Americans on dialysis more likely to develop CVD than their Japanese counterparts

Written By : Jacinthlyn Sylvia |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2023-02-26T21:30:57+05:30 | Updated On 27 Feb 2023 12:51 PM IST

Researchers have found in a new study that Americans on dialysis more likely to develop CVD than their Japanese counterparts. The study by Takahiro Imaizumi suggests that higher Left Ventricle (LV) mass and lower ejection fraction (EF) in patients with chronic kidney disease (CKD), even in the normal range, are predictive of cardiovascular disease (CVD).

The findings of the study were published in Kidney International Journal.

This study aimed to compare outcomes in patients with predialysis CKD between the United States and Japan and determine potential mediators of any differences. The study analyzed data from two cohort studies, the Chronic Renal Insufficiency Cohort (CRIC) in the United States and the CKD Japan Cohort (CKD-JAC) in Japan.

The results showed that, on average, patients in the CRIC cohort had higher body mass index (BMI), lower left ventricular EF, and higher levels of C-reactive protein (CRP) than patients in the CKD-JAC cohort. Low EF and high left ventricular mass index (LVMI) were significantly associated with subsequent CVD in both cohorts.

During a median follow-up of five years, the CRIC participants had a significantly higher risk for CVD and death compared to the CKD-JAC participants. The differences in CRP and phosphate levels between the two cohorts partially mediated the difference in CVD risk, but echocardiographic parameters (LVMI and EF) were stronger mediators of the differences.

The study also suggests that differences in BMI, CRP, and phosphate levels may contribute to the higher risk of CVD in patients with predialysis CKD in the United States compared to Japan, but these differences are not the sole mediators of the observed differences in CVD risk. The findings of this study could inform the development of interventions to reduce CVD risk in patients with CKD.

Reference:

Imaizumi, T., Fujii, N., Hamano, T., Yang, W., Taguri, M., Kansal, M., Mehta, R., Shafi, T., Taliercio, J., Go, A., Rao, P., Hamm, L. L., Deo, R., Maruyama, S., Cohen, D. L., … Unruh, M. L. (2023). Excess risk of cardiovascular events in patients in the United States vs. Japan with chronic kidney disease is mediated mainly by left ventricular structure and function. In Kidney International. Elsevier BV. https://doi.org/10.1016/j.kint.2023.01.008

kidney internationalleft ventricular ejection fractionChronic kidney disease

Source : Kidney International

Jacinthlyn Sylvia

Neuroscience Masters graduate

Jacinthlyn Sylvia, a Neuroscience Master's graduate from Chennai has worked extensively in deciphering the neurobiology of cognition and motor control in aging. She also has spread-out exposure to Neurosurgery from her Bachelor’s. She is currently involved in active Neuro-Oncology research. She is an upcoming neuroscientist with a fiery passion for writing. Her news cover at Medical Dialogues feature recent discoveries and updates from the healthcare and biomedical research fields. She can be reached at editorial@medicaldialogues.in

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751