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pubmed-article:17599432pubmed:abstractTextEffects 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.lld:pubmed
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pubmed-article:17599432pubmed:year2007lld:pubmed
pubmed-article:17599432pubmed:articleTitleEffect of first myocardial ischemic event on renal function.lld:pubmed
pubmed-article:17599432pubmed:affiliationDepartment of Clinical Pharmacology, Division of Nephrology, University Medical Center Groningen, Groningen, The Netherlands. eijkelkamp@cs.comlld:pubmed
pubmed-article:17599432pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:17599432pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
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