| Total | IGFBP7 (ng/mL) | p | |||
---|---|---|---|---|---|---|
Tertile 1 | Tertile 2 | Tertile 3 | ||||
NÂ =Â 1913 | NÂ =Â 631 | NÂ =Â 632 | NÂ =Â 650 | |||
IGFBP7 | Median [IQR] | 165.5 [150.7–183.6] | 145.4 [138.0–150.6] | 165.1 [160.2–170.5] | 193.9 [182.8–210.3] | – |
Range | 92.4–617.8 | 92.4–155.2 | 155.3–175.8 | 175.9–617.8 | ||
Age, years | Mean ± SD | 72.7 ± 5.0 | 70.8 ± 4.1 | 72.2 ± 4.5 | 75.2 ± 5.2 | 3.4 × 10−61 |
Females | N (%) | 925 (48.4) | 366 (58.0) | 309 (48.9) | 250 (38.5) | 2.2 × 10−11 |
BMI, kg/m2 | Mean ± SD | 26.5 ± 4.2 | 26.2 ± 4.0 | 26.7 ± 4.1 | 26.5 ± 4.3 | 0.084 |
BSA, m2 | Mean ± SD | 1.80 ± 0.19 | 1.77 ± 0.18 | 1.82 ± 0.20 | 1.83 ± 0.18 | 6.4 × 10−9 |
Serum creatinine, mg/dL−1 | Mean ± SD | 0.96 ± 0.26 | 0.85 ± 0.17 | 0.93 ± 0.19 | 1.10 ± 0.33 | 1.6 × 10−71 |
eGFR, mL/min/1.73m2 | Mean ± SD | 69.6 ± 21.1 | 75.6 ± 19.8 | 72.2 ± 21.5 | 61.0 ± 19.0 | 1.4 × 10−38 |
CKD (eGFR < 60) | N (%) | 632 (33.4%) | 123 (19.6%) | 176 (27.9%) | 333 (52.2%) | 3.6 × 10−36 |
Clinical history | ||||||
Hypertension | N (%) | 1132 (59.2) | 357 (56.6) | 375 (59.3) | 400 (61.5) | 0.195 |
Diabetes mellitus | N (%) | 313 (16.5) | 91 (14.6) | 91 (14.4) | 131 (20.2) | 0.006 |
Smoking | N (%) | 252 (13.2) | 88 (13.9) | 83 (13.2) | 81 (12.5) | 4.1 × 10−7 |
Alcohol use | N (%) | 1128 (59.0) | 367 (58.2) | 382 (60.5) | 379 (58.3) | 0.628 |
Dyslipidemia | N (%) | 828 (44.3) | 302 (49.2) | 268 (43.1) | 258 (40.8) | 0.009 |
Angina pectoris | N (%) | 121 (6.3) | 41 (6.5) | 41 (6.5) | 39 (6.0) | 0.916 |
Myocardial infarction | N (%) | 116 (6.1) | 34 (5.4) | 28 (4.5) | 54 (8.4) | 0.010 |
Atrial fibrillation | N (%) | 132 (6.9) | 28 (4.4) | 35 (5.5) | 69 (10.6) | 1.9 × 10−5 |
Heart failure | N (%) | 114 (6.3) | 18 (3.0) | 35 (5.7) | 61 (10.0) | 2.0 × 10−6 |
AHA/ACC class | ||||||
Normal | N (%) | 242 (12.7) | 104 (16.5) | 85 (13.4) | 53 (8.2) | 1.8 × 10−7 |
A | N (%) | 444 (23.2) | 148 (23.5) | 139 (22.0) | 157 (24.2) | |
B | N (%) | 1113 (58.2) | 361 (57.2) | 373 (59.0) | 379 (58.3) | |
C | N (%) | 114 (6.0) | 18 (2.9) | 35 (5.5) | 61 (9.4) | |
COPD | N (%) | 171 (8.9) | 48 (7.6) | 56 (8.9) | 67 (10.3) | 0.237 |
Circulating biomarkers | ||||||
GDF-15, pg/mL | Median [IQR] | 1468 [1168–1984] | 1250 [1021–1527] | 1405 [1168–1761] | 1915 [1445–2603] | 3.7 × 10−82 |
P1NP, ng/mL | Median [IQR] | 35.2 [26.3–46.0] | 32.6 [24.5–42.6] | 34.9 [26.0–45.5] | 37.2 [27.5–51.3] | 2.9 × 10−7 |
hs cTnT, ng/L | Median [IQR] | 5.5 [3.0–9.5] | 3.5 [3.0–6.3] | 5.0 [3.0–8.2] | 8.1 [4.9–13.7] | 5.7 × 10−58 |
NT-proBNP, ng/L | Median [IQR] | 92 [47–186] | 63 [36–123] | 81 [45–151] | 142 [69–293] | 8.9 × 10−42 |
Echocardiography | ||||||
LVEF, % (N = 1858) | Mean ± SD | 66.3 ± 7.2 | 66.9 ± 6.2 | 66.7 ± 6.9 | 65.2 ± 8.3 | 8.1 × 10−5 |
LAA-, cm2 (N = 1332) | Mean ± SD | 11.1 ± 4.1 | 10.4 ± 3.6 | 10.9 ± 3.5 | 11.9 ± 4.9 | 8.1 × 10−7 |
LV mass / BSA, g/m2 (N = 1489) | Mean ± SD | 91.9 ± 23.3 | 87.4 ± 19.5 | 92.7 ± 23.8 | 95.8 ± 25.4 | 2.5 × 10−8 |
LVH (N = 1853) | N (%) | 373 (24.4) | 99 (18.9) | 127 (25.1) | 147 (29.3) | 4.9 × 10−4 |
MFS reduced (N = 1470) | N (%) | 448 (31.9) | 136 (28.6) | 137 (29.6) | 175 (37.5) | 0.006 |
E/e’ > 8 (N = 1801) | N (%) | 765 (44.4) | 216 (38.0) | 261 (45.5) | 288 (49.7) | 3.2 × 10−4 |
Enlarged LA-area (N = 1332) | N (%) | 41 (3.2) | 7 (1.7) | 8 (1.8) | 26 (6.2) | 1.2 × 10−4 |
Outcomes (N = 1715) | ||||||
All-cause mortality | N (%) | 491 (30.0) | 104 (19.7) | 130 (23.8) | 257 (45.7) | 4.9 × 10−23 |
CV mortality | N (%) | 115 (6.0) | 19 (3.0) | 24 (3.8) | 72 (11.1) | 1.6 × 10−10 |
Hospitalization | N (%) | 1297 (79.3) | 392 (74.4) | 439 (80.3) | 466 (82.9) | 0.002 |
CV hospitalization | N (%) | 583 (35.6) | 143 (27.1) | 210 (38.4) | 230 (40.9) | 3.0 × 10−6 |
HF hospitalization | N (%) | 168 (10.3) | 25 (4.7) | 50 (9.1) | 93 (16.3) | 6.7 × 10−10 |