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Albuminuria and kidney function as prognostic marker of left ventricular mass among South Asians with hypertension.

Publication ,  Journal Article
Feng, L; Khan, AH; Jehan, I; Allen, J; Jafar, TH
Published in: Journal of the American Society of Hypertension : JASH
December 2017

We aimed to evaluate the association of albuminuria and estimated glomerular filtration rate (eGFR) at baseline and changes in these parameters with left ventricular mass index (LVMI) at 7 years in adults with hypertension from communities in Pakistan. A nested cohort of 539 hypertensives aged 40 years and older from a community-living population in Karachi, Pakistan, followed up for 7 years in the Control of Blood Pressure and Risk Attenuation trial. Urine spot albumin-to-creatinine ratio (UACR) and serum creatinine-based eGFR were assessed at baseline and 7 years, and echocardiography at 7 years. Mean age of participants was 50.9 ± 9.1 (standard deviation) years; 63% were female. Mean eGFR was 91.0 ± 15.9 (standard deviation) mL/min/1.73 m2 and median (interquartile range) UACR 6.2 (3.9, 11.3) mg/g. In multivariate analysis, although baseline eGFR was marginally associated with LVMI, a strong association was found between higher LVMI with greater rate of decline in eGFR (β = -1.05; 95% confidence interval [CI]: [-1.94, -0.17]). Higher baseline UACR was significantly associated with higher follow-up LVMI (β = 2.26; 95% CI: [0.87, 3.65]), as was rate of UACR increase of ≥1.07 mg/g/y versus of <0.14 mg/g/y. (β = 4.19; 95% CI: [0.75, 7.63]). Associations with developing left ventricular hypertrophy were found for reduced baseline eGFR, higher baseline UACR, and greater rate of UACR increase, but not for rate of eGFR decline. Comparable results were observed for the outcomes of posterior wall thickness and septal wall thickness. Higher baseline albuminuria, lower baseline eGFR, and their longitudinal worsening were significantly associated with higher LVMI or the development of left ventricular hypertrophy among individuals with hypertension in Pakistan.

Duke Scholars

Published In

Journal of the American Society of Hypertension : JASH

DOI

EISSN

1878-7436

ISSN

1933-1711

Publication Date

December 2017

Volume

11

Issue

12

Start / End Page

811 / 822.e2

Related Subject Headings

  • Randomized Controlled Trials as Topic
  • Prognosis
  • Pakistan
  • Middle Aged
  • Male
  • Kidney Function Tests
  • Kidney
  • Hypertrophy, Left Ventricular
  • Hypertension
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Feng, L., Khan, A. H., Jehan, I., Allen, J., & Jafar, T. H. (2017). Albuminuria and kidney function as prognostic marker of left ventricular mass among South Asians with hypertension. Journal of the American Society of Hypertension : JASH, 11(12), 811-822.e2. https://doi.org/10.1016/j.jash.2017.10.003
Feng, Liang, Aamir Hameed Khan, Imtiaz Jehan, John Allen, and Tazeen H. Jafar. “Albuminuria and kidney function as prognostic marker of left ventricular mass among South Asians with hypertension.Journal of the American Society of Hypertension : JASH 11, no. 12 (December 2017): 811-822.e2. https://doi.org/10.1016/j.jash.2017.10.003.
Feng L, Khan AH, Jehan I, Allen J, Jafar TH. Albuminuria and kidney function as prognostic marker of left ventricular mass among South Asians with hypertension. Journal of the American Society of Hypertension : JASH. 2017 Dec;11(12):811-822.e2.
Feng, Liang, et al. “Albuminuria and kidney function as prognostic marker of left ventricular mass among South Asians with hypertension.Journal of the American Society of Hypertension : JASH, vol. 11, no. 12, Dec. 2017, pp. 811-822.e2. Epmc, doi:10.1016/j.jash.2017.10.003.
Feng L, Khan AH, Jehan I, Allen J, Jafar TH. Albuminuria and kidney function as prognostic marker of left ventricular mass among South Asians with hypertension. Journal of the American Society of Hypertension : JASH. 2017 Dec;11(12):811-822.e2.
Journal cover image

Published In

Journal of the American Society of Hypertension : JASH

DOI

EISSN

1878-7436

ISSN

1933-1711

Publication Date

December 2017

Volume

11

Issue

12

Start / End Page

811 / 822.e2

Related Subject Headings

  • Randomized Controlled Trials as Topic
  • Prognosis
  • Pakistan
  • Middle Aged
  • Male
  • Kidney Function Tests
  • Kidney
  • Hypertrophy, Left Ventricular
  • Hypertension
  • Humans