Relationship between Chronic Kidney Disease and Risk of Coronary Heart Disease in Korean Men.
10.3346/jkms.2011.26.6.753
- Author:
Jae Hong RYOO
1
;
Soo Geun KIM
;
Byung Seong SUH
;
Dong Il KIM
;
Sung Keun PARK
Author Information
1. Department of Occupational Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. byungseong.suh@samsung.com
- Publication Type:Original Article
- Keywords:
Renal Failure, Chronic Kidney Disease;
Coronary Heart Disease;
Framingham Risk Score
- MeSH:
Adult;
Aged;
Coronary Disease/epidemiology/*etiology;
Glomerular Filtration Rate;
Humans;
Kidney Failure, Chronic/*complications;
Logistic Models;
Male;
Middle Aged;
Odds Ratio;
Proteinuria/complications;
Renal Insufficiency, Chronic/*complications;
Republic of Korea;
Risk Factors
- From:Journal of Korean Medical Science
2011;26(6):753-758
- CountryRepublic of Korea
- Language:English
-
Abstract:
There have been many epidemiological researches of chronic kidney disease (CKD), accompanied by an increase in the incidence of coronary heart disease (CHD). However, as far as we know, little research has been done to examine the extent of the relationship between CKD and CHD as estimated by Framingham risk score (FRS) in Korean men. CKD was defined as either proteinuria or an eGFR of < 60 mL/min per 1.73 m2. The FRS has been used to predict the 10-yr risk of coronary events and usually divided into three levels of risk < 10% (low), 10%-19% (intermediate) and > or = 20% (high). We defined FRS > or = 10% as more-than-a-moderate CHD risk group and FRS > or = 20% as a high CHD risk group, respectively. After adjusting for covariates, multivariable-adjusted logistic regression analyses showed a strong statistical significant relationship between CKD and high risk of CHD (adjusted OR, 1.95 [95% CI, 1.32-2.87]). Dipstick urinalysis and eGFR can be readily measured in most clinical settings. The measurement of kidney function may represent a relatively inexpensive and efficient way to identify individuals at higher risk for CHD.
