Prognostic implications of chronic kidney disease and anemia after percutaneous coronary intervention in acute myocardial infarction patients
Anemia is a common complication of chronic kidney disease (CKD), and a few studies suggest that both CKD and anemia have a marked impact on the prognosis of patients with cardiovascular disease. We retrospectively analyzed the prevalence of CKD and anemia in 312 patients with acute myocardial infarc...
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| Veröffentlicht in: | Heart and vessels 2013-01, Vol.28 (1), p.19-26 |
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| creator | Matsue, Yuya Matsumura, Akihiko Abe, Masami Ono, Maki Seya, Mie Nakamura, Tomofumi Iwatsuka, Ryota Mizukami, Akira Setoguchi, Masahiko Nagahori, Wataru Ohno, Masakazu Suzuki, Makoto Hashimoto, Yuji |
| description | Anemia is a common complication of chronic kidney disease (CKD), and a few studies suggest that both CKD and anemia have a marked impact on the prognosis of patients with cardiovascular disease. We retrospectively analyzed the prevalence of CKD and anemia in 312 patients with acute myocardial infarction (AMI). The patients were divided into four groups according to the presence of CKD and anemia. Chronic kidney disease was defined as estimated glomerular filtration rate |
| doi_str_mv | 10.1007/s00380-011-0209-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1273587053</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2867777521</sourcerecordid><originalsourceid>FETCH-LOGICAL-c462t-eb51806a83cedab5bf8c4094c4f2064cea45f025999c10cd177adcc4ce35a5083</originalsourceid><addsrcrecordid>eNp1kc1u1TAQhS0EoreFB2CDLLFhExj_JfESVYUiVYIFrC3fiVNckjjYCdJ9CN6ZCSkIIbGwLM_55oztw9gzAa8EQPO6AKgWKhCiAgm2kg_YQdTCVNI06iE7gBVQtUo2Z-y8lDsAYaywj9mZlKIGreyB_fiY0-2UyhKRx3EeIvolpqnw1HP8ktNE9a-xm8KJd7EEXwL3U0crjNFz3y8h8zlkXBcqpbVwTNTk84nHibTvYdrs6MA9MYGPp4Q-d9EPVOt9xl_yTEOJLE_Yo94PJTy93y_Y57dXny6vq5sP795fvrmpUNdyqcLRiBZq3yoMnT-aY9-iBqtR9xJqjcFr04M01loUgJ1oGt8hkqCMN9CqC_Zy951z-raGsrgxFgzDsD_CCdko0zZgFKEv_kHv0ponut1GgdK21pIosVOYUyk59G7OcaRvcALclpXbs3KUlduyclvP83vn9TiG7k_H73AIkDtQSJpuQ_5r9H9dfwKWF6Jo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1270349642</pqid></control><display><type>article</type><title>Prognostic implications of chronic kidney disease and anemia after percutaneous coronary intervention in acute myocardial infarction patients</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Matsue, Yuya ; Matsumura, Akihiko ; Abe, Masami ; Ono, Maki ; Seya, Mie ; Nakamura, Tomofumi ; Iwatsuka, Ryota ; Mizukami, Akira ; Setoguchi, Masahiko ; Nagahori, Wataru ; Ohno, Masakazu ; Suzuki, Makoto ; Hashimoto, Yuji</creator><creatorcontrib>Matsue, Yuya ; Matsumura, Akihiko ; Abe, Masami ; Ono, Maki ; Seya, Mie ; Nakamura, Tomofumi ; Iwatsuka, Ryota ; Mizukami, Akira ; Setoguchi, Masahiko ; Nagahori, Wataru ; Ohno, Masakazu ; Suzuki, Makoto ; Hashimoto, Yuji</creatorcontrib><description>Anemia is a common complication of chronic kidney disease (CKD), and a few studies suggest that both CKD and anemia have a marked impact on the prognosis of patients with cardiovascular disease. We retrospectively analyzed the prevalence of CKD and anemia in 312 patients with acute myocardial infarction (AMI). The patients were divided into four groups according to the presence of CKD and anemia. Chronic kidney disease was defined as estimated glomerular filtration rate <60 ml/min/1.73 m
2
