Additional prognostic value of electrocardiographic left ventricular hypertrophy in traditional cardiovascular risk assessments in chronic kidney disease
Additional prognostic value of electrocardiographic left ventricular hypertrophy in traditional cardiovascular risk assessments in chronic kidney disease
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DOI：
10.1097/hjh.0000000000002394
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发表时间：
2020-06-01
影响因子：
4.9
通讯作者：
Asahi, Koichi
中科院分区：
文献类型：
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作者：
Tanaka, Fumitaka;Komi, Ryosuke;Asahi, Koichi
背景：左心室肥厚(LVH)是预测慢性肾脏病(CKD)心血管预后的常见指标。然而，对于不同程度的CKD患者，心电图源性LVH是否具有预后价值以及是否改善了基于传统危险因素的心血管危险分层尚不清楚。方法：对7206名年龄在40岁以上、在一般人群中未发生心血管事件的参与者进行了心血管事件发生率的跟踪调查。慢性肾脏病的确诊依据是肾小球滤过率(EGFR)降低(
Background: Left ventricular hypertrophy (LVH) is a common predictor of the cardiovascular prognosis in chronic kidney disease (CKD). However, whether or not electrocardiography-derived LVH (ECG-LVH) has prognostic value in patients with various degrees of CKD and improves the cardiovascular risk stratification based on traditional risk factors remains unclear. Methods: A total of 7206 participants at least 40 years of age who were free from cardiovascular events in a general population were followed for the incidence of cardiovascular events. CKD was confirmed by either the presence of a reduced estimated glomerular filtration rate (eGFR) (