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Predictors and Consequences of Subclinical Renal Impairment in Patients with Vascular Disease Cover

Predictors and Consequences of Subclinical Renal Impairment in Patients with Vascular Disease

Open Access
|Dec 2024

Figures & Tables

FIGURE 1.

Significant differences in cystatin C levels according to the presence or absence of diabetes mellitus and diuretic therapy (A) and in NGAL levels according to the presence or absence of diuretic therapy (B). Data expressed as means ± s.d.; p values obtained using the unpaired t-test.
Significant differences in cystatin C levels according to the presence or absence of diabetes mellitus and diuretic therapy (A) and in NGAL levels according to the presence or absence of diuretic therapy (B). Data expressed as means ± s.d.; p values obtained using the unpaired t-test.

Correlation analysis of patient characteristics and cystatin C levels

ParameterCorrelation coefficientp value
Age0.38 (0.16–0.57)<0.001*
Body mass index0.52
Heart failure (NYHA class)0.34
Hemoglobin−0.30 (−0.50 to −0.07)0.01*
White blood cells0.47
Platelets0.52
Glucose0.32 (0.10–0.52)<0.01*
Total cholesterol0.52
LDL-cholesterol0.68
HDL-cholesterol−0.54 (−0.74 to −0.31)<0.01*
Triglycerides0.12
Total protein0.72
Albumin−0.67 (−0.88 to −0.42)0.02*
Uric acid0.70 (0.50–0.87)<0.0001*
Potassium0.65 (0.43–0.82)0.0001*

Correlation analysis of patient characteristics and NGAL levels

ParameterCorrelation coefficientp value
Age0.31
Body mass index0.13
Heart failure (NYHA class)0.26 (0.03–0.46)0.02*
Hemoglobin0.94
White blood cells0.68 (0.45–0.88)0.01*
Platelets0.41
Glucose0.51
Total cholesterol0.89
LDL-cholesterol0.47
HDL-cholesterol−0.60 (−0.82 to −0.44)0.03*
Triglycerides0.76
Total protein0.96
Albumin−0.52 (−0.72 to −0.29)<0.01*
Uric acid0.78 (0.55–0.97)0.001*
Potassium0.40 (0.18–0.58)<0.001*

Multiple linear regression analysis of factors associated with increased cystatin C levels

ParameterCorrelation coefficientStandard errorp value
Age0.400.010.30
Hemoglobin−0.300.020.46
Glucose0.320.010.73
HDL-cholesterol−0.200.010.03*
Albumin−0.240.020.04*
Uric acid0.560.02<0.001*
Potassium0.610.070.0001*
Diuretic therapy0.420.030.02*

Main characteristics of the study participants (n = 71)

ParameterValue
Age (years)63.8 ± 9.3
Male sex (n, %)47 (66.1%)
Body mass index, mean (kg/m2)28.6 ± 3.9
Medical history
  Arterial hypertension (n, %)65 (91.5%)
  Diabetes mellitus (n, %)30 (42.2%)
  Heart failure (NYHA class)2 (2-2)
Ongoing therapy
  ACEI (n, %)49 (69.0%)
  ARB (n, %)15 (21.1%)
  Diuretic (n, %)30 (42.2%)
  Statin (n, %)70 (98.5%)
Laboratory parameters
  White blood cells (/mm3)7,648 ± 1,876
  Platelets (/mm3)231,812 ± 66,047
  Hemoglobin (g/dl)13.4 ± 1.5
  Glucose (mg/dl)141.1 ± 62.7
  Total cholesterol (mg/dl)163.6 ± 47.8
  LDL-cholesterol (mg/dl)90.9 ± 41.6
  HDL-cholesterol (mg/dl)40.6 ± 24.3
  Triglycerides (mg/dl)163.4 ± 104.5
  Total protein (g/dl)66.0 ± 4.8
  Albumin (g/dl)4.3 ± 0.3
  Uric acid (mg/dl)6.2 ± 1.7
  Potassium (mEq/l)3.9 ± 0.4
  Serum creatinine (mg/dl)1.04 ± 0.32
  eGFR (ml/min/1.73 m2)76.0 ± 23.0
  Cystatin C (mg/l)1.10 ± 0.37
  NGAL (ng/ml)75.8 ± 26.6

Multiple linear regression analysis of factors associated with increased NGAL levels

ParameterCorrelation coefficientStandard errorp value
Age0.295.520.06
Hemoglobin0.490.01<0.01*
Glucose−0.460.040.03*
HDL-cholesterol−0.340.050.02*
Albumin0.390.07<0.01*
Uric acid0.436.220.10
Potassium0.285.800.31
Diuretic therapy0.420.030.02*
DOI: https://doi.org/10.2478/jce-2024-0016 | Journal eISSN: 2457-5518 | Journal ISSN: 2457-550X
Language: English
Page range: 133 - 141
Submitted on: Aug 5, 2024
Accepted on: Aug 20, 2024
Published on: Dec 26, 2024
Published by: Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Cristina Somkereki, Tunde Renata Nicoară, Mădălina Oprica, Liliana Demian, Alina Scridon, published by Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.