Artery Research

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Volume 24, Issue C, December 2018, Pages 123 - 123

P150 THE IMPACT OF ARTERIAL STIFFNESS ON TROPONIN T LEVELS IN CHRONIC HAEMODIALYSIS PATIENTS

Authors
Christian Daugaard Peters1, Krista Dybtved Kjærgaard1, Bente Jespersen1, Kent Lodberg Christensen2, Jens Dam Jensen1
1Dept. of Renal Medicine, Aarhus University Hospital, Aarhus, Denmark
2Dept. of Cardiology, Aarhus University Hospital, Aarhus, Denmark
Available Online 4 December 2018.
DOI
10.1016/j.artres.2018.10.203How to use a DOI?
Abstract

Background: Troponin T (TnT) is a highly specific biomarker for myocardial infarction (MI). Haemodialysis (HD) patients often have increased arterial stiffness and elevated TnT. Previous studies have linked elevated TnT with worse outcome, even in the absence of MI. The aim of this study was to evaluate whether arterial stiffness affects TnT-levels in stable HD-patients.

Methods: Eighty-one HD-patients recruited as part of the SAFIR-study with urine output >300 mL/day, HD-vintage 30% were followed for 12 months with serial measurements of TnT using a high-sensitivity assay and carotid-femoral pulse wave velocity (cfPWV).

Results: At baseline, cfPWV was positively correlated with natural log-transformed TnT (logTnT) and by splitting cfPWV into tertiles (see Figure) the geometric baseline TnT-means with 95% confidence intervals (95%-CI) were: cfPWV12.5 m/s (n = 26): 59(44–78) ng/L (P = 0.03 in ANOVA-test for difference between groups). Baseline cfPWV-tertiles remained significantly correlated with logTnT in multivariate analysis (adjusted for haematocrit, EF, NT-proBNP, ultrafiltration volume and Charlson comorbidity index). Higher TnT-levels at baseline were associated with a higher risk of admission and cardiovascular events during follow-up with logTnT odds-ratios (95%-CI): 2.62(1.22–5.64) and 2.25(1.04–4.86). Increase in TnT over time was significantly correlated with increase in LV-mass and NT-proBNP and decrease in LVEF and late intradialytic stroke volume, but it was not significantly associated with increase in cfPWV.

Conclusions: Increased arterial stiffness was associated with higher TnT-levels. Rise in TnT over time was significantly correlated with deterioration of cardiac status.

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Journal
Artery Research
Volume-Issue
24 - C
Pages
123 - 123
Publication Date
2018/12/04
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
10.1016/j.artres.2018.10.203How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Cite this article

risenwbib
TY  - JOUR
AU  - Christian Daugaard Peters
AU  - Krista Dybtved Kjærgaard
AU  - Bente Jespersen
AU  - Kent Lodberg Christensen
AU  - Jens Dam Jensen
PY  - 2018
DA  - 2018/12/04
TI  - P150 THE IMPACT OF ARTERIAL STIFFNESS ON TROPONIN T LEVELS IN CHRONIC HAEMODIALYSIS PATIENTS
JO  - Artery Research
SP  - 123
EP  - 123
VL  - 24
IS  - C
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2018.10.203
DO  - 10.1016/j.artres.2018.10.203
ID  - Peters2018
ER  -