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Analyses of Proteinuria, Renal Infiltration of Leukocytes, and Renal Deposition of Proteins in Lupus-prone MRL/lpr Mice
Published on: June 8, 2022
High-sensitivity C-reactive protein: an independent risk factor for left ventricular hypertrophy in patients with
Beili Shi1, Zhaohui Ni, Hong Cai
1Renal Division, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, 1630 Dongfang Road, Shanghai 200127, China.
Insights
In lupus nephritis (LN) patients, left ventricular hypertrophy (LVH) affects 21.25%. Elevated high-sensitivity C-reactive protein (hs-CRP) is an independent risk factor for LVH in this population.
Area of Science:
- Nephrology
- Cardiology
- Immunology
Background:
- Lupus nephritis (LN) is a severe complication of systemic lupus erythematosus.
- Left ventricular hypertrophy (LVH) is a common cardiac abnormality.
- Risk factors for LVH in LN patients require further investigation.
Purpose of the Study:
- To determine the prevalence of LVH in patients with lupus nephritis.
- To identify risk factors associated with LVH in this cohort.
- To explore the relationship between serum high-sensitivity C-reactive protein (hs-CRP) and LVH in LN.
Main Methods:
- 287 lupus nephritis patients were enrolled.
- Echocardiography was performed to assess LVH.
- Serum hs-CRP levels were measured and analyzed for correlation with LVMI using univariate and multivariate regression.
Main Results:
- The prevalence of LVH was 21.25% among the studied LN patients.
- Serum hs-CRP levels were significantly higher in patients with LVH.
- hs-CRP showed a significant positive correlation with left ventricular mass index (LVMI) and was identified as an independent risk factor for LVH.
Conclusions:
- Serum hs-CRP is independently correlated with LVMI in lupus nephritis patients.
- Elevated hs-CRP levels are associated with LVH in LN.
- Measuring hs-CRP may offer valuable clinical insights for assessing LVH risk in LN.
Objective:
To determine the prevalence of left ventricular hypertrophy (LVH) and its associated risk factors in lupus nephritis (LN) patients.
Methods:
287 LN patients (age: 38.54 ± 13.31, 262 female) were recruited. Echocardiography and serum high-sensitivity C-reactive protein (hs-CRP) were measured. Their relationship was evaluated by univariate correlation analysis and multivariate regression analysis.
Results:
The prevalence of LVH in this cohort was 21.25% (n = 61). Serum hs-CRP level was significantly elevated in patients with LVH compared to those without (8.03 (3.22-30.95) versus 3.93 (1.48-9.48) mg/L, P < .01), and correlated with left ventricular mass index (LVMI) (r = 0.314, P = .001). Multivariate regression analysis further confirmed that hs-CRP was an independent risk factor (β = 0.338, P = .002) for LVH in patients with LN.
Conclusions:
Our findings demonstrated that serum hs-CRP level is independently correlated with LVMI and suggested that measurement of hs-CRP may provide important clinical information to investigate LVH in LN patients.
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