Cardiovascular mortality due to pulmonary embolism in subjects with renal impairment: patients’ comorbidities are crucial

Abstract we read with great interest the paper by Ocak et al. (1). The authors found that the age‐ and sex‐standardized mortality rate (SMR) for pulmonary embolism (PE) was 12.2 (95% CI 10.2‐14.6) times higher in dialysis patients than in the general population. Such SMR was even higher than that of myocardial infarction (MI) (11.0, 95% CI 10.6‐11.4), stroke (8.4 (95% CI 8.0‐8.8), and other cardiovascular disease (8.3, 95% CI 8.0‐8.5) On the one hand, the association between the different grade of impaired renal function and MI received important confirmation (2), and also a recent study from our group conducted on a large regional database of hospital admissions found that mortality rates during hospitalization in patients admitted with MI was significantly higher in patients with end‐stage renal disease (ESRD) and chronic kidney disease (CKD) compared with patients without renal dysfunction (38.3%, 16.5%, and 14%, respectively) (3) © 2013 International Society on Thrombosis and Haemostasis
Source: Journal of Thrombosis and Haemostasis - Category: Hematology Authors: Tags: Letter Rebuttal Source Type: research