Univariate and multivariable Cox models for prediction of new-onset AF by sex-specific SUA quartiles and systolic BP as time-varying covariates
Variable | Number of subsequent events | Univariate | Multivariable | Wald | ||
---|---|---|---|---|---|---|
HR (95% CI) | P | HR (95% CI) | P | |||
SUA 2nd Quartile | 373 | 0.59 (0.43–0.80) | 0.001 | 0.87 (0.58–1.30) | 0.499 | 0.46 |
SUA 3rd Quartile | 373 | 0.83 (0.65–1.07) | 0.158 | 1.14 (0.79–1.64) | 0.499 | 0.46 |
SUA 4th Quartile | 373 | 1.84 (1.50–2.25) | < 0.001 | 1.65 (1.19–2.29) | 0.003 | 8.88 |
Systolic BP, per SD | 373 | 0.95 (0.87–1.04) | 0.273 | 0.92 (0.84–1.00) | 0.044 | 4.06 |
Cornell voltage-duration product, per SD | 373 | 1.15 (1.05–1.25) | 0.003 | 1.10 (1.01–1.21) | 0.033 | 4.56 |
Framingham risk score, per SD | 373 | 1.25 (1.14–1.38) | < 0.001 | 0.94 (0.82–1.08) | 0.401 | 0.71 |
Cerebrovascular disease | 373 | 1.50 (1.20–1.86) | < 0.001 | 1.20 (0.96–1.50) | 0.114 | 2.50 |
Age, per SD | 373 | 1.89 (1.69–2.12) | < 0.001 | 1.94 (1.72–2.20) | < 0.001 | 115.0 |
Male gender | 373 | 1.27 (1.03–1.55) | 0.022 | 1.44 (1.08–1.92) | 0.014 | 6.01 |
Atenolol treatment | 373 | 1.40 (1.14–1.72) | 0.001 | 1.35 (1.10–1.66) | 0.005 | 7.97 |
1st through 4th SUA quartiles at baseline using sex-specific ranges: < 309, 309–353, 354–408, and ≥ 409 μmol/L for men and < 255, 255–297, 298–345, and ≥ 346 μmol/L for women. 1st quartile n = 2,033, 2nd quartile n = 2,070, 3rd quartile n = 2,100, 4th quartile n = 2,040. SD: standard deviation
The authors thank the 945 clinical centers who participated in the LIFE study.
ESZ, KW, PMO and RBD contributed to the conception and design of this LIFE sub-study. ESZ, IMS, KW and DAH performed the statistical analyses. ESZ wrote the first draft of the manuscript. All authors contributed to manuscript revision, read and approved the submitted version.
Sverre E. Kjeldsen has received ad-hoc lecture honoraria within the past 3 years from Getz, Merck Healthcare KGaA, Sanofi-Aventis and Vector-Intas. The other authors declare that they have no conflicts of interest.
The trial protocol was approved by ethical committees in all countries with participating clinical centres and done in accordance with the Declaration of Helsinki.
Written informed consent to participate in the study was obtained from all participants.
Not applicable.
The data that support the findings of this study are available from the corresponding author (RBD) upon dire need.
Merck & Co., Inc. supported the LIFE study with an unrestricted grant from 1993. Merck had a non-voting member of the Steering Committee, which designed the study and wrote the protocol. Merck did monitoring, and data was accumulated in a Merck database until study ended in 2002. Merck provided the study steering committee with free access to blinded data until 2002 and then un-blinded data after the database was cleared for queries and frozen. The steering committee including a committee statistician validated independently the main outcomes. The steering committee has always been free to analyze and interpret the data, make decisions to publish and write the papers. Merck has not had any formal role after 2002 except for sporadically provided expert statistical assistance.
© The Author(s) 2022.