Asymptomatic hyperuricemia and incident congestive heart failure in elderly patients without comorbidities

Publication date: Available online 23 December 2019Source: Nutrition, Metabolism and Cardiovascular DiseasesAuthor(s): Xianfeng Wu, Guihua Jian, Yuezhong Tang, Huan Cheng, Niansong Wang, Junnan WuAbstractBackground and AimsAlthough hyperuricemia is associated with congestive heart failure (CHF), hyperuricemic patients frequently have other comorbidities. Thus, it is difficult to distinguish the role of hyperuricemia from that of other comorbid conditions in CHF. The aim of this study was to evaluate the association between hyperuricemia and CHF in elderly patients without comorbidities.MethodsSubjects aged ≥65 years were analyzed at enrollment (2009-2012) and during the 4-year follow-up period at the Kangjian Community Health Center of Shanghai. Subjects were excluded if they had hypertension, diabetes mellitus, preexisting cardiovascular disease, hyperlipidemia, overweight or obesity, a history of gout or hyperuricemia and were taking medication for their condition, or chronic kidney disease. The primary outcome of this study was to investigate the impact of asymptomatic hyperuricemia on incident CHF. We used Cox regression to estimate the hazard ratio (HR) for incident CHF events between hyperuricemic (defined as an SUA level>7 mg/dL in men and ≥6 mg/dL in women) and normouricemic subjects.ResultsA total of 2749 subjects (70.9±6.0 years) were followed for 47.4±3.6 months. Asymptomatic hyperuricemia was associated with an increased cumulative incidence...
Source: Nutrition, Metabolism and Cardiovascular Diseases - Category: Nutrition Source Type: research

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