Predictive value of serum uric acid on cardiovascular disease and all-cause mortality in urban Chinese patients

• Published in: Chinese medical journal Vol. 123; no. 11; pp. 1387 - 1391
• Main Authors: Wu, Yong-quan, Li, Jue, Xu, Yuan-xi, Wang, Yong-liang, Luo, Ying-yi, Hu, Da-yi, Liu, Wei-jing, Yang, Ming, Pi, Lin, Wang, Ming-sheng, Wang, Ji-yun, Zhao, Shu-mei, Li, Mei-jing
• Format: Journal Article
• Language: English
• Published: China Department of Cardiology, Beijing Friendship Hospital affiliated to Capital Medical University, Beijing 100050, China%Heart, Lung, and Blood Vessel Centre, Medical School of Tongji University, Shanghai 200065, China%Department of Cardiology, Tongji Hospital of Tongji University, Shanghai 200065, China%Department of Cardiology, Shanghai 10th Hospital, Shanghai 200072, China%Department of Cardiology, Beijing Fuxing Hospital affiliated to Capital Medical University, Beijing 100038, China%Department of Cardiology, Beijing Chuiyangliu Hospital, Beijingl00022, China%Department of Cardiology, Beijing Shijingshan Hospital, Beijingl 00043, China%Department of Cardiology, Beijing Tongren Hospital Affiliated to Capital Medical University, Beijing 100005, China%Department of Cardiology, Shanghai Oriental Hospital, Shanghai 200120, China 01-06-2010
• Subjects: Aged; Aged, 80 and over; Asian Continental Ancestry Group; Cardiovascular Diseases - blood; Cardiovascular Diseases - etiology; Cardiovascular Diseases - mortality; Female; Humans; Male; Middle Aged; Risk Factors; Uric Acid - blood; 心血管疾病; 死亡率; 预测值; mortality; cardiovascular disease; serum uric acid
• ISSN: 0366-6999; 2542-5641
• DOI: 10.3760/cma.j.issn.0366-6999.2010.11.006

Background The association between increased serum uric acid （SUA） levels and cardiovascular risk has been debated for decades. Several large studies have provided conflicting results regarding the clinical significance of elevated SUA levels in cardiovascular disease （CVD） or cerebrovascular disease. The aim of this study was to investigate the relationship between SUA and CVD and all-cause mortality and their potential diagnostic value. Methods A total of 3570 in-patients ranging in age from 56 to 95 years （mean （67.36_＋11.36） years） were selected from 20 hospitals in Beijing and Shanghai. A carefully designed questionnaire was used to gather baseline data of each patient All patients were divided into two main groups according to their SUA levels： high SUA and normal SUA groups. Serum indices and other important parameters were measured. Results Compared with normal SUA group, high SUA group had significant difference in systolic blood pressure （SBP）, total cholesterol （TC）, triglyceride （TG）, high density lipoprotein cholesterol （HDL-C）, body mass index （BMI）, and age （P 〈0.05 or P 〈0.01）. High SUA prevailed in female and patients with history of essential hypertension, while history of smoking and diabetes showed no significant difference between two groups. All-cause and CVD mortality occurred more frequently in high SUA group than in normal SUA group. In the accumulative survival analysis, high SUA group had lower survival rate than normal SUA group both in CVD and all-cause mortality. COX regression analysis indicated that the history of smoking, age and high SUA were independent risk factors for the development of CVD. Conclusions These preliminary observations suggest that patients with high SUA levels would face higher risk of mortality. SUA measurement may be applied as a routine predictor for clinical assessment.