Lipids & metabolic liver disease

Association between the atherogenic index of plasma trajectory and risk of heart failure among hypertensive patients: a prospective cohort study

Cardiovasc DiabetolPublished Prospective cohort study

Authors' conclusion

Prolonged elevation of AIP in hypertensive patients is significantly associated with an increased risk of HF. This finding suggests that regular monitoring of AIP could aid in identifying individuals at a heightened risk of HF within the hypertensive population.

Study context

Population
Hypertensive patients from the Kailuan Study with three survey waves 2006–2010, free of heart failure (HF) or cancer before or during 2010822 HF events
Participants
22,201 patients
Exposure
Atherogenic index of plasma (AIP) trajectory groups vs low-stable AIP trajectory
  • Low-stablen = 3,373reference
  • Moderate-low stablen = 12,700
  • Moderate-high stablen = 5,313
  • Elevated-increasingn = 815
Outcome
Incident HF
Follow-up
Median 9.98 years
Methodological detailslatent mixed modeling trajectories, Cox proportional hazard models
  • Latent mixed modeling trajectories
  • Cox proportional hazard models

Main finding

As reported in the abstract

Each group vs low-stableAdjusted hazard ratio (CI)
Elevated-increasing
1.79(1.21,2.66)
Moderate-high stable
1.49(1.17,1.91)
Moderate-low stable
1.27(1.02,1.58)

Observational data: associations, not effects.

Original publication

Association between the atherogenic index of plasma trajectory and risk of heart failure among hypertensive patients: a prospective cohort study. Cardiovasc Diabetol. Published 16 August 2024. doi:10.1186/s12933-024-02375-z

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