Relationship between mild renal dysfunction and coronary artery disease in young patients with stable angina pectoris

Biomark Med. 2020 Apr;14(6):433-440. doi: 10.2217/bmm-2019-0319. Epub 2020 Apr 9.

Abstract

Aim: We investigated the relationship between mild renal dysfunction (MRD) and the presence of coronary artery disease (CAD) in people under 60 years of age. Materials & methods: A total of 634 (317 patients with vessel stenosis ≥50% and 317 with normal angiography) individuals diagnosed with stable angina pectoris and estimated glomerular filtration rate (eGFR) ≥60 ml/min/1.73 m2 were included in the present study. Results: The mean eGFR was lower (95.3 ± 23.7 vs 109.7 ± 22.3, respectively, p = 0.002) and the number of patients with MRD was higher in patients with CAD (137, 43.2%) than in the control group (52, 16.4%, p < 0.001). The multivariate analysis showed that lower eGFR is an independent risk factor for presence of CAD in people under 60 years of age with stable angina pectoris. Conclusion: According to our retrospective study, the risk of developing CAD appears to be slightly increased in individuals under 60 years of age with MRD.

Keywords: coronary artery disease; estimated glomerular filtration rate; mild renal dysfunction.

MeSH terms

  • Adult
  • Angina, Stable / complications*
  • Angina, Stable / diagnostic imaging
  • Angina, Stable / physiopathology*
  • Coronary Angiography
  • Coronary Artery Disease / complications*
  • Female
  • Glomerular Filtration Rate
  • Humans
  • Kidney / physiopathology*
  • Male
  • Middle Aged