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SHR Neuro Krebs Kardio Lipid

Tomaschitz, A; Pilz, S; Pieske, B; Ritz, E; März, W; Meinitzer, A; Dobnig, H; Amrein, K; Kienreich, K; Verheyen, N; Kraigher-Krainer, E; Drechsler, C; Colantonio, C; Wagner, D; Fahrleitner-Pammer, A.
Circulating aldosterone and mortality in female nursing home residents.
Exp Gerontol. 2013; 48(3):313-318
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Autor/innen der Med Uni Graz:
Amrein Karin
Colantonio Caterina
Dobnig Harald
Fahrleitner-Pammer Astrid
Kienreich Katharina
Maerz Winfried
Meinitzer Andreas
Pieske Burkert Mathias
Pieske-Kraigher Elisabeth
Pilz Stefan
Tomaschitz Andreas
Verheyen Nicolas Dominik
Wagner Doris
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Abstract:
To date studies evaluating the relation between circulating aldosterone levels and mortality in elderly female individuals are lacking. We therefore aimed to assess the relationship between circulating aldosterone levels and mortality in a population-based cohort study of female nursing home residents. Individuals aged 70years and older were recruited from 95 nursing homes in Austria. Participants were enrolled and followed up by mobile study teams. All participants underwent an extensive health examination and were followed until death or end of the study. Serum aldosterone concentration (SAC) was measured at baseline after exclusion of twenty seven patients taking mineralocorticoid-receptor (MR) blockers. Median SAC was 171.1 (IQR: 103.2-303.4) pg/mL (normal range: 30-400) in 471 female individuals (mean age: 83.7±6.2years). After a median follow-up of 27±8months, a total of 121 (25.7%) participants died. In multivariable Cox proportional hazard analysis, SAC levels stratified in quartiles were significantly associated with all-cause mortality. Compared with the reference (first) SAC quartile, the Cox proportional hazard ratio (confidence interval 95%) for the fourth SAC quartiles was 1.94, 95% CI=1.08-3.46, p=0.026. We found statistically significant interaction terms between SAC-related mortality and the presence of advanced heart failure (NYHA functional class III; p=0.038), HbA1c (p=0.043) and eGFR levels (p=0.030). Higher circulating aldosterone levels are related to an increased mortality risk in elderly female nursing home residents. Interventional studies are needed to assess the potential influence of MR blockade on "hard" clinical outcomes in individuals aged 70years and older. Copyright © 2013 Elsevier Inc. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Aged, 80 and over -
Aldosterone - blood
Aldosterone - epidemiology
Biomarkers - blood
Female -
Follow-Up Studies -
Glomerular Filtration Rate - physiology
Heart Failure - blood Heart Failure - mortality
Hemoglobin A, Glycosylated - metabolism
Homes for the Aged -
Humans -
Mortality -
Nursing Homes -
Prospective Studies -

Find related publications in this database (Keywords)
Aldosterone
Mortality
Elderly female individuals
Nursing home residents
Heart failure
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