Circulating vascular endothelial growth factor and the risk of cardiovascular events.
Document Type
Article
Publication Date
12-2016
Institution/Department
Cardiology
Journal Title
Heart (British Cardiac Society)
MeSH Headings
Aged, Biomarkers, Cardiovascular Diseases, Female, Humans, Incidence, Male, Massachusetts, Middle Aged, Multivariate Analysis, Nonlinear Dynamics, Predictive Value of Tests, Prognosis, Proportional Hazards Models, Prospective Studies, Risk Assessment, Risk Factors, Up-Regulation, Vascular Endothelial Growth Factor A
Abstract
OBJECTIVE: To investigate the relation of circulating concentrations of vascular endothelial growth factor (VEGF) for the risk of developing cardiovascular disease (CVD) in a large community-based sample.
METHODS: We prospectively assessed the relation of circulating VEGF concentrations with the incidence of CVD among 3041 Framingham Heart Study participants (mean age 63.4±11.1 years, 59% women). Multivariable Cox proportional hazards models were estimated adjusting for standard risk factors to VEGF quartiles to incident CVD. Restricted cubic splines were used to examine the linearity of the association.
RESULTS: After a mean follow-up of 8.8 (±2.8) years, 527 individuals experienced a first CVD event. Compared with participants in the first VEGF quartile, individuals in the second VEGF quartile had a 34% increased risk for future CVD (HR 1.34, 95% CI 1.03 to 1.74; p value=0.03) and individuals in third quartile had a 59% higher risk (HR 1.59; 95% CI 1.23 to 2.05, p value=0.0003). Individuals in the highest VEGF quartile had a similar cardiovascular risk as compared with those in the lowest VEGF quartile (HR 1.18, 95% CI 0.91 to 1.53, p value=0.21). Evaluation of restricted cubic splines confirmed the nonlinear, inverted U-shaped relation of serum VEGF and CVD events (p
CONCLUSIONS: Circulating VEGF concentrations exhibit a complex non-linear (inverted U-shaped) relation with the risk of developing CVD events, with the lowest risk experienced at the lower and upper end of the distribution. The underlying pathophysiological mechanisms remain to be elucidated.
ISSN
1468-201X
First Page
1898
Last Page
1901
Recommended Citation
Kaess, Bernhard M; Preis, Sarah R; Beiser, Alexa; Sawyer, Douglas B.; Chen, Tai C; Seshadri, Sudha; and Vasan, Ramachandran S, "Circulating vascular endothelial growth factor and the risk of cardiovascular events." (2016). MaineHealth Maine Medical Center. 293.
https://knowledgeconnection.mainehealth.org/mmc/293