that among CKD patients, the management of a younger age group and men will effectively prevent MI. [ABSTRACT FROM AUTHOR]
Copyright of Heart & Vessels is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
قاعدة البيانات: Complementary Index
الوصف
تدمد:09108327
DOI:10.1007/s00380-023-02264-7