Cardiology Research and Practice (Jan 2011)

Height Constitutes an Important Predictor of Mortality in End-Stage Renal Disease

  • Tsuneo Takenaka,
  • Takahiko Sato,
  • Hitoshi Hoshi,
  • Nobutaka Kato,
  • Keita Sueyoshi,
  • Masahiro Tsuda,
  • Yusuke Watanabe,
  • Hiroshi Takane,
  • Yoichi Ohno,
  • Hiromichi Suzuki

DOI
https://doi.org/10.4061/2011/242353
Journal volume & issue
Vol. 2011

Abstract

Read online

Aim. Height is an important determinant of augmentation index (AI) that anticipates cardiovascular prognosis. There is a scanty of the data whether short height predicts survival in patients with end-stage renal diseases, a high risk population. Methods. Fifty two hypertensive patients with type 2 diabetic nephropathy receiving hemodialysis and 52 patients with nondiabetic nephropathy were enrolled. In addition to AI estimated with radial artery tonometry, classical cardiovascular risk factors were considered. Patients were followed for 2 years to assess cardiovascular prognosis. Results. Cox hazards regression revealed that both smoking and shortness in height independently contributed to total mortality and indicated that smoking as well as the presence of left ventricular hypertrophy predicted cardiovascular mortality. Our findings implicated that high AI, the presence of diabetes, and low high-density lipoprotein cholesterol were significant contributors to cardiovascular events. Conclusions. Our findings provide new evidence that shortness in height independently contributes to total mortality in hemodialysis patients.