Source:http://linkedlifedata.com/resource/pubmed/id/17599432
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2007-6-29
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pubmed:abstractText |
Effects of cardiovascular dysfunction on renal function have been poorly characterized. Therefore, we investigated the relation between a first ischemic cardiac event and long-term renal function changes in the general population from the PREVEND study. We studied 6,360 subjects with a total follow-up duration of 27.017 subject-years. The estimated mean proportional increase in serum creatinine after a first ischemic cardiac event was 3.1% compared with 0.4% per year of follow-up in subjects without such an event (p = 0.005). This represented a significantly larger decrease in estimated glomerular filtration rate after the event in subjects with an event versus the decrease in subjects without a first ischemic cardiac event (2.2 vs 0.5 ml/min/1.73 m(2)/year of follow-up, p = 0.006). In multivariate analysis with adjustment for renal risk factors, this event showed an independent association with serum creatinine change. In conclusion, a first ischemic cardiac event appears to enhance the natural decrease in renal function. Because even mild renal dysfunction should be considered a major cardiovascular risk factor after myocardial infarction, increased renal function loss after an ischemic cardiac event could add to the risk for subsequent cardiovascular morbidity, thus closing a vicious circle.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0002-9149
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pubmed:author |
pubmed-author:EijkelkampWouter B AWB,
pubmed-author:GansevoortRonald TRT,
pubmed-author:HillegeHans LHL,
pubmed-author:Prevention of Renal and Vascular End-Stage Disease (PREVEND) Study Group,
pubmed-author:de GraeffPieter APA,
pubmed-author:de JongPaul EPE,
pubmed-author:de ZeeuwDickD,
pubmed-author:van DokkumRichard P ERP,
pubmed-author:van VeldhuisenDirk JDJ
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pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
100
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
7-12
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pubmed:meshHeading |
pubmed-meshheading:17599432-Adult,
pubmed-meshheading:17599432-Aged,
pubmed-meshheading:17599432-Creatinine,
pubmed-meshheading:17599432-Female,
pubmed-meshheading:17599432-Follow-Up Studies,
pubmed-meshheading:17599432-Glomerular Filtration Rate,
pubmed-meshheading:17599432-Humans,
pubmed-meshheading:17599432-Male,
pubmed-meshheading:17599432-Middle Aged,
pubmed-meshheading:17599432-Myocardial Ischemia,
pubmed-meshheading:17599432-Renal Insufficiency,
pubmed-meshheading:17599432-Risk Factors
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pubmed:year |
2007
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pubmed:articleTitle |
Effect of first myocardial ischemic event on renal function.
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pubmed:affiliation |
Department of Clinical Pharmacology, Division of Nephrology, University Medical Center Groningen, Groningen, The Netherlands. eijkelkamp@cs.com
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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