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Low GFR amplifies the association between coronary three-vessel disease and all-cause mortality

Nutrition, Metabolism & Cardiovascular Diseases Oct 14, 2021

Piscitelli P, D’Errico MM, Mirijello A, et al. - Risk of all-cause mortality linked with three vessels disease (3VD) was found to be significantly amplified by low eGFR (<60 ml/min/1.73m 2 ). Kidney disease is a risk multiplier for cardiovascular and all-cause mortality.

  • This analysis included 1,017 individuals undergoing coronary angiography; they were divided based on coronary artery disease severity: 3VD, and “no three vessels disease” (No 3VD).

  • The whole study sample was split into 4 groups (A, B, C, D), based on the presence/absence of low eGFR and/or 3VD.

  • Almost 2-time higher risk of death was found in participants with 3VD vs those without 3VD (adjusted HR= 1.61).

  • Among 4 subgroups, the risk of death was the highest in participants with low eGFR and 3VD (Group D) (adjusted HR=3.881).

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