Proteinuria Detected by Urine Dipstick Test as a Risk Factor for Atrial Fibrillation: A Nationwide Population-Based Study View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-12

AUTHORS

Woo-Hyun Lim, Eue -Keun Choi, Kyung-Do Han, Tae-Min Rhee, Hyun-Jung Lee, So-Ryoung Lee, Si-Hyuck Kang, Myung-Jin Cha, Seil Oh

ABSTRACT

Proteinuria is one of the well-known risk factors for cardiovascular disease. However the impact of proteinuria on the incidence of atrial fibrillation (AF) is unclear. In this study, we investigated the association between proteinuria detected using urine dipstick test and the risk of AF. A total of 18,201,275 individuals were analyzed, who had no prior AF and had received biennial health checkups provided by the National Health Insurance Service between 2005 and 2008 in Korea. Incidences of AF were ascertained through the end of 2015. During a mean follow-up of 9.6 years, a total of 324,764 (1.8%) developed AF (1.86 per 1,000 person-years). In Cox regression models, proteinuria was associated with an increased risk of AF: adjusted HR and 95% CI of AF occurrence were 1.13 (1.10-1.16), 1.34 (1.31-1.38), 1.53 (1.48-1.58), 1.82 (1.71-1.94), and 1.86 (1.61-2.16) in individuals with trace, 1+, 2+, 3+, and 4+ proteinuria, respectively, compared with those without proteinuria. The result was consistent even after additional adjustment for estimated glomerular filtration rate. In addition, the risk of AF further increased or decreased according to the follow-up dipstick test results. Thus, proteinuria measured with a dipstick test might be considered a potent risk factor for AF development. More... »

PAGES

6324

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41598-017-06579-0

DOI

http://dx.doi.org/10.1038/s41598-017-06579-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1090780744

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28740259


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