, and anemia was defined according to the World Health Organization definition. Of 312 AMI patients, 166 (53.2%) had CKD and 87 (27.8%) had anemia. A powerful relationship was observed between both CKD and anemia and major adverse cardiac and cerebrovascular events (MACCE) or death by any cause. After adjustment for comorbidities, the hazard ratio (HR) for MACCE was significantly higher in the anemia-only group (HR 5.42, 95% confidence interval (CI) 1.38–21.27,
P
= 0.015), the CKD-only group (HR 6.4, 95% CI 2.09–19.58,
P
= 0.001), and the CKD and anemia group (HR 11.61, 95% CI 3.65–36.89,
P
< 0.001). With respect to death by any cause, the HR was significantly higher in the CKD-only group (HR 2.68, 95% CI 1.02–7.02,
P
= 0.045) and the CKD and anemia group (HR 4.40, 95% CI 1.56–12.43,
P
= 0.005). One-half of the patients with AMI had CKD as well. Furthermore, when anemia coexisted with CKD, these conditions had a multiplicative amplification effect on the risk of MACCE and death by any cause in patients with AMI.</description><identifier>ISSN: 0910-8327</identifier><identifier>EISSN: 1615-2573</identifier><identifier>DOI: 10.1007/s00380-011-0209-2</identifier><identifier>PMID: 22160439</identifier><identifier>CODEN: HEVEEO</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Aged ; Anemia ; Anemia - epidemiology ; Anemia - etiology ; Biomedical Engineering and Bioengineering ; Cardiac Surgery ; Cardiology ; Cardiovascular disease ; Electrocardiography ; Female ; Follow-Up Studies ; Heart attacks ; Humans ; Incidence ; Japan - epidemiology ; Kidney diseases ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Myocardial Infarction - diagnosis ; Myocardial Infarction - surgery ; Original Article ; Percutaneous Coronary Intervention - adverse effects ; Postoperative Complications ; Prevalence ; Prognosis ; Renal Insufficiency, Chronic - epidemiology ; Renal Insufficiency, Chronic - etiology ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Time Factors ; Vascular Surgery</subject><ispartof>Heart and vessels, 2013-01, Vol.28 (1), p.19-26</ispartof><rights>Springer 2011</rights><rights>Springer Japan 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-eb51806a83cedab5bf8c4094c4f2064cea45f025999c10cd177adcc4ce35a5083</citedby><cites>FETCH-LOGICAL-c462t-eb51806a83cedab5bf8c4094c4f2064cea45f025999c10cd177adcc4ce35a5083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00380-011-0209-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00380-011-0209-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22160439$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matsue, Yuya</creatorcontrib><creatorcontrib>Matsumura, Akihiko</creatorcontrib><creatorcontrib>Abe, Masami</creatorcontrib><creatorcontrib>Ono, Maki</creatorcontrib><creatorcontrib>Seya, Mie</creatorcontrib><creatorcontrib>Nakamura, Tomofumi</creatorcontrib><creatorcontrib>Iwatsuka, Ryota</creatorcontrib><creatorcontrib>Mizukami, Akira</creatorcontrib><creatorcontrib>Setoguchi, Masahiko</creatorcontrib><creatorcontrib>Nagahori, Wataru</creatorcontrib><creatorcontrib>Ohno, Masakazu</creatorcontrib><creatorcontrib>Suzuki, Makoto</creatorcontrib><creatorcontrib>Hashimoto, Yuji</creatorcontrib><title>Prognostic implications of chronic kidney disease and anemia after percutaneous coronary intervention in acute myocardial infarction patients</title><title>Heart and vessels</title><addtitle>Heart Vessels</addtitle><addtitle>Heart Vessels</addtitle><description>Anemia is a common complication of chronic kidney disease (CKD), and a few studies suggest that both CKD and anemia have a marked impact on the prognosis of patients with cardiovascular disease. We retrospectively analyzed the prevalence of CKD and anemia in 312 patients with acute myocardial infarction (AMI). The patients were divided into four groups according to the presence of CKD and anemia. Chronic kidney disease was defined as estimated glomerular filtration rate <60 ml/min/1.73 m
