Poor coronary collateral vessel development in patients with mild to moderate renal insufficiency
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Shuang-lun Xie Hai-yan Li Bing-qing Deng Nian-sang Luo Deng-feng Geng Jing-feng Wang Ru-qiong Nie
- چاپ و سال / کشور: 2010
Description
Background The development of coronary collaterals is crucial to survival through acute ischemia. Mild to moderate loss of renal function has been suggested to play a role in this event, but evidential data are scarce. The aim of this study was to investigate the relationship between mild to moderate renal insufficiency and coronary collateral development in patients with chronic total coronary artery occlusion. Methods and results A total of 83 patients with mild to moderate loss of renal function (30 mL/min/1.73 m2 B eGFR\90 mL/min/1.73 m2) with chronic total coronary artery occlusion were included in our study. The collateral circulation was graded according to Rentrop classification and the function of collateral circulation was graded according to Werner collateral connection (CC) grades. Compared to patients with good collateral circulation (Rentrop = 2,3), eGFR was found to be lower in those patients with poor coronary collateral circulation (Rentrop = 0,1) (63.30 ± 10.51 vs. 54.13 ± 10.56, P = 0.02). eGFR was also found to be lower in poorly functioning coronary collateral circulation (CC = 0,1) than in efficiently functioning coronary collateral circulation (CC = 2) (55.22 ± 9.98 vs. 66.28 ± 9.16, P = 0.03). Multiple logistic regression analysis showed that low eGFR was independently associated with poor coronary collateral circulation (Rentrop = 0,1, 95% CI, 0.09–1.09, P = 0.044) and poor function of coronary collateral circulation (CC = 0,1, 95% CI, 0.02–0.17, P = 0.02). Conclusions Lower eGFR is associated with poorer coronary collateral vessel development in patients experiencing mild to moderate renal insufficiency. Moreover, eGFR represents an independent factor affecting coronary collateral vessel development
Clin Res Cardiol (2011) 100:227–233 DOI 10.1007/s00392-010-0233-8 Received: 29 May 2010 / Accepted: 7 September 2010 / Published online: 25 September 2010
