Urate-lowering therapy in patients with hyperuricemia and heart failure: A retrospective cohort study using the UK Clinical Practice Research Datalink.
Clin Cardiol
; 47(6): e24297, 2024 Jun.
Article
em En
| MEDLINE
| ID: mdl-38873862
ABSTRACT
BACKGROUND:
Elevated serum uric acid (sUA) is associated with heart failure (HF).HYPOTHESIS:
Urate-lowering therapy (ULT) in HF is associated with lower risk of HF hospitalization (hHF) and mortality.METHODS:
Data on patients with HF and gout or hyperuricemia in the Clinical Practice Research Datalink database linked to the Hospital Episode Statistics and the Office for National Statistics in the United Kingdom were analyzed. Risks of hHF and all-cause mortality or cardiovascular-related mortality by ULT exposure (ULT initiated within ≤6 months of gout or hyperuricemia diagnosis) were analyzed in a propensity score-matched cohort using adjusted Cox proportional hazards regression models.RESULTS:
Of 2174 propensity score-matched pairs, patients were predominantly male, aged >70 years, with mean ± standard deviation sUA 9.3 ± 1.8 (ULT-exposed) and 9.4 ± 1.9 mg/dL (ULT-unexposed). At 5 years, ULT-exposed patients had a 43% lower risk of hHF or all-cause mortality (adjusted hazard ratio [HR] 0.57; 95% confidence interval [CI] 0.51-0.65) and a 19% lower risk of hHF or cardiovascular-related mortality (adjusted HR 0.81; 95% CI 0.71-0.92) versus no ULT exposure.CONCLUSION:
ULT was associated with reduced risk of adverse clinical outcomes in patients with HF and gout or hyperuricemia over 5 years.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ácido Úrico
/
Supressores da Gota
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Hiperuricemia
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Insuficiência Cardíaca
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Clin Cardiol
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Reino Unido