Vascular endothelial growth factor in serum indicates cardiovascular risk in urology patients

Robert G Hahn1, Li Yin, Jan Ekengren

  • 1Stockholm South Hospital, Stockholm, Sweden. r.hahn@telia.com

Insights

High vascular endothelial growth factor (VEGF) levels in the blood indicate an increased risk of cardiovascular disease and death in urology patients. This finding suggests VEGF as a potential biomarker for cardiovascular risk assessment.

Area of Science:

  • Cardiovascular Medicine
  • Urology
  • Biomarkers

Background:

  • Vascular Endothelial Growth Factor (VEGF) is implicated in prostate growth and chronic ischemia.
  • Elevated VEGF levels may correlate with increased cardiovascular risk.

Purpose of the Study:

  • To investigate the association between serum VEGF concentration and the risk of cardiovascular disease and death in urology patients.

Main Methods:

  • Serum VEGF levels were measured in 219 males (mean age 72) with lower urinary tract symptoms.
  • Cardiovascular events and survival data were tracked for up to 10 years.

Main Results:

  • Patients in the highest VEGF quartile (>500 pg/ml) showed increased risk for cardiovascular disease (HR 2.18), myocardial infarction (HR 3.36), and stroke (HR 3.98).
  • Elevated VEGF was also linked to a higher risk of all-cause mortality (HR 1.74).
  • These risks became apparent 2-5 years post-sampling.

Conclusions:

  • Elevated serum VEGF is a significant risk factor for subsequent cardiovascular disease development.
  • VEGF may serve as a predictive biomarker for cardiovascular events in urological patients.
Abstract

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