Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease (Oct 2022)

Association of Low‐Density Lipoprotein Cholesterol Levels During Statin Treatment With Cardiovascular and Renal Outcomes in Patients With Moderate Chronic Kidney Disease

  • Chieh‐Li Yen,
  • Pei‐Chun Fan,
  • Cheng‐Chia Lee,
  • Jia‐Jin Chen,
  • George Kuo,
  • Yi‐Ran Tu,
  • Pao‐Hsien Chu,
  • Hsiang‐Hao Hsu,
  • Ya‐Chung Tian,
  • Chih‐Hsiang Chang

DOI
https://doi.org/10.1161/JAHA.122.027516
Journal volume & issue
Vol. 11, no. 19

Abstract

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Background The benefit of low‐density lipoprotein cholesterol (LDL‐C) levels in chronic kidney disease populations remains unclear. This study evaluated the cardiovascular and renal outcomes in patients with stage 3 chronic kidney disease with different LDL‐C levels during statin treatment. Methods and Results There were 8500 patients newly diagnosed as having stage 3 chronic kidney disease under statin treatment who were identified from the Chang Gung Research Database and divided into 3 groups according to their first LDL‐C level after the index date: 100 mg/dL. Inverse probability of treatment weighting was performed to balance baseline characteristics. Compared with the LDL‐C ≥100 mg/dL group, the 70≤LDL‐C100 mg/dL. Moreover, the 70≤LDL‐C<100 mg/dL group seemed to have a lowest risk of intracerebral hemorrhage, although the incidence was low.

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