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  • Oien, Cecilia MontgomeryThe ALERT Study Group (författare)

Gender-associated risk factors for cardiac end points and total mortality after renal transplantation : post hoc analysis of the ALERT study

  • Artikel/kapitelEngelska2006

Förlag, utgivningsår, omfång ...

  • Wiley,2006
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-104719
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-104719URI
  • https://doi.org/10.1111/j.1399-0012.2006.00496.xDOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • BACKGROUND: Female gender offers a cardioprotective effect over men in the general population, but is lost in the dialysis population. Whether renal transplantation restores the gender-dependent cardiac protection and whether there is a difference in the impact of risk factors is not known. METHODS: This is a post hoc analysis of pre-defined end points in the placebo arm in the Assessment of Lescol in Renal Transplantation (ALERT) study, a study in renal transplant recipients. Cox regression was performed to estimate the association between different risk factors at baseline and non-fatal myocardial infarction (MI) or cardiac death and total mortality, and specifically assess whether there are gender differences. RESULTS: The placebo arm included 1052 patients (mean age 50.1 +/- 11.1 yr, 65.3% males) with a mean follow-up of 65 months. The incidence of non-fatal MI or cardiac death was 10.9% vs. 7.9% (NS) and total mortality 13.3% vs. 12.8% (NS) in men and women. In multivariate analysis, previous coronary heart disease (CHD), diabetes, treatment for rejection and serum triglycerides were predictive for cardiac events in men, and low-density lipoprotein (LDL)/high-density lipoprotein (HDL) ratio only in women. A slightly different risk-factor pattern appeared for total mortality. Diabetes, ECG abnormalities, plasma triglycerides, serum creatinine, time on dialysis and age predicted total mortality in men, while ECG abnormalities, LDL/HDL ratio and age were predictors in women. CONCLUSION: In this relatively low-risk population of renal transplant recipients, no gender difference in cardiac events or total mortality was observed, suggesting that female gender advantage regarding CHD is not restored following transplantation. The predictive value of risk factors differed in men and women.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Reisaeter, Anna VarbergThe ALERT Study Group (författare)
  • Os, IngridThe ALERT Study Group (författare)
  • Jardine, AlanThe ALERT Study Group (författare)
  • Fellström, Bengt,1947-Uppsala universitet,Institutionen för medicinska vetenskaper,The ALERT Study Group (författare)
  • Holdaas, HallvardThe ALERT Study Group (författare)
  • The ALERT Study GroupInstitutionen för medicinska vetenskaper (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Clinical Transplantation: Wiley20:3, s. 374-820902-00631399-0012

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