Prognostic value of serum uric acid in patients with acute heart failure: A meta-analysis

Gang Huang1, Juan Qin2, Xuejun Deng1

  • 1Department of Cardiovascular Medicine.

Medicine
|March 1, 2019
PubMed

Insights

Elevated serum uric acid (SUA) levels in acute heart failure (AHF) patients independently predict higher risks of all-cause mortality and death or readmission. SUA measurement can improve risk stratification for adverse outcomes in AHF.

Area of Science:

  • Cardiology
  • Clinical Research
  • Biomarkers

Background:

  • Conflicting data exists on the prognostic value of serum uric acid (SUA) in acute heart failure (AHF).
  • This meta-analysis addresses the prognostic significance of SUA levels in AHF patients.

Purpose of the Study:

  • To determine the prognostic significance of serum uric acid (SUA) levels in patients with acute heart failure (AHF).

Main Methods:

  • A comprehensive literature search was conducted in PubMed and Embase databases up to April 6, 2018.
  • Included were observational studies and post hoc analyses evaluating SUA's prognostic value in AHF.
  • Outcomes assessed were all-cause mortality and the composite of death or readmission.

Main Results:

  • Ten studies with 12,854 AHF patients were analyzed.
  • Highest SUA levels correlated with increased risk of all-cause mortality (RR 1.43) and death/readmission (RR 1.68).
  • Each 1 mg/ml SUA increase was associated with an 11-12% higher risk of adverse outcomes.

Conclusions:

  • Elevated SUA levels independently predict mortality and readmission in AHF patients.
  • SUA measurement may enhance risk stratification for adverse outcomes in AHF.
Abstract

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