763
Views
25
CrossRef citations to date
0
Altmetric
Research Articles

Predictive value of midregional pro-adrenomedullin compared to natriuretic peptides for incident cardiovascular disease and heart failure in the population-based FINRISK 1997 cohort

, , , , , , , & show all
Pages 155-162 | Received 26 Sep 2013, Accepted 29 Nov 2013, Published online: 10 Feb 2014

Figures & data

Table I. Characteristics of the study population.

Figure 1. Kaplan–Meier Curves by quintile of midregional pro-adrenomedullin (MR-proADM) for major adverse cardiac events (MACE) and heart failure after adjustment for age and gender. Dotted lines indicate the 95% confidence intervals. C1: Quintile 1, MR-proADM concentration < 0.36 nmol/L; C2: Quintile 2, MR-proADM concentration ≥ 0.36–0.48 nmol/L; C3: Quintile 3, MR-proADM concentration ≥ 0.48–0.50; C4: Quintile 4, MR-proADM concentration ≥ 0.50–0.59; C5: Quintile 5, MR-proADM concentration ≥ 0.59.

Figure 1. Kaplan–Meier Curves by quintile of midregional pro-adrenomedullin (MR-proADM) for major adverse cardiac events (MACE) and heart failure after adjustment for age and gender. Dotted lines indicate the 95% confidence intervals. C1: Quintile 1, MR-proADM concentration < 0.36 nmol/L; C2: Quintile 2, MR-proADM concentration ≥ 0.36–0.48 nmol/L; C3: Quintile 3, MR-proADM concentration ≥ 0.48–0.50; C4: Quintile 4, MR-proADM concentration ≥ 0.50–0.59; C5: Quintile 5, MR-proADM concentration ≥ 0.59.

Figure 2. Hazard ratios of different outcomes for baseline midregional pro-adrenomedullin, N-terminal pro-brain natriuretic peptide, B-type natriuretic peptide, and midregional pro-atrial natriuretic peptide. Cox proportional hazards regression models comparing the highest quintile of each biomarker with the lowest quintile have been adjusted for the Framingham risk factors.

Figure 2. Hazard ratios of different outcomes for baseline midregional pro-adrenomedullin, N-terminal pro-brain natriuretic peptide, B-type natriuretic peptide, and midregional pro-atrial natriuretic peptide. Cox proportional hazards regression models comparing the highest quintile of each biomarker with the lowest quintile have been adjusted for the Framingham risk factors.

Table II. C-statistics and integrated discrimination improvement (IDI) for various cardiovascular outcomes due to adding baseline MR-proADM, NT-proBNP, BNP, and MR-proANP to the Framingham risk score.

Table III. Net reclassification improvement (NRI) and clinical NRI for various cardiovascular outcomes due to adding baseline MR-proADM, MR-proADM, NT-proBNP, BNP, and MR-proANP to the standard Framingham risk score.

Supplemental material

Supplementary Tables I and II

Download PDF (41.4 KB)

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.