國家衛生研究院 NHRI:Item 3990099045/16091
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    题名: Rapid resting heart rate is associated with ESRD independent of CVD risk factors
    作者: Wen, CP;Tsai, MK
    贡献者: Institute of Population Health Sciences
    摘要: Background: Rapid resting heart rate (RHR) has been associated with kidney diseases among individuals with cardiovascular diseases (CVD) but whether such an association exists among those without CVD, including ESRD, is unclear. Methods: Data from a cohort comprising 442,714 adults who participated in a private medical screening program between 1996 and 2017 in Taiwan were analyzed. Participants’ IDs were linked and identified 2,212 individuals undergoing dialysis or kidney transplant, with a median follow-up of 13 years. RHR was extracted from reading EKG performed in a supine position after rest. We grouped participants by RHR into 40-59, 60-69, 70-79, 80-89, and  90 beats/min. Cox proportional hazard model was used to develop hazard ratios (HRs) with 95% confidence intervals. Results: Approximately one-fifth (22.2%) of the participants had rapid RHR at 80/ min, and one-third (32.6%) had normal RHR (60-69/min). Rapid RHR had a higher CKD proportion than those with normal RHR. RHR at 80-89/min was associated with a 24% increased ESRD (HR: 1.24, 95% CI: 1.09, 1.42), and, at90/min, with a 64% increased ESRD (HR: 1.64, 95% CI: 1.42, 1.90). Starting at 60/min, ESRD risk increased by 14% per 10 beats/min increase (HR: 1.14, 95% CI: 1.10, 1.19). By excluding participants with anyone with any of 4 CVD risks, such as smoking, hypertension, diabetes, or obesity, the significant increase remained in this new CVD risk-free sub-cohort. Conclusions: Rapid resting heart rate (≧80/min) is associated with increased ESRD risks, independent of CVD risks. Rapid RHR should be considered as a risk factor for kidney-related diseases.
    日期: 2022-11
    關聯: Journal of the American Society of Nephrology. 2022 Nov;33(11S):221.
    Link to: http://dx.doi.org/10.1681/ASN.20223311S1221a
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=1046-6673&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:001261054401266
    显示于类别:[溫啟邦(2001-2010)] 會議論文/會議摘要

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