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Blood pressure prior to percutaneous coronary intervention is associated with the risk of end-stage renal disease: a nationwide population based-cohort study

Authors
Bae, Eun HuiLim, Sang YupKim, BongseongHan, Kyung-DoOh, Tae RyomChoi, Hong SangKim, Chang SeongMa, Seong KwonKim, Soo Wan
Issue Date
Sep-2021
Publisher
대한신장학회
Keywords
End-stage renal disease; Hypertension; Korean; Percutaneous coronary intervention; Risk
Citation
Kidney Research and Clinical Practice, v.40, no.3, pp 432 - 444
Pages
13
Indexed
SCIE
SCOPUS
KCI
Journal Title
Kidney Research and Clinical Practice
Volume
40
Number
3
Start Page
432
End Page
444
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/54446
DOI
10.23876/j.krcp.21.245
ISSN
2211-9132
2211-9140
Abstract
Background: Hypertension is the most important modifiable risk factor for mortality and morbidity in chronic kidney disease and coronary artery syndrome. The effect of hypertension prior to percutaneous coronary intervention (PCI) on the development of end-stage renal disease (ESRD) is unknown. Methods: We used nationally representative data from the Korean National Health Insurance System-140,164 subjects were enrolled during 2010-2015; they were free of ESRD at enrolment, underwent PCI, and were followed up until 2017. Blood pressure (BP) was measured within at least 2 years prior to PCI. The primary outcome was the development of ESRD. Results: During a median follow-up of 5.4 years, 2,082 participants (1.5%) developed ESRD. The highest systolic BP group (>160 mmHg) showed a higher hazard ratio (3.69; 95% confidence interval, 2.61-5.23) than the reference group (110-119 mmHg). Similar results were observed in the highest diastolic BP group (>120 mmHg), which showed a higher hazard ratio than the reference group (70-79 mmHg). However, ESRD risk showed a J-shaped relationship with baseline systolic and diastolic BP at 113 and 74 mmHg in diabetes mellitus subgroup, respectively, after adjustment for potential confounders. Conclusion: Our study showed that a high systolic or diastolic BP prior to PCI was independently associated with an increased incidence of ESRD.
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Lim, Sang Yeob
Ansan Hospital (Department of Cardiology, Ansan Hospital)
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