2
, and anemia was defined according to the World Health Organization definition. Of 312 AMI patients, 166 (53.2%) had CKD and 87 (27.8%) had anemia. A powerful relationship was observed between both CKD and anemia and major adverse cardiac and cerebrovascular events (MACCE) or death by any cause. After adjustment for comorbidities, the hazard ratio (HR) for MACCE was significantly higher in the anemia-only group (HR 5.42, 95% confidence interval (CI) 1.38–21.27,
P
= 0.015), the CKD-only group (HR 6.4, 95% CI 2.09–19.58,
P
= 0.001), and the CKD and anemia group (HR 11.61, 95% CI 3.65–36.89,
P
< 0.001). With respect to death by any cause, the HR was significantly higher in the CKD-only group (HR 2.68, 95% CI 1.02–7.02,
P
= 0.045) and the CKD and anemia group (HR 4.40, 95% CI 1.56–12.43,
P
= 0.005). One-half of the patients with AMI had CKD as well. Furthermore, when anemia coexisted with CKD, these conditions had a multiplicative amplification effect on the risk of MACCE and death by any cause in patients with AMI.</description><subject>Aged</subject><subject>Anemia</subject><subject>Anemia - epidemiology</subject><subject>Anemia - etiology</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Incidence</subject><subject>Japan - epidemiology</subject><subject>Kidney diseases</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Myocardial Infarction - surgery</subject><subject>Original Article</subject><subject>Percutaneous Coronary Intervention - adverse effects</subject><subject>Postoperative Complications</subject><subject>Prevalence</subject><subject>Prognosis</subject><subject>Renal Insufficiency, Chronic - epidemiology</subject><subject>Renal Insufficiency, Chronic - etiology</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Vascular Surgery</subject><issn>0910-8327</issn><issn>1615-2573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kc1u1TAQhS0EoreFB2CDLLFhExj_JfESVYUiVYIFrC3fiVNckjjYCdJ9CN6ZCSkIIbGwLM_55oztw9gzAa8EQPO6AKgWKhCiAgm2kg_YQdTCVNI06iE7gBVQtUo2Z-y8lDsAYaywj9mZlKIGreyB_fiY0-2UyhKRx3EeIvolpqnw1HP8ktNE9a-xm8KJd7EEXwL3U0crjNFz3y8h8zlkXBcqpbVwTNTk84nHibTvYdrs6MA9MYGPp4Q-d9EPVOt9xl_yTEOJLE_Yo94PJTy93y_Y57dXny6vq5sP795fvrmpUNdyqcLRiBZq3yoMnT-aY9-iBqtR9xJqjcFr04M01loUgJ1oGt8hkqCMN9CqC_Zy951z-raGsrgxFgzDsD_CCdko0zZgFKEv_kHv0ponut1GgdK21pIosVOYUyk59G7OcaRvcALclpXbs3KUlduyclvP83vn9TiG7k_H73AIkDtQSJpuQ_5r9H9dfwKWF6Jo</recordid><startdate>20130101</startdate><enddate>20130101</enddate><creator>Matsue, Yuya</creator><creator>Matsumura, Akihiko</creator><creator>Abe, Masami</creator><creator>Ono, Maki</creator><creator>Seya, Mie</creator><creator>Nakamura, Tomofumi</creator><creator>Iwatsuka, Ryota</creator><creator>Mizukami, Akira</creator><creator>Setoguchi, Masahiko</creator><creator>Nagahori, Wataru</creator><creator>Ohno, Masakazu</creator><creator>Suzuki, Makoto</creator><creator>Hashimoto, Yuji</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20130101</creationdate><title>Prognostic implications of chronic kidney disease and anemia after percutaneous coronary intervention in acute myocardial infarction patients</title><author>Matsue, Yuya ; Matsumura, Akihiko ; Abe, Masami ; Ono, Maki ; Seya, Mie ; Nakamura, Tomofumi ; Iwatsuka, Ryota ; Mizukami, Akira ; Setoguchi, Masahiko ; Nagahori, Wataru ; Ohno, Masakazu ; Suzuki, Makoto ; Hashimoto, Yuji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-eb51806a83cedab5bf8c4094c4f2064cea45f025999c10cd177adcc4ce35a5083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Anemia</topic><topic>Anemia - 