Yıl: 2016 Cilt: 16 Sayı: 10 Sayfa Aralığı: 784 - 790 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Association between central aortic pulsatility and glomerular filtration rate in patients with coronary artery disease

Öz:
Objective: Aortic stiffness and chronic kidney disease share common risk factors. Increased aortic stiffness is a predictor of lower estimated glomerular filtration rate (eGFR) at lower levels of renal functions. We aimed to investigate the association between invasively measured central aortic pulsatility (AP) as an indicator of aortic stiffness and eGFR in a population with coronary artery disease and without overt renal disease.Methods: This study had a cross-sectional design. Data were retrospectively collected. We evaluated 72 patients (44 males and 28 females; mean age 59.0±10.3 years) with coronary artery disease. eGFR was calculated with dividing the Cockcroft-Gault formula by body surface area. Direct measurements of aortic blood pressures were utilized to calculate pulse pressure and AP. Multiple linear regression analysis was performed to test the relationship between eGFR and AP, independent from potential confounders.Results: eGFR was significantly correlated with age (r=0.489, p<0.001), body surface area (r=0.324, p=0.006), weight (r=0.323, p=0.006), aortic pulse pressure (r=-0.371, p=0.001), and AP (r=-0.469, p<0.001). In multiple linear regression analysis, AP was independently associated with eGFR (p=0.035), beside the age and body surface area. An AP cut-off level of >0.71 had 84% sensitivity and 72% specificity in predicting eGFR of Conclusion: We found an independent relationship between invasively measured AP and eGFR in patients with coronary artery disease. Moreover, a higher AP may predict lower eGFR. These results may be utilized to predict eGFR from AP during invasive procedures
Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • London GM, Marchais SJ, Safar ME, Genest AF, Guerin AP, Metivier F, et al. Aortic and large artery compliance in end-stage renal fail- ure. Kidney Int 1990; 37: 137-42.
  • Blacher J, Guérin AP, Pannier B, Marchais SJ, Safar ME, London GM, et al. Impact of aortic stiffness on survival in end-stage renal disease. Circulation 1999; 99: 2434-9.
  • Schillaci G, Pirro M, Mannarino MR, Pucci G, Savarese G, Franklin SS, et al. Relation between renal function within the normal range and central and peripheral arterial stiffness in hypertension. Hy- pertension 2006; 48: 616-21.
  • Song SH, Kwak IS, Kim YJ, Lee HS, Rhee H, Lee DW, et al. Serum cystatin C is related to pulse wave velocity even in subjects with normal serum creatinine. Hypertens Res 2008; 31: 1895-902.
  • Fesler P, du Cailar G, Ribstein J, Mimran A. Glomerular hemodynam- ics and arterial function in normal individuals. J Hypertens 2010; 28: 2462-7.
  • Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Böhm M, et al. 2013 ESH/ESC guidelines for the management of arterial hyper- tension: the Task Force for the Management of Arterial Hyperten- sion of the European Society of Hypertension (ESH) and of the Euro- pean Society of Cardiology (ESC). Eur Heart J 2013; 34: 2159-219.
  • Du Bois D, Du Bois EF. A formula to estimate the approximate surface area if height and weight be known. Arch Intern Med 1916; 17: 863-71.
  • Cockcroft DW, Gault MH. Prediction of creatinine clearance from serum creatinine. Nephron 1976; 16: 31-41.
  • Rostoker G, Andrivet P, Pham I, Griuncelli M, Adnot S. A modified Cockcroft-Gault formula taking into account the body surface area gives a more accurate estimation of the glomerular filtration rate. J Nephrol 2007; 20: 576-85.
  • Zamora E, Lupón J, Vila J, Urrutia A, de Antonio M, Sanz H, et al. Estimated glomerular filtration rate and prognosis in heart failure: value of the Modification of Diet in Renal Disease Study-4, chronic kidney disease epidemiology collaboration, and cockroft-gault for- mulas. J Am Coll Cardiol 2012; 59: 1709-15.
  • Chue CD, Edwards NC, Ferro CJ, Townend JN, Steeds RP. Effects of age and chronic kidney disease on regional aortic distensibility: a cardiovascular magnetic resonance study. Int J Cardiol 2013; 168: 4249-54.
  • Kaess BM, Rong J, Larson MG, Hamburg NM, Vita JA, Levy D, et al. Aortic stiffness, blood pressure progression, and incident hyper- tension. JAMA 2012; 308: 875-81.
  • Stea F, Sgro M, Faita F, Bruno RM, Cartoni G, Armenia S, et al. Re- lationship between wave reflection and renal damage in hyperten- sive patients: a retrospective analysis. J Hypertension 2013; 31: 2418-24.
  • Rossi SH, McQuarrie EP, Miller WH, Mackenzie RM, Dymott JA, Moreno MU, et al. Impaired renal function impacts negatively on vascular stiffness in patients with coronary artery disease. BMC Nephrol 2013; 14: 173.
  • Hashimoto J, Ito S. Central pulse pressure and aortic stiffness de- termine renal hemodynamics: pathophysiological implication for microalbuminuria in hypertension. Hypertension 2011; 58: 839-46.
  • McEniery CM1, Yasmin, Hall IR, Qasem A, Wilkinson IB, Cock- croft JR; ACCT Investigators. Normal vascular aging: differential effects on wave reflection and aortic pulse wave velocity: the Anglo-Cardiff Collaborative Trial (ACCT). J Am Coll Cardiol 2005; 46: 1753-60.
  • Mahfouz RA, Elawady W, Abdu M, Salem A. Associations of fractional pulse pressure to aortic stiffness and their impact on diastolic function and coronary flow reserve in asymptomatic dia- betic patients with normal coronary angiography. Cardiol J 2013; 20: 605-11.
