Association between fingertip-measured advanced glycation end products and cardiovascular events in outpatients with cardiovascular disease

Cardiovasc DiabetolPublished Cohort study

Main finding · MACCEResult — go to the resultHazard ratio 2.638 95% CI 1.271–5.471

Authors' conclusion

AGEs score measured at the fingertip in patients with CVD is associated with MACCE. AGEs score, which can be measured noninvasively and easily, may be useful as an assessment for the secondary prevention of CVD in patients with CVD.

Study context

Population
Outpatients with cardiovascular disease (CVD); AGEs measured noninvasively at the fingertip with an AGEs sensor
Participants
191 outpatients
Exposure
High vs low AGEs score
Outcome
Incidence of MACCE:
  • Cardiac death
  • MI
  • Percutaneous coronary intervention
  • HF
  • Stroke
Follow-up
30 months

Main finding

MACCE

Hazard ratio

2.638

95% CI 1.271–5.471

P = 0.009

By group

High-AGEs scorevs Low-AGEs score
HR 2.638 (95% CI 1.271–5.471); P = 0.009

As reported in the abstract

Observational data: associations, not effects.

Further findings

AGEs score cutoff for detection of major adverse cardiovascular and cerebrovascular events (MACCE) (ROC)

Best cutoff AGEs score
0.51
AUC
0.642
P
P = 0.008
Sensitivity
72.2%
Specificity
54.8%

AGEs score distribution

Median AGEs score (normally distributed)
0.51
No significant intergroup differences in laboratory findings, physical functions or medications

Original publication

Association between fingertip-measured advanced glycation end products and cardiovascular events in outpatients with cardiovascular disease. Cardiovasc Diabetol. Published 17 August 2023. doi:10.1186/s12933-023-01953-x

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