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Academic</collection><jtitle>Heart and vessels</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsue, Yuya</au><au>Matsumura, Akihiko</au><au>Abe, Masami</au><au>Ono, Maki</au><au>Seya, Mie</au><au>Nakamura, Tomofumi</au><au>Iwatsuka, Ryota</au><au>Mizukami, Akira</au><au>Setoguchi, Masahiko</au><au>Nagahori, Wataru</au><au>Ohno, Masakazu</au><au>Suzuki, Makoto</au><au>Hashimoto, Yuji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognostic implications of chronic kidney disease and anemia after percutaneous coronary intervention in acute myocardial infarction patients</atitle><jtitle>Heart and vessels</jtitle><stitle>Heart Vessels</stitle><addtitle>Heart Vessels</addtitle><date>2013-01-01</date><risdate>2013</risdate><volume>28</volume><issue>1</issue><spage>19</spage><epage>26</epage><pages>19-26</pages><issn>0910-8327</issn><eissn>1615-2573</eissn><coden>HEVEEO</coden><abstract>Anemia is a common complication of chronic kidney disease (CKD), and a few studies suggest that both CKD and anemia have a marked impact on the prognosis of patients with cardiovascular disease. We retrospectively analyzed the prevalence of CKD and anemia in 312 patients with acute myocardial infarction (AMI). The patients were divided into four groups according to the presence of CKD and anemia. Chronic kidney disease was defined as estimated glomerular filtration rate <60 ml/min/1.73 m
2
, and anemia was defined according to the World Health Organization definition. Of 312 AMI patients, 166 (53.2%) had CKD and 87 (27.8%) had anemia. A powerful relationship was observed between both CKD and anemia and major adverse cardiac and cerebrovascular events (MACCE) or death by any cause. After adjustment for comorbidities, the hazard ratio (HR) for MACCE was significantly higher in the anemia-only group (HR 5.42, 95% confidence interval (CI) 1.38–21.27,
P
= 0.015), the CKD-only group (HR 6.4, 95% CI 2.09–19.58,
P
= 0.001), and the CKD and anemia group (HR 11.61, 95% CI 3.65–36.89,
P
< 0.001). With respect to death by any cause, the HR was significantly higher in the CKD-only group (HR 2.68, 95% CI 1.02–7.02,
P
= 0.045) and the CKD and anemia group (HR 4.40, 95% CI 1.56–12.43,
P
= 0.005). One-half of the patients with AMI had CKD as well. Furthermore, when anemia coexisted with CKD, these conditions had a multiplicative amplification effect on the risk of MACCE and death by any cause in patients with AMI.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>22160439</pmid><doi>10.1007/s00380-011-0209-2</doi><tpages>8</tpages></addata></record> |
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| ispartof | Heart and vessels, 2013-01, Vol.28 (1), p.19-26 |
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| subjects | Aged Anemia Anemia - epidemiology Anemia - etiology Biomedical Engineering and Bioengineering Cardiac Surgery Cardiology Cardiovascular disease Electrocardiography Female Follow-Up Studies Heart attacks Humans Incidence Japan - epidemiology Kidney diseases Male Medicine Medicine & Public Health Middle Aged Myocardial Infarction - diagnosis Myocardial Infarction - surgery Original Article Percutaneous Coronary Intervention - adverse effects Postoperative Complications Prevalence Prognosis Renal Insufficiency, Chronic - epidemiology Renal Insufficiency, Chronic - etiology Retrospective Studies Risk Assessment Risk Factors Time Factors Vascular Surgery |
| title | Prognostic implications of chronic kidney disease and anemia after percutaneous coronary intervention in acute myocardial infarction patients |
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