  • Güray Y, Güray U, Altay H, Çay S, Yılmaz MB, Kısacık HL, et al. Aortic pulse pressure and aortic pulsatility are associated with angio- graphic coronary artery disease in women. Blood Press 2005; 14: 293-7.
  • Jankowski P, Kawecka-Jaszcz K, Czarnecka D, Brzozowska-Kiszka M, Styczkiewicz K, Loster M, et al. Pulsatile but not steady compo- nent of blood pressure predicts cardiovascular events in coronary patients. Hypertension 2008; 51: 848-55.
  • Çay S, Çağırcı G, Balbay Y, Atak R, Maden O, Aydoğdu S. Effect of aortic pulse and fractional pulse pressures on early patency of sa- pheneous vein grafts. Coron Artery Dis 2008; 19: 435-9.
  • Jankowski P, Kawecka-Jaszcz K, Czarnecka D, Brzozowska-Kiszka M, Styczkiewicz K, Styczkiewicz M, et al. Ascending aortic, but not brachial blood pressure-derived indices are related to coronary atherosclerosis. Atherosclerosis 2004; 176: 151-5.
  • Parfrey PS, Griffiths SM, Barrett BJ, Paul MD, Genge M, Withers J, et al. Contrast material-induced renal failure in patients with dia- betes mellitus, renal insufficiency, or both. N Engl J Med 1989; 320: 143-53.
  • Moore RD, Steinberg EP, Power NR, Brinker JA, Fishman EK, Gra- ziano S, et al. Nephrotoxicity of high-osmolality versus low-osmo- lality contrast media: randomized clinical trial. Radiology 1992; 182: 649-55.
APA Duyuler S, TÜRKER BAYIR P, GURAY U, YILDIZ A, Korkmaz A, ATILGAN K (2016). Association between central aortic pulsatility and glomerular filtration rate in patients with coronary artery disease. , 784 - 790.
Chicago Duyuler Serkan,TÜRKER BAYIR Pınar,GURAY UMIT,YILDIZ Abdulkadir,Korkmaz Ahmet,ATILGAN KADIR GOKHAN Association between central aortic pulsatility and glomerular filtration rate in patients with coronary artery disease. (2016): 784 - 790.
MLA Duyuler Serkan,TÜRKER BAYIR Pınar,GURAY UMIT,YILDIZ Abdulkadir,Korkmaz Ahmet,ATILGAN KADIR GOKHAN Association between central aortic pulsatility and glomerular filtration rate in patients with coronary artery disease. , 2016, ss.784 - 790.
AMA Duyuler S,TÜRKER BAYIR P,GURAY U,YILDIZ A,Korkmaz A,ATILGAN K Association between central aortic pulsatility and glomerular filtration rate in patients with coronary artery disease. . 2016; 784 - 790.
Vancouver Duyuler S,TÜRKER BAYIR P,GURAY U,YILDIZ A,Korkmaz A,ATILGAN K Association between central aortic pulsatility and glomerular filtration rate in patients with coronary artery disease. . 2016; 784 - 790.
IEEE Duyuler S,TÜRKER BAYIR P,GURAY U,YILDIZ A,Korkmaz A,ATILGAN K "Association between central aortic pulsatility and glomerular filtration rate in patients with coronary artery disease." , ss.784 - 790, 2016.
ISNAD Duyuler, Serkan vd. "Association between central aortic pulsatility and glomerular filtration rate in patients with coronary artery disease". (2016), 784-790.
APA Duyuler S, TÜRKER BAYIR P, GURAY U, YILDIZ A, Korkmaz A, ATILGAN K (2016). Association between central aortic pulsatility and glomerular filtration rate in patients with coronary artery disease. The Anatolian Journal of Cardiology, 16(10), 784 - 790.
Chicago Duyuler Serkan,TÜRKER BAYIR Pınar,GURAY UMIT,YILDIZ Abdulkadir,Korkmaz Ahmet,ATILGAN KADIR GOKHAN Association between central aortic pulsatility and glomerular filtration rate in patients with coronary artery disease. The Anatolian Journal of Cardiology 16, no.10 (2016): 784 - 790.
MLA Duyuler Serkan,TÜRKER BAYIR Pınar,GURAY UMIT,YILDIZ Abdulkadir,Korkmaz Ahmet,ATILGAN KADIR GOKHAN Association between central aortic pulsatility and glomerular filtration rate in patients with coronary artery disease. The Anatolian Journal of Cardiology, vol.16, no.10, 2016, ss.784 - 790.
AMA Duyuler S,TÜRKER BAYIR P,GURAY U,YILDIZ A,Korkmaz A,ATILGAN K Association between central aortic pulsatility and glomerular filtration rate in patients with coronary artery disease. The Anatolian Journal of Cardiology. 2016; 16(10): 784 - 790.
Vancouver Duyuler S,TÜRKER BAYIR P,GURAY U,YILDIZ A,Korkmaz A,ATILGAN K Association between central aortic pulsatility and glomerular filtration rate in patients with coronary artery disease. The Anatolian Journal of Cardiology. 2016; 16(10): 784 - 790.
IEEE Duyuler S,TÜRKER BAYIR P,GURAY U,YILDIZ A,Korkmaz A,ATILGAN K "Association between central aortic pulsatility and glomerular filtration rate in patients with coronary artery disease." The Anatolian Journal of Cardiology, 16, ss.784 - 790, 2016.
ISNAD Duyuler, Serkan vd. "Association between central aortic pulsatility and glomerular filtration rate in patients with coronary artery disease". The Anatolian Journal of Cardiology 16/10 (2016), 784-790.