Cardiac Biomarkers and Risk of Incident Heart Failure in Chronic Kidney Disease: The CRIC (Chronic Renal Insufficiency Cohort) Study

Cardiac Biomarkers and Risk of Incident Heart Failure in Chronic Kidney Disease: The CRIC (Chronic Renal Insufficiency Cohort) Study
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DOI:
10.1161/jaha.119.012336
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发表时间:
2019-11-05
影响因子:
5.4
通讯作者:
Townsend, Raymond R.
Townsend, Raymond R.
中科院分区:
医学2区
文献类型:
--
作者:
Bansal, Nisha;Zelnick, Leila;Townsend, Raymond R.

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背景-心脏生物标志物可能是心力衰竭(HF)的机制途径,心力衰竭是慢性肾脏疾病的主要并发症。我们检测了NT-proBNP(N-末端B型利钠肽前体)、高敏肌钙蛋白T(hsTnT)、半乳糖凝集素-3、生长分化因子-15(GDF-15)和可溶性ST 2(sST 2)与慢性肾脏病HF事件的相关性。在基线时测量所有生物标志物。主要结局为HF事件。次要结局包括射血分数维持(EF >= 50%)和射血分数降低(EF
Background-Cardiac biomarkers may signal mechanistic pathways involved in heart failure (HF), a leading complication in chronic kidney disease. We tested the associations of NT-proBNP (N-terminal pro-B-type natriuretic peptide), high-sensitivity troponin T (hsTnT), galectin-3, growth differentiation factor-15 (GDF-15), and soluble ST2 (sST2) with incident HF in chronic kidney disease.Methods and Results-We examined adults with chronic kidney disease enrolled in a prospective, multicenter study. All biomarkers were measured at baseline. The primary outcome was incident HF. Secondary outcomes included HF with preserved ejection fraction (EF >= 50%) and reduced ejection fraction (EF