A cohort study of atherogenic index of plasma and the risk of cardiovascular disease in community elderly hypertensive population of Kunshan area
- VernacularTitle:昆山地区社区老年高血压人群血浆致动脉粥样硬化指数与心血管疾病发病风险的队列研究
- Author:
Bing LU
1
;
Qianqian WANG
;
Shao ZHONG
Author Information
- Keywords: cardiovascular disease; hypertension; atherogenic index of plasma; lipid com-posite index
- From: Journal of Clinical Medicine in Practice 2024;28(15):54-58
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the relationship between plasma atherosclerosis index(AIP)and the risk of cardiovascular disease in community elderly hypertensive patients in Kunshan area.Methods A total of 21,226 elderly hypertensive patients who underwent annual health exami-nations in community were enrolled in this study.Demographic information such as baseline age,gen-der,smoking history,hypertension,diabetes,and history of cardiovascular disease were collected.Patients'height,body weight,body mass index(BMI),waist circumference,blood pressure,fasting blood glucose,and blood lipids were measured.Lipid indicators including AIP,lipid composite index(LCI),Castelli risk index-Ⅰ(CRI-Ⅰ),and Castelli risk index-Ⅱ(CRI-Ⅱ)were recorded.The primary endpoint was the first occurrence of cardiovascular disease.The multivariate Cox proportional hazards model was used to explore the relationship between baseline AIP level and cardiovascular dis-ease risk in hypertensive patients.Results After a median follow-up period of 5.62(3.53,7.16)years,3,179 patients occurred cardiovascular disease events.Cox regression analysis showed that a higher baseline AIP level was positively correlated with cardiovascular disease risk without adjusting for confounding factors(HR=1.16;95％CI,1.02 to 1.32).After further adjustment for age,gender,BMI,waist circumference,blood pressure,blood glucose,smoking history,and diabetes history,the AIP level remained closely related to cardiovascular disease risk.Restricted cubic spline analysis sug-gested an overall linear relationship between AIP and cardiovascular disease risk.Kaplan-Meier survival curve analysis showed that compared with the lowest quartile,the cumulative risk of cardiovascular disease was higher in the highest quartile(P＜0.001).Conclusion In community elderly hyper-tensive patients in Kunshan area,baseline AIP level is associated with cardiovascular disease risk.Monitoring AIP levels may aid in predicting and assessing the risk of cardiovascular disease.
