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June 1, 2017Circulation Heart FailureOpen Access

Pulmonary Hypertension Is Associated With a Higher Risk of Heart Failure Hospitalization and Mortality in Patients With Chronic Kidney Disease

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Why the study?

Does pulmonary hypertension increase the risk of heart failure hospitalization and mortality in African Americans with chronic kidney disease?

Population

408 African American participants with chronic kidney disease and available echocardiogram-derived pulmonary…

Comparison

Pulmonary hypertension (PASP >35 mm Hg) vs No pulmonary hypertension (PASP ≤35 mm Hg)

Design

Cohort

Key result

Among African Americans with chronic kidney disease, pulmonary hypertension was associated with a higher risk of heart failure hospitalization (HR 2.37; 95% CI 1.15-4.86).

Authors

SSSenthil SelvarajSSSanjiv J. ShahMOMark J. Ommerborn

Discussion

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Overview

PH may identify higher-risk African American CKD patients for surveillance; leaves open whether it is a modifiable HF target.

Study Design

Type

Cohort (n=408)

Structured PICO

Does pulmonary hypertension increase the risk of heart failure hospitalization and mortality in African Americans with chronic kidney disease?

P
Population
408 African American adults (mean age 63, 70% female) with chronic kidney disease and available echocardiogram-derived pulmonary artery systolic pressure.
E
Exposure
Pulmonary hypertension (PASP >35 mm Hg)
C
Comparator
No pulmonary hypertension (PASP ≤35 mm Hg)
O
Outcome
Heart failure hospitalization and the combined outcome of heart failure hospitalization or mortalityhard clinical

Main Result

Hazard Ratio: 2.37 (95% CI 1.15–4.86)

In African Americans with chronic kidney disease, the presence of pulmonary hypertension is associated with a significantly higher risk of heart failure hospitalization and mortality.

Cite This Study

Selvaraj et al. (2017) conducted a cohort in Chronic kidney disease (n=408). Pulmonary hypertension vs. No pulmonary hypertension was evaluated on Heart failure hospitalization (HR 2.37, 95% CI 1.15-4.86). Among African Americans with chronic kidney disease, pulmonary hypertension was associated with a higher risk of heart failure hospitalization (HR 2.37; 95% CI 1.15-4.86).

synapsesocial.com/papers/6a231593a4c9ff1e7f1cebb9https://doi.org/10.1161/circheartfailure.116.